Looking for an agency to help with getting leads

I work with hundreds of e-commerce & local doctor practices. Each one with a healthy ad spend and mgmt fee budget (around $3k/mo
each)

I need an agency to help with ad operations, creative management.

Looking for someone who is familiar with these terms:

ROAS, LLA/LAL, CBO, trim fat, sunsetting, manual bid

someone, for the love of all things sacred, who knows to never "boost" a facebook or instagram post.

GENERAL
Automated Rules
Ads Funnels (TOF/MOF/BOF)
Attribution Models

STRATEGIES
Shotgun & Surfing
Sneak Attack Method
Sniper Method
Bully Method (Manual Bidding)

Please email me: [email protected]
Or Skype: [email protected]

You seek someone who have agency account or just need the service someone to do mngmnt?