← All roles

Medical Director, Psychiatry (backed by Y Combinator, $5M+ ARR, $23M+ raised)

Legion Health· Operations
Apply on company site
San Francisco$180k - $375kFull-timePosted 2mo ago

About the role

Founding executive role leading clinical credibility and partnerships for Legion Health, an AI-native psychiatry care company backed by Y Combinator. The Medical Director will be the clinical voice of the company, shaping care delivery standards, external trust with payers and partners, and the clinical policies that govern AI-enabled workflows.

Responsibilities

  • Serve as Legion’s senior clinical voice with payers, referral partners, health systems, regulators, advisors, provider groups, and the broader medical community.
  • Build trust in Legion’s model of AI-native psychiatry by clearly communicating how care is delivered, how clinicians remain involved, and how patient safety is protected.
  • Partner with the founders on payer, provider-referral, employer, health-system, and strategic partnership conversations.
  • Help shape Legion’s clinical brand: how we talk about psychiatry, AI, medication management, access, safety, outcomes, and patient trust.
  • Own Legion’s medical quality standards across psychiatric evaluation, medication management, documentation, follow-up, escalation, and patient outcomes.
  • Develop clinical protocols and care standards that make Legion easy for payers, PCPs, therapists, health systems, and other referral partners to trust.
  • Partner with product, engineering, data, clinical operations, and compliance to ensure Legion’s AI-enabled workflows are clinically sound, explainable, and responsibly governed.
  • Support referral growth by helping clinical partners understand when Legion is appropriate for their patients and how to refer with confidence.
  • Help build payer-facing and partner-facing clinical materials, including care model overviews, outcomes narratives, quality frameworks, and medical policies.
  • Recruit, mentor, and support psychiatrists, PMHNPs, supervising physicians, and future clinical leaders.
  • Represent Legion in high-stakes clinical conversations, including payer diligence, partner diligence, medical advisory discussions, and regulatory conversations.

Qualifications

  • MD or DO with board certification in psychiatry.
  • 5+ years of clinical psychiatry experience, ideally including outpatient psychiatry, telepsychiatry, medication management, and clinically complex populations.
  • 2+ years in a medical leadership role.

Skills

Required:MD/DO board-certified in psychiatryClinical leadershipPayer / provider partnershipsMedication management and safety
Nice to have:Telepsychiatry / multi-state operations

Benefits

  • Salary: $180,000 – $375,000
  • Early-Stage Equity: Competitive
  • Health Insurance: Medical, dental, and vision benefits
  • In-person retreats, meal stipends, clinical education budget, licensing/support budget, AI tooling budget
  • Flexible time off (unlimited vacation)
  • Flexible work hours with availability for high-stakes moments
  • Remote work setup with regular in-person founder/clinical/product sprints
  • Impact: Build clinical trust and medical credibility for a category-defining healthcare company
  • Autonomy and Learning: Own the clinical voice, medical trust, partnership credibility, and quality foundation
  • Growth Opportunities: Potential path to Chief Medical Officer / Chief Clinical Officer
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