Founding People and Talent Leader (backed by Y Combinator, $5M+ ARR, $23M+ raised)
San Francisco$170k - $260kFull-timePosted 2mo ago
About the role
Founding leadership role to build Legion Health's People and Talent function, owning the employee lifecycle end-to-end in-person in San Francisco, with visa sponsorship and direct collaboration with the founders.
Responsibilities
- Own Legion’s company-wide talent plan: translate business priorities, product roadmaps, clinical expansion, and organizational constraints into a sequenced hiring plan with clear role priorities, scorecards, timelines, and accountable hiring managers.
Qualifications
- 5+ years of progressively responsible experience spanning recruiting, talent leadership, People Operations, HR, or organizational leadership at high-growth technology companies.
- Experience serving as the first, early, or senior-most People and Talent hire at a venture-backed startup—ideally while scaling from approximately 25–50 employees to 100–150+.
- Demonstrated success personally sourcing, assessing, and closing exceptional passive candidates for difficult roles.
- Strong technical-recruiting ability across AI, engineering, data, and product, plus versatility to recruit consumer growth, operations, clinical leadership, finance, and executive talent.
- Evidence that hires became high-performing, durable members of the organization.
- Experience building recruiting infrastructure from zero or rebuilding an inconsistent system.
- Hands-on People Operations experience across payroll, benefits, HRIS, employee records, equity administration, onboarding, offboarding, leaves, policies, vendor management, and compliance.
- Knowledge of California and multi-state employment practices; ability to identify when specialized counsel is required.
- Experience managing sensitive employee-relations matters, investigations, performance improvement, terminations, accommodations, organizational changes, and other high-stakes situations.
- Experience designing or operating compensation bands, leveling, performance reviews, promotion processes, talent reviews, manager training, and workforce planning.
- Excellent judgment under ambiguity; strong analytical fluency; comfortable with Ashby, Rippling, Gusto, Justworks, Deel, Carta, Pave, Slack, Notion, Google Workspace, and AI tools.
Skills
Required:Talent planningFull-cycle recruitingOutreach & sourcingHiring standards & interview designNegotiation & closing
Benefits
- In-person retreats, company events, meal stipends, AI tooling, and professional-development support.
- Time Off: Flexible, unlimited vacation policy
- Health Insurance: Medical, dental, and vision benefits
- Relocation: Support for moving to San Francisco
- US Visa Sponsorship: Available for exceptional candidates
- Work Setup: In person in San Francisco; this role owns a meaningful part of Legion’s in-person employee experience
- Growth Opportunities: Potential to advance to VP of People and Talent, Head of People, or other executive roles
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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