Go-to-Market (GTM) Engineer (backed by Y Combinator, 5M+ ARR, 23M+ raised)

At Legion Health we believe everyone deserves fast affordable and world-class health care and were developing the AI infrastructure to deliver it ourselves at world scale.

Legion is building autonomous medical care (the AI doctor) starting with psychiatry. Our AI-native care-delivery platform currently automates 95% of the administrative work required for us to deliver direct patient care. We also recently became the first company ever to receive regulatory authorization to let AI prescribe psychiatric medications allowing us to not only collapse health cares admin costs but also its clinical labor costsshifting this industrys economics from humans to tokens.

Our technical moat is hard to copywe combine rich data production AI doctors in the loop and end-to-end care operations to deliver measurably better care to a clinically complex patient population. This has helped us produce tens of thousands of total visits in just 2 years all while holding ops costs flat and achieving industry-leading patient NPS and retention. While the last generation of healthcare startups made the existing system incrementally more efficient Legion is rebuilding full-stack care delivery from first principles. Our vision A 10X better patient experience thats higher quality less expensive and more scalable than ever before. And a 10X better clinician experience that frees our providers to focus on what matters most: caring for patients.

Legion Health is backed by Y Combinator leading venture capital firms and founders from Function Health Modern Health Everly Health Trusted Health Clipboard Health PatientPing Sesame Care Faire EasyPost and fuboTV.

Join us as we build the future of health care: faster higher-quality and more affordable powered by doctors and AI working together.

• Job Type: Full-Time

• Role Type: GTM Engineering / Revenue Systems / Provider Partnerships / AI Automation / Data & Attribution

• Ideal Experience Level: 5 years including 3 years owning GTM systems revenue automation growth engineering or technical RevOps

• Location: In-Person in San Francisco CA

• US Visa Sponsorship: Yes

Legion is hiring a GTM Engineer to build the AI-native commercial and referral infrastructure behind our provider-partnership motion. Your systems will help us identify the right provider organizations reach the right stakeholders turn interest into referrals and move referred patients into care quickly.

This is not a traditional RevOps or CRM administration job. You will own the technical architecture from market mapping and outbound through referral intake attribution eligibility onboarding and partner reporting. You will configure best-in-class tools when they are sufficient and write code or build integrations agents and internal products when they are not.

You will build both sides of our sales motion. From the bottom up Legion needs a complete view of every clinic location physician referral coordinator and office leader in a market. From the top down we need to map enterprise medical groups centralized referral teams executives clinical leaders and every stakeholder who can shape a partnership. The system should tell each representative who matters why they matter what happened last and what to do next.

You will also engineer the path from referral to care. Referrals may arrive through fax forms APIs tracked links QR codes phone calls or patients who begin online after a provider recommendation. Regardless of channel Legion must identify the source resolve the provider and organization preserve attribution process the referral initiate eligibility and onboarding and synchronize the right data across our CRM product analytics and patient-engagement systems.

The right person is a hands-on systems builder with strong product judgment. You should be comfortable choosing a CRM modeling complex account hierarchies writing SQL and lightweight production code integrating APIs deploying AI workflows debugging failures and partnering with sales product engineering data operations clinical compliance and security teams. Over time you will help turn provider partnerships into a secure product that makes Legion the easiest specialty care partner in the country: simple to refer patients to easy to collaborate with and consistently responsive.

• Select and architect Legions provider-partnership CRMwhether HubSpot Salesforce Attio or another AI-native platformas the source of truth for organizations locations stakeholders opportunities referrals ownership and next actions.

• Design a durable account hierarchy that connects individual clinicians clinic locations care teams medical groups parent organizations enterprise partnerships and internal owners without losing history or context.

• Build a provider prospecting data layer using NPI and claims data Definitive Healthcare or similar datasets public sources enrichment providers and Legions internal data.

• Create account-scoring and territory systems that prioritize targets using geography specialty patient volume payer mix referral potential network relationships and engagement signals.

• Build coordinated outbound workflows across email phone LinkedIn direct mail events lunch-and-learns and field sales using tools such as Clay Apollo LinkedIn Sales Navigator sequencing platforms AI agents and custom integrations.

• Map clinic-level champions and referral coordinators alongside enterprise executives clinical leaders operations leaders and centralized referral teams so Legion can sell from the bottom up and the top down.

• Equip sales representatives with accurate contact data office addresses account briefs relationship history meeting preparation follow-up automation and clear next-best actions.

• Deploy AI-assisted workflows for account research stakeholder discovery enrichment outreach drafting call intelligence CRM updates and follow-up with appropriate evaluations and human review.

• Build an omnichannel referral-ingestion layer that turns fax forms APIs tracked links QR codes phone calls provider handoffs and patients who begin online after a provider recommendation into structured traceable records.

• Automate referral processing including document extraction provider and organization matching deduplication completeness checks routing exception handling and audit trails.

• Connect referral intake to insurance eligibility and AI-native front-desk workflows for patient outreach onboarding and scheduling so referred patients reach the right next step without avoidable delays.

• Own end-to-end attribution across the referring clinician clinic parent organization partnership sales representative campaign channel UTM QR code landing page fax source and downstream patient journey.

• Integrate the provider CRM Legions database the patient-facing CRM PostHog Braze or another lifecycle platform analytics systems and custom applications into one coherent data flow.

• Partner with product and engineering to build secure provider-facing dashboards and workflows for referral volume referral status time-to-contact scheduling progress coverage and copay information and other authorized care-coordination information.

• Build compliant workflows that return medical records care summaries and status updates to referring care teams through approved fax secure email portal interoperability or other authorized channels at the right cadence.

• Create dashboards and operating reviews for market coverage stakeholder penetration outreach performance pipeline referral volume conversion speed to care repeat referrals partner expansion and revenue impact.

• Own production reliability across monitoring logging retries rate-limit handling identity resolution testing versioning access control documentation and recovery when systems fail.

• Treat HIPAA PHI handling minimum-necessary access role-based permissions audit trails consent and provider trust as product requirements in every automated workflow.

• Make disciplined build-versus-buy decisions ship useful first versions quickly and drive adoption through clear playbooks training and change management.

• Give Legion a provider CRM and data model that the team trusts as the source of truth.

• Create a complete prioritized map of each market so representatives spend time with the right organizations and people.

• Build a repeatable outbound engine that produces qualified provider conversations and pipeline through coordinated digital field bottom-up and top-down plays.

• Ensure every referral is captured processed routed and attributed correctly regardless of how it arrives.

• Reduce the time from referral to eligibility patient contact onboarding scheduling and completed care.

• Give referring care teams a secure useful experience that increases trust and repeat referrals.

• Remove repetitive research data entry document processing routing follow-up and reporting work without sacrificing accuracy or judgment.

• Build reliable systems that sales and operations adopt improve continuously and measurably increase referral volume conversion speed to care partner retention and revenue.

• 5 years in GTM engineering revenue operations sales operations growth engineering business systems data engineering internal tools or another systems-building role close to revenue.

• 3 years directly owning CRM architecture GTM automation data pipelines outbound infrastructure attribution or technically complex revenue programs.

• Strong technical foundation: advanced SQL plus the ability to write and review production-quality Python JavaScript or TypeScript for integrations automations and internal tools.

• Deep CRM fluency in HubSpot Salesforce Attio or similar including objects associations account hierarchies lifecycle stages permissions routing reporting deduplication and data governance.

• Hands-on experience with APIs webhooks ETL or reverse ETL event instrumentation identity resolution error handling observability and modern data warehouses.

• Practical fluency with modern GTM tools such as Clay Apollo Definitive Healthcare LinkedIn Sales Navigator Outreach Salesloft n8n Make Zapier Workato or equivalent platforms.

• Production experience with LLM-powered research extraction classification routing or agentic automation including structured outputs evaluations monitoring confidence thresholds and human-in-the-loop review.

• Strong analytical judgment across funnels attribution pipeline conversion velocity cohort analysis experimentation and revenue impact.

• Strong product sense and build-versus-buy judgment. You can turn a messy frontline problem into a coherent system that people trust and use.

• Strong preference for experience in healthcare provider partnerships referrals physician networks field sales multi-location organizations or another complex relationship-driven business.

• Healthcare and security judgment: disciplined access controls auditability minimum-necessary access and data use consent and close partnership with compliance and clinical leaders.

• Bonus: experience with eFax referral management EHR integrations HL7 FHIR eligibility claims provider directories or NPI data.

• Excellent cross-functional communication. You can translate the needs of a sales representative referral coordinator operator clinician engineer analyst and executive into a system that works.

• Low ego high ownership and startup intensity. You can diagnose the bottleneck design the solution ship a useful version measure the result and improve it quickly.

• Salary: $140000 $260000 based on experience

• Early-Stage Equity: Meaningful ownership in a category-defining company.

• Health Insurance: Medical dental and vision benefits

• Additional Perks: In-person retreats meal stipends GTM and revenue-systems tooling budget learning stipend AI tooling budget

• Time Off: Flexible unlimited vacation policy

• Work Hours: Flexible with responsiveness around high-impact launches or system issues

• Work Setup: In-Person in San Francisco CA

• Impact: Build the technical system that turns partnerships into faster access to high-quality medical care for all.

• Autonomy and Learning: Own CRM architecture provider data outbound infrastructure referral workflows attribution AI automation reporting and partner-facing systems end-to-end.

• Growth Opportunities: As Legion scales this role can grow into Head of GTM Engineering Head of Revenue Operations or a broader product and growth leadership role.

• Apply here: of our hiring process:

1. Resume Application Screen

2. Founder Interview

3. GTM AI Systems Deep Dive

4. Professional Reference Checks

• Estimated time-to-hire: 2 weeks

• Start date: ASAP

• Hiring manager: Arthur MacWaters

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.

Required Experience:

IC