About Legion Health

At Legion Health we believe everyone deserves fast affordable and effective mental health care and were 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 were 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 youre amazing

The Opportunity

As Founding Lifecycle Marketing Lead at Legion Health youll own the end-to-end patient lifecyclebuilding 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: youll 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. Youll 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 Healths 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 churnwhile 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.

Youll Be Successful If You

• Build a clear data-driven understanding of Legion Healths 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 appreciateclear 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

• 28 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 storytellingideally using tools like PostHog and basic SQL.

• Experience with modern CRM / marketing automation tools e.g. Braze Iterable 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.