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Google Ads Refresh and Management

Hello! I run a regional health insurance agency and need assistance updating my Google Ads account, as well as a desire to have ongoing maintenance/development for new ads/campaigns. Maintenance and creation will be the initial parts of the job. I need assistance setting up a new account that combines my previous Ads accounts, and I also need help setting up conversion tracking. At that point, I'd also like to work with someone that can assist with creating/updating my campaigns regularly. I'd like to stress the desire for Quality leads over More leads... I don't simply want more clicks and leads, we'd like to constantly refine and target our ideal audience. I'm happy to share access to my different accounts and website. I'd prefer to a native English speaker and someone in the US.