← All roles

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

Legion Health
Apply on company site
Hybrid (San Francisco, CA)$140k - $260k + equityFull-timePosted 2mo ago

About the role

Founding GTM Engineer at Legion Health to build the AI-native commercial and referral infrastructure behind provider-partnership motion, enabling end-to-end referral, onboarding, attribution, and AI-enabled workflows.

Responsibilities

  • Select and architect Legion’s provider-partnership CRM—HubSpot, Salesforce, Attio, or another platform—as the source of truth for organizations, locations, stakeholders, opportunities, referrals, ownership, and next actions.
  • Design a durable account hierarchy that connects clinicians, clinic locations, care teams, medical groups, parent organizations, enterprise partnerships, and internal owners without losing history.
  • Build a provider prospecting data layer using NPI and claims data, Definitive Healthcare or similar datasets, public sources, enrichment providers, and Legion’s 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 for multi-level selling.
  • Equip sales reps with accurate contact data, office addresses, account briefs, relationship history, meeting prep, 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 human review.
  • Build an omnichannel referral-ingestion layer converting fax, forms, APIs, tracked links, QR codes, phone calls, and online referrals into structured records.
  • Automate referral processing: document extraction, provider/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 to minimize delays.
  • Own end-to-end attribution across clinicians, clinics, parent organizations, partnerships, sales reps, campaigns, channels, UTM, QR codes, landing pages, fax sources, and downstream patient journey.
  • Integrate provider CRM, Legion’s database, patient-facing CRM, PostHog, Braze or lifecycle platform, analytics systems, and custom apps into a coherent data flow.
  • Partner with product and engineering to build secure provider-facing dashboards and workflows for referral volume, status, time-to-contact, scheduling progress, and care-coordination data.
  • Build compliant workflows to return medical records, care summaries, and status updates to referring teams via fax, secure email, portal, interoperability, or approved channels.
  • 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: monitoring, logging, retries, rate-limiting, identity resolution, testing, versioning, access control, documentation, and recovery.
  • Treat HIPAA, PHI handling, minimum-necessary access, role-based permissions, audit trails, consent, and provider trust as product requirements in workflows.
  • Make build-versus-buy decisions, ship useful first versions quickly, and drive adoption with clear playbooks, training, and change management.

Qualifications

  • 5+ years in GTM engineering, revenue operations, sales operations, growth engineering, business systems, data engineering, internal tools, or similar systems-building role
  • 3+ years directly owning CRM architecture, GTM automation, data pipelines, outbound infrastructure, attribution, or complex revenue programs
  • Strong SQL and production-quality Python, JavaScript, or TypeScript for integrations, automations, and internal tools
  • Deep CRM fluency in HubSpot, Salesforce, Attio, or similar (objects, associations, hierarchies, lifecycle stages, permissions, routing, reporting, deduplication, governance)
  • Hands-on experience with APIs, webhooks, ETL/reverse ETL, event instrumentation, identity resolution, observability, and modern data warehouses
  • Practical fluency with GTM tools (Clay, Apollo, Definitive Healthcare, LinkedIn Sales Navigator, Outreach, Salesloft, n8n, Make, Zapier, etc.)
  • Production experience with LLM-powered research, extraction, classification, routing, or agentic automation
  • Strong analytical judgment across funnels, attribution, pipeline, conversion, velocity, cohort analysis, experimentation, and revenue impact
  • Strong product sense and build-versus-buy judgment
  • Healthcare, provider partnerships, referrals, physician networks, field sales experience, multi-location organizations, or similar domain familiarity
  • Healthcare security judgment: disciplined access controls, auditability, consent, compliance alignment
  • Bonus: experience with eFax, referral management, EHR integrations, HL7, FHIR, eligibility, claims, provider directories, or NPI data
  • Excellent cross-functional communication
  • Low ego, high ownership, startup intensity

Skills

Required:SQLPython/JavaScript/TypeScriptCRM architecture (HubSpot, Salesforce, Attio)APIs / Webhooks / ETL / observability
Nice to have:LLM-powered workflows

Benefits

  • Health Insurance: Medical, dental, and vision
  • Early-Stage Equity: Competitive
  • In-person retreats, meal stipends, GTM and revenue-systems tooling budget, learning stipend, AI tooling budget
  • Unlimited vacation policy
  • Flexible work hours
  • In-Person in San Francisco, CA
  • Impact: Build the technical system turning provider partnerships into faster access to psychiatric care
  • 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: Potential for Head of GTM Engineering or Head of Revenue Operations or broader product/growth leadership
Last updated Sep 23, 2026. Interested? Apply on the company site.
Legion Health logo

About Legion Health

AI-native psychiatry, built for scale and covered by insurance

Legion Health is a high-quality, AI-enabled psychiatry network where patients receive care from a provider who takes their insurance. We use LLMs and AI agents to improve care quality, streamline operations, enhance patient communications, and more.

artificial-intelligenceconsumer-health-servicestelehealthhealthcaremental-health
Company profileWebsite