Office of the Founders (backed by Y Combinator, $5M+ ARR, $23M+ raised)
Hybrid (San Francisco)$120k - $210kFull-timePosted 2mo ago
About the role
Technical, high-agency generalist role embedded with Legion Health leadership to accelerate growth, GTM, operations, finance, hiring, culture, legal, investor work, and internal AI systems. In-person role in San Francisco, sponsorship available.
Responsibilities
- Work directly with founders and leadership on high-priority projects across GTM, growth, revenue, business operations, regulatory, finance, hiring, culture, legal, investor relations, product, and internal systems.
- Drive go-to-market and revenue projects across new patient acquisition, conversion, retention, reactivation, referrals, lifecycle, pricing, patient experience, and funnel optimization.
- Build AI-native tools, workflows, dashboards, scripts, agents, prototypes, and automations that help teams operate faster and better.
- Rapidly prototype solutions for non-technical teams so they can clarify what they want before full engineering resources are used.
- Identify bottlenecks across the company, diagnose root causes, and build fast solutions: models, dashboards, workflows, memos, trackers, experiments, or internal products.
- Use AI coding and building tools to move faster than a typical early-career operator.
- Build internal systems for leadership: synthetic advisory boards, investor update workflows, meeting-prep agents, board-material review systems, recruiting trackers, finance dashboards, GTM dashboards, and executive decision-support tools.
- Support strategic finance work: revenue models, CAC/payback analysis, hiring plans, budget scenarios, growth forecasts, investor updates, board materials, and operating reviews.
- Help build Legion’s talent machine: sourcing systems, role scorecards, interview loops, candidate evaluation processes, onboarding systems, culture rituals, and performance operating rhythms.
- Partner with growth, product, data, clinical operations, and leadership to analyze the patient journey: intake, booking, first visit, follow-up, renewals, retention, churn, and reactivation.
- Support legal, compliance, regulatory and finance workflows with healthcare, HIPAA, contracts, vendors, employment, patient communication, and AI sandboxes.
- Write crisp memos, project plans, launch docs, investor materials, candidate materials, process docs, and internal updates.
Qualifications
- 0-3 years of experience in high-performance environments (e.g., consulting, investment banking, private equity, startup operations, product, data, engineering, or similar).
- Technical or quantitative degree preferred (CS, engineering, data science, OR, financial engineering, applied math, statistics, economics, or similar).
- Proven ability to build projects, scripts, tools, automations, dashboards, agents, prototypes, or workflows that work.
- Deep AI-native working style and comfort using AI tools to build, analyze, automate, prototype, research, write, debug, and move fast.
- Ability to build lightweight tools/prototypes using Python, JavaScript, SQL, spreadsheets, APIs, no-code tools, AI coding tools, and data platforms.
- Strong analytical horsepower: modeling, funnel analysis, unit economics explanation.
- Strong GTM instincts and interest in patient growth, revenue, conversion, retention, CAC, payback, and funnel mechanics.
- Excellent written communication for memos, updates, specs, analyses, and summaries.
- Strong people judgment and ability to work with founders, clinicians, engineers, lawyers, candidates, investors, vendors.
- Comfort with sensitive information and high agency with low need for structure.
- High-conviction interest in Legion and willingness to operate in a fast, ambiguous environment.
Skills
Required:Problem-solving and rapid prototypingAI tooling & codingData analysis & modelingCommunication & memo writingCross-functional collaboration
Benefits
- In-person in San Francisco, 5 days/week strongly preferred
- Health Insurance: Medical, dental, and vision
- Early-Stage Equity: Competitive
- Flexible, unlimited vacation policy
- AI tooling budget, learning stipend, meal stipends, in-person retreats
- Home office support
- Duration to impact: work directly on high-leverage problems with leadership
- Growth opportunities into GTM, business operations, product operations, strategy, or company-building.
Last updated Sep 23, 2026. Interested? Apply on the company site.

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
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