Revenue Operations & Strategy Lead (backed by Y Combinator, $5M+ ARR, $23M+ raised)

Legion Health•San Francisco, CA

13d•$170,000 - $240,000•Onsite

About The Position

Legion Health is building the AI infrastructure to deliver fast, affordable, and world-class healthcare, starting with psychiatry. Our AI-native care-delivery platform automates administrative work and has received regulatory authorization for AI to prescribe psychiatric medications. We combine data, AI, doctors, and operations to deliver measurably better care. Legion Health is backed by Y Combinator and other leading investors. We are seeking a Revenue Operations & Strategy Lead to build and operate the commercial system for Provider Partnerships and referral growth.

Requirements

7+ years of experience, or an equivalent record of impact, across revenue operations, commercial operations, strategy and operations, business operations, consulting, finance, or another highly analytical operating role.
A track record of owning complex, ambiguous initiatives from problem framing through implementation, adoption, and measurable business results.
Exceptional analytical and modeling ability across forecasting, capacity planning, territory design, resource allocation, scenario analysis, or performance management.
Working fluency with HubSpot, Salesforce, or comparable commercial systems, plus comfort with spreadsheets, BI tools, SQL or SQL-adjacent analysis, and data-quality investigation.
Experience building practical operating processes and governance without creating unnecessary bureaucracy for the people doing the work.
Strong executive communication and judgment: you can turn complex analysis into a clear recommendation, decision, owner, and next step.
Experience driving change through influence and establishing accountability across functions.
Exposure to a field, territory-based, enterprise, marketplace, or other complex commercial model.
A hands-on, AI-native approach to work. You should be eager to use automation and agents to improve data quality, decision speed, seller productivity, and operating leverage.
High standards for accuracy, ownership, and follow-through, paired with low ego and comfort operating without perfect information.
Healthcare, medical device, pharmaceutical, value-based care, or provider-referral experience is helpful but not required.

Responsibilities

Own commercial planning and forecasting, connecting referral-growth targets to market opportunity, territory coverage, rep capacity, productivity, ramp time, and hiring needs.
Design territory, account-segmentation, tiering, and target-account methodologies that concentrate field time on the highest-value provider and practice opportunities.
Build scenario models that help leadership decide when to enter markets, add capacity, change coverage, or invest in new programs.
Develop quota and incentive methodology, administer attainment reconciliation, and give Alex and Finance decision-ready recommendations with clear controls and economics.
Own CRM governance and the commercial data model across providers, practices, contacts, activities, territories, partnership status, referrals, attribution, and forecasts.
Define the KPI framework and build trusted dashboards for territory health, activity, conversion, signed practices, first referrals, recurring referral volume, productivity, and risk.
Set and execute the commercial technology, automation, and AI roadmap. Evaluate tools, lead implementation, simplify workflows, establish governance, and measure adoption and business impact.
Improve the end-to-end Provider Partnerships process from market and account selection through signed partnership, practice launch, first referral, and recurring account growth.
Serve as the operating liaison between Provider Partnerships and Growth or Patient Operations when referral handoffs, patient-conversion issues, provider updates, or recurring workflow problems require cross-functional resolution.
Establish the operating cadence for forecasts, pipeline and referral reviews, territory performance, quarterly business reviews, and annual planning.
Lead cross-functional changes from problem framing through decision, implementation, adoption, and measurable results, with clear owners and durable handoffs.
Define the future Revenue Operations & Strategy organization, operating standards, and hiring plan; recruit and develop the team as scale and complexity justify it.