Google Adwords Consulting

I am looking for someone who really understands Adwords to help solve some problems with my account. I am pretty involved and have a large account so it would really need to be someone who knows Adwords and knows a lot about improving quality scores. My main problem is having keywords that say keyword relavance is poor 3/10 4/10 but I have the keywords in the ad???? Just want some hourly work to improve my campaign. Needs to be done ASAP