🧠 About Legion Health

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.

📍 Role Logistics

• Job Type: Full-Time

• Role Type: Growth

• Ideal Experience Level: 2+ years of experience

• Location: In-Person in San Francisco, CA

• US Visa Sponsorship: Open to it if you're amazing

🚀 The Opportunity

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.

✅ Responsibilities and Deliverables

• 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.

🏆 You’ll Be Successful If You…

• Build a clear, data-driven understanding of Legion Health’s lifecycle funnel and use it to prioritize ruthlessly and move fast.

• Ship programs that meaningfully improve activation and retention, including booking conversion, follow-up adherence, kept visits, and reactivation rates.

• Create lifecycle messaging patients genuinely appreciate—clear, warm, helpful, and clinically aligned.

• Turn ambiguous problems into structured lifecycle initiatives and deliver measurable outcomes.

• Earn trust cross-functionally (product, engineering, ops, and clinicians) through strong judgment, commun