Founding Lifecycle Lead (AI-native B2C mental health, $7M+ raised, backed by Y Combinator, In-Person)

Legion Health•San Francisco, CA

1d•$89,000 - $172,000•Onsite

About The Position

At Legion Health, we believe everyone deserves fast, affordable, and effective mental health care, and we’re on a mission to deliver that at scale. Legion Health is building a modern clinic, completely AI-native, where our human psychiatrists and AI agents work together to provide world-class care covered by insurance directly to our patients. We combine rich patient data, production AI, and humans-in-the-loop to automate the hardest parts of healthcare operations and deliver measurably better care within our own vertically-integrated sandbox. With 60% of all Texans (18M Americans) able to access Legion via their insurance (most for under $30), our Texas beachhead puts us on pace to 10× next year with a national rollout. Today, with $3M+ ARR, we're aggressively expanding. As Founding Lifecycle Marketing Lead at Legion Health, you’ll own the end-to-end patient lifecycle—building the CRM foundation and programs that keep patients engaged, retained, and delighted over months and years of care. This role is central to how we scale: you’ll design the journeys across onboarding → first visit → follow-ups → retention → re-engagement, and partner closely with product, ops, and clinical teams to ensure no patient slips through the cracks. You’ll have high leverage to improve retention, reduce drop-off, and elevate the patient experience in a regulated, high-trust healthcare environment.

Requirements

2–8+ years of experience in lifecycle marketing, retention, CRM, growth marketing, or a similar operator role (consumer, subscriptions, healthcare, or high-trust products are a plus).
Hands-on ownership of lifecycle channels (email, SMS, push/in-product), including segmentation, personalization, journey building, and campaign execution.
Strong analytical ability, including funnel analysis, experimentation design, lifecycle cohorting, and data storytelling—ideally using tools like PostHog and basic SQL.
Experience with modern CRM / marketing automation tools, e.g., Braze, Iterable, Customer.io, HubSpot, Klaviyo, etc.
High ownership + strong judgment in fast-moving environments; excellent attention to detail.
Excellent written and verbal communication, with a high bar for patient-facing tone and clarity.

Nice To Haves

experience in digital health, HIPAA environments, or building lifecycle systems from scratch.

Responsibilities

Own Legion Health’s lifecycle strategy end-to-end, including onboarding flows, retention programs, refill support journeys, win-back / reactivation, and churn reduction.
Build and operate our CRM stack, including segmentation, event-driven messaging, campaign operations, experimentation, and performance reporting (email, SMS, in-product, and other touchpoints as needed).
Design patient journey orchestration, mapping key lifecycle states (signup → booked → first visit → follow-up cadence → inactive) and ensuring the right messages, nudges, and support triggers occur at the right time.
Improve retention and utilization, driving measurable increases in follow-up booking rates, kept-appointment rates, medication adherence support touchpoints, and long-term patient engagement.
Run rigorous testing and analytics, partnering with growth/product analytics (e.g., PostHog + basic SQL) to define lifecycle KPIs, build dashboards, and run A/B tests across messaging, timing, and personalization.
Reduce operational friction, partnering with clinical operations and care teams to ensure lifecycle comms align with real workflows (scheduling, refill policies, clinical constraints) and improve the patient experience.
Drive re-engagement and win-back, building programs for patients who stall in the funnel, miss appointments, lapse in follow-ups, or churn—while staying compliant and patient-first.
Ensure compliance and trust, maintaining high standards for HIPAA/PHI handling, consent management (e.g., SMS), CAN-SPAM/TCPA considerations, and careful healthcare messaging practices.
Build scalable lifecycle playbooks that can be repeated, expanded, and eventually handed off as the company scales.

Benefits

Medical, dental, and vision benefits
In-person retreats, meal stipends, etc.
Flexible, unlimited vacation policy
Work on something that truly matters to millions of patients and families.
Ownership over your metrics with the freedom to set priorities, shape processes, and drive outcomes end-to-end.
As we scale, we envision our top performers from our founding team stepping into expanded roles and joining our executive leadership team.

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