Market Expansion & Clinician Operations Lead (backed by Y Combinator, $5M+ ARR, $23M+ raised)

At Legion Health, we believe everyone deserves fast, affordable, and world-class health care, and we’re developing the AI infrastructure to deliver it ourselves at world scale.

Legion is building autonomous medical care (the AI doctor), starting with psychiatry. Our AI-native care-delivery platform currently automates 95% of the administrative work required for us to deliver direct patient care. We also recently became the first company ever to receive regulatory authorization to let AI prescribe psychiatric medications, allowing us to not only collapse health care’s admin costs but also its clinical labor costs—shifting this industry’s economics from humans to tokens.

Our technical moat is hard to copy—we combine rich data, production AI, doctors in the loop, and end-to-end care operations to deliver measurably better care to a clinically complex patient population. This has helped us produce tens of thousands of total visits in just 2 years, all while holding ops costs flat and achieving industry-leading patient NPS and retention. While the last generation of healthcare startups made the existing system incrementally more efficient, Legion is rebuilding full-stack care delivery from first principles. Our vision? A 10X better patient experience that’s higher quality, less expensive, and more scalable than ever before. And a 10X better clinician experience that frees our providers to focus on what matters most: caring for patients.

Legion Health is backed by Y Combinator, leading venture capital firms, and founders from Function Health, Modern Health, Everly Health, Trusted Health, Clipboard Health, PatientPing, Sesame Care, Faire, EasyPost, and fuboTV.

Join us as we build the future of health care: faster, higher-quality, and more affordable, powered by doctors and AI working together.

• Job Type: Full-Time

• Role Type: Market Expansion / Clinician Operations / Workforce Planning

• Ideal Experience Level: 3+ years in healthcare operations or equivalent experience, including multi-market execution

• Location: Onsite in San Francisco, CA

Legion is hiring a Market Expansion & Clinician Operations Lead to turn expansion plans into markets that are ready to deliver care, with the right clinician capacity in the right places. You will connect market prioritization, state-entry execution, workforce forecasting, recruiting, onboarding, and capacity deployment into one reliable operating process.

You will partner with Operations, Clinical, Revenue & Network Operations, Provider Partnerships, Finance, Product, and Engineering. Your job is to make dependencies and decision gates explicit, surface risks early, and ensure a launch becomes sustainable clinical capacity rather than a collection of completed checklists.

This is a hands-on operating leadership role. You should be comfortable building a forecast, working a launch's critical path, improving recruiting and onboarding workflows, and turning recurring manual work into measurable, repeatable systems. Clinical decisions remain with clinical leadership; legal, regulatory, and payer approvals remain with the relevant accountable experts.

• Build market-entry plans that connect demand, payer readiness, clinician supply, launch economics, operating capacity, and cross-functional dependencies.

• Run launch readiness reviews with clear owners, milestones, evidence, risks, and decision gates; resolve critical-path blockers and escalate tradeoffs early.

• Coordinate state entry and payer-entry readiness with Revenue & Network Operations and legal, compliance, and clinical partners; track required approvals without substituting for their judgment.

• Forecast clinician demand and productive capacity by market, specialty, schedule, and expected patient demand; make hiring and deployment recommendations from that forecast.

• Own the operating process from clinician recruiting through offer acceptance, onboarding, readiness, and productive deployment, in partnership with the recruiting and clinical teams.

• Improve handoffs across licensing, credentialing, contracting, training, systems access, scheduling, and availability, so clinicians are ready when patients need them.

• Create clear readiness standards and dashboards for offer-to-ready conversion, time to productive capacity, coverage gaps, and capacity utilization.

• Partner with Finance and relevant operations owners on accurate clinician compensation administration and reconciliation.

• Track launch performance through first visit, clean claim, and cash milestones with the teams accountable for each stage.

• Document repeatable playbooks, improve workflows, and partner with Product and Engineering on automation that removes avoidable coordination work.

• Build a dependable operating cadence that gives leadership a clear view of market readiness, clinician supply, blocked decisions, and the next action.

• Launch markets with clear readiness evidence, accountable owners, and fewer avoidable critical-path delays.

• Match productive clinician capacity to demand while keeping coverage gaps and unused capacity visible.

• Shorten the path from accepted offer to ready, productive clinician without skipping quality or compliance requirements.

• Give clinical, commercial, and operations leaders a forecast and status view they trust.

• Build repeatable processes that improve as Legion grows and reduce the manual effort required for each additional market.

• Experience owning healthcare operations, clinical workforce operations, network expansion, or a comparable multi-market operating function.

• Evidence that you have personally taken a complex launch or operational program from planning through measurable results.

• Strong workforce planning, analytical, and financial judgment; comfort building capacity models, operating dashboards, and clear decision memos.

• Practical understanding of clinician recruiting, onboarding, licensing, credentialing, payer readiness, and the dependencies that determine when care can begin.

• Ability to coordinate legal, compliance, clinical, finance, commercial, and technical partners while keeping decision rights and accountability clear.

• A hands-on systems mindset: you improve the underlying process, document it, measure it, and automate where appropriate.

• High ownership, honest escalation, strong follow-through, and comfort making progress with incomplete information.

• Experience with psychiatry, telehealth, multi-state clinician networks, or a rapidly scaling care-delivery organization is especially useful.

• Salary: $160,000 – $230,000 annual base salary, based on experience

• Early-Stage Equity: Competitive

• Health Insurance: Medical, dental, and vision benefits

• Additional Perks: In-person retreats, meal stipends, learning stipend, and AI tooling budget

• Time Off: Flexible, unlimited vacation policy

• Work Setup: Full-time, onsite in San Francisco, CA

• Impact: Turn national expansion into reliable access to care and productive clinician capacity.

• Autonomy and Learning: Own your work end-to-end with close cross-functional and founder collaboration.

• Growth Opportunities: Build the operating foundation for a growing multi-market care-delivery organization.

Legion Health is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees, contractors, and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other protected characteristic under applicable law. We encourage applicants from all backgrounds to apply.