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Josh Hoekstra has a diverse work experience in various roles and companies. Josh started their career in 2006 as an Account Supervisor at Havas Health and worked there until 2009. From 2009 to 2010, they served as a Group Account Supervisor at Biolumina. In 2010, they joined Publicis LifeBrands Medicus as a VP and Account Director, where they worked until 2014. In 2015, they became a freelance Videographer & Editor at Josh Allen Images until 2017. In 2017, they joined EngagedMedia as a VP and Subject Matter Expert (Sales) until 2020. Josh also worked at WebMD in 2017 as a Director of Strategic Accounts.

Josh Hoekstra attended Cedarville University from 1998 to 2002, where they obtained a Bachelor of Arts (BA) degree in Global Economics & International Business. In 2001, they also pursued a Spanish minor at Conversa Instituto de Linguisticos.