Founding Lifecycle Lead (AI-native B2C mental health, $7M+ raised, backed by Y Combinator, In-Person)

🧠 About Legion Health

At Legion Health, we believe everyone deserves fast, affordable, and effective mental health care, and we’re on a mission to deliver that at scale.

Legion Health is building a modern clinic, completely AI-native, where our human psychiatrists and AI agents work together to provide world-class care covered by insurance directly to our patients. We combine rich patient data, production AI, and humans-in-the-loop to automate the hardest parts of healthcare operations and deliver measurably better care within our own vertically-integrated sandbox. With 60% of all Texans (18M Americans) able to access Legion via their insurance (most for under $30), our Texas beachhead puts us on pace to 10× next year with a national rollout. Today, with $3M+ ARR, we're aggressively expanding.

📍 Role Logistics

• Job Type: Full-Time

• Role Type: Growth

• Ideal Experience Level: 2+ years of experience

• Location: In-Person in San Francisco, CA

• US Visa Sponsorship: Open to it if you're amazing

🚀 The Opportunity

As Founding Lifecycle Marketing Lead at Legion Health, you’ll own the end-to-end patient lifecycle—building the CRM foundation and programs that keep patients engaged, retained, and delighted over months and years of care.

This role is central to how we scale: you’ll design the journeys across onboarding → first visit → follow-ups → retention → re-engagement, and partner closely with product, ops, and clinical teams to ensure no patient slips through the cracks. You’ll have high leverage to improve retention, reduce drop-off, and elevate the patient experience in a regulated, high-trust healthcare environment.

✅ Responsibilities and Deliverables

• Own Legion Health’s lifecycle strategy end-to-end, including onboarding flows, retention programs, refill support journeys, win-back / reactivation, and churn reduction.

• Build and operate our CRM stack, including segmentation, event-driven messaging, campaign operations, experimentation, and performance reporting (email, SMS, in-product, and other touchpoints as needed).

• Design patient journey orchestration, mapping key lifecycle states (signup → booked → first visit → follow-up cadence → inactive) and ensuring the right messages, nudges, and support triggers occur at the right time.

• Improve retention and utilization, driving measurable increases in follow-up booking rates, kept-appointment rates, medication adherence support touchpoints, and long-term patient engagement.

• Run rigorous testing and analytics, partnering with growth/product analytics (e.g., PostHog + basic SQL) to define lifecycle KPIs, build dashboards, and run A/B tests across messaging, timing, and personalization.

• Reduce operational friction, partnering with clinical operations and care teams to ensure lifecycle comms align with real workflows (scheduling, refill policies, clinical constraints) and improve the patient experience.

• Drive re-engagement and win-back, building programs for patients who stall in the funnel, miss appointments, lapse in follow-ups, or churn—while staying compliant and patient-first.

• Ensure compliance and trust, maintaining high standards for HIPAA/PHI handling, consent management (e.g., SMS), CAN-SPAM/TCPA considerations, and careful healthcare messaging practices.

• Build scalable lifecycle playbooks that can be repeated, expanded, and eventually handed off as the company scales.

🏆 You’ll Be Successful If You…

• Build a clear, data-driven understanding of Legion Health’s lifecycle funnel and use it to prioritize ruthlessly and move fast.

• Ship programs that meaningfully improve activation and retention, including booking conversion, follow-up adherence, kept visits, and reactivation rates.

• Create lifecycle messaging patients genuinely appreciate—clear, warm, helpful, and clinically aligned.

• Turn ambiguous problems into structured lifecycle initiatives and deliver measurable outcomes.

• Earn trust cross-functionally (product, engineering, ops, and clinicians) through strong judgment, communication, and execution.

• Help Legion build a lifecycle engine that is both high-impact and operationally sound in a regulated healthcare environment.

🧰 Ideal Background and Skills

• 2–8+ years of experience in lifecycle marketing, retention, CRM, growth marketing, or a similar operator role (consumer, subscriptions, healthcare, or high-trust products are a plus).

• Hands-on ownership of lifecycle channels (email, SMS, push/in-product), including segmentation, personalization, journey building, and campaign execution.

• Strong analytical ability, including funnel analysis, experimentation design, lifecycle cohorting, and data storytelling—ideally using tools like PostHog and basic SQL.

• Experience with modern CRM / marketing automation tools, e.g., Braze, Iterable, Customer.io, HubSpot, Klaviyo, etc.

• High ownership + strong judgment in fast-moving environments; excellent attention to detail.

• Excellent written and verbal communication, with a high bar for patient-facing tone and clarity.

• Bonus: experience in digital health, HIPAA environments, or building lifecycle systems from scratch.

💰 Compensation & Benefits

• Salary: $89K – $172K (based on experience)

• Early-Stage Equity: 0.1% – 0.4%

• Health Insurance: Medical, dental, and vision benefits

• Additional Perks: In-person retreats, meal stipends, etc.

• Time Off: Flexible, unlimited vacation policy

• Work Hours: Flexible

• Work Setup: In-Person in San Francisco

• Impact: Work on something that truly matters to millions of patients and families.

• Autonomy and Learning: Ownership over your metrics with the freedom to set priorities, shape processes, and drive outcomes end-to-end.

• Growth Opportunities: As we scale, we envision our top performers from our founding team stepping into expanded roles and joining our executive leadership team.
  

📝 How to Apply and Hiring Process

• Apply here: [insert Ashby link]

• Overview of our hiring process:

  1. Resume + Application Screen

  2. Founder Conversation

  3. Onsite Interview

  4. Professional Reference Check

• Estimated time-to-hire: 2 weeks

• Start date: ASAP

• Hiring manager: Arthur MacWaters (Co-Founder)
  

🤝 Equal Employment Opportunity

Legion Health is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees, contractors, and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other protected characteristic under applicable law. We encourage applicants from all backgrounds to apply.