Consumer AI Lifecycle Product and Marketing Leader (Backed by Y Combinator, $5M+)

Legion Health is developing AI infrastructure to deliver fast, affordable, and world-class healthcare, starting with autonomous medical care in psychiatry. They have built an AI-native care platform that automates administrative work and has received regulatory approval for AI-prescribed psychiatric medications.

Location: In-Person in San Francisco, CA

Salary: $140,000 – $260,000, based on experience

Responsibilities

• Build Legion’s AI-native lifecycle engine across activation, booking, visit completion, follow-up adherence, medication renewal support, retention, reactivation, and winback.
• Design the patient communication system across email, SMS, push, in-app, transactional reminders, AI-assisted outreach, and future owned channels.
• Map the full patient journey into clear lifecycle states, triggers, audiences, suppressions, escalation rules, personalization rules, and next-best-action logic.
• Use Legion’s patient data to create highly personalized journeys based on intake status, appointment behavior, insurance status, treatment stage, follow-up cadence, renewal needs, engagement, risk of lapse, and communication preferences.
• Partner with product, engineering, and data to instrument the events, properties, data models, and workflows needed for intelligent lifecycle automation.
• Build AI-assisted communication workflows that can draft, personalize, route, test, and optimize messages while staying within approved clinical, compliance, and brand guardrails.
• Create proactive flows for abandoned intake, incomplete booking, pre-visit preparation, appointment reminders, no-show prevention, post-visit follow-up, refill and renewal nudges, reactivation, churn recovery, and long-term engagement.
• Build segmentation and personalization systems that can support thousands of patient-specific journeys instead of one-size-fits-all campaigns.
• Partner with clinical operations to ensure every message reflects real care workflows, scheduling capacity, prescribing boundaries, refill policies, escalation paths, and patient support processes.
• Own lifecycle experimentation across A/B tests, holdouts, incrementality tests, send-time tests, cadence tests, channel-mix tests, AI-personalization tests, and journey-level optimization.
• Improve core funnel and retention metrics, including intake completion, booking conversion, visit completion, no-show rate, follow-up adherence, reactivation rate, churn, LTV, and patient satisfaction.
• Build the QA, approval, deliverability, consent, and compliance processes required for high-volume, AI-assisted healthcare communication.
• Ensure HIPAA, TCPA, CAN-SPAM, consent management, PHI handling, opt-outs, quiet hours, clinical accuracy, and patient trust are treated as product requirements.
• Create lifecycle dashboards and weekly reporting that show where patients are getting stuck, which journeys are working, and where AI or automation can remove manual work.
• Evaluate and operate tools such as Braze, Iterable, Customer.io, HubSpot, Klaviyo, Twilio, SendGrid, PostHog, Hightouch, Segment, RudderStack, Census, OpenAI, Claude, internal AI agents, or similar.
• Build repeatable lifecycle playbooks that can scale across states, payers, patient segments, care pathways, and future service lines.

Requirements

• 6+ years in lifecycle marketing, CRM, retention, engagement, growth marketing, patient engagement, consumer communications, or owned-channel marketing.
• 3+ years directly owning lifecycle programs across email, SMS, push, in-app, transactional messaging, or direct mail.
• Strong preference for experience in consumer healthcare, marketplaces, subscriptions, mobile apps, fintech, consumer services, e-commerce, or other high-volume consumer businesses.
• Experience building event-triggered journeys, segmentation systems, personalization logic, suppression rules, send calendars, experimentation roadmaps, and lifecycle reporting.
• Hands-on fluency with CRM / marketing automation platforms such as Braze, Iterable, Customer.io, Klaviyo, HubSpot, Salesforce Marketing Cloud, or similar.
• Strong AI-native operating ability. You should be excited to use LLMs, agents, data, and automation to generate better patient journeys, not just make existing workflows slightly faster.
• Strong analytical judgment: funnel analysis, cohort analysis, retention curves, A/B tests, holdouts, incrementality, attribution, LTV, churn, and reactivation.
• Comfort working with data and technical teams. You do not need to be an engineer, but you should understand events, properties, audiences, data quality, QA, and basic SQL or SQL-adjacent analysis.
• Excellent patient-facing writing judgment. You can make a message clear, warm, action-oriented, personalized, and clinically careful without sounding robotic or promotional.
• Strong product sense. You understand that lifecycle is not just marketing; it is part of the patient experience, product experience, and operations system.
• Strong operational rigor around QA, deliverability, consent, localization, link checking, dynamic content, approvals, and launch readiness.
• Healthcare judgment. You understand that messages about psychiatric care, medication, insurance, no-shows, refills, and follow-up must be handled with real care.
• Experience partnering cross-functionally with product, engineering, data, clinical operations, customer support, compliance, legal, design, and growth.
• Low ego, high ownership, and startup intensity. You can define the strategy on Monday, build the segment Tuesday, write the copy Wednesday, QA the flow Thursday, and read the results Friday.

Benefits

• Salary: $140,000 – $260,000, based on experience
• Early-Stage Equity: Competitive
• Health Insurance: Medical, dental, and vision benefits
• Additional Perks: In-person retreats, meal stipends, lifecycle/CRM tooling budget, learning stipend, AI tooling budget
• Time Off: Flexible, unlimited vacation policy
• Work Hours: Flexible, with responsiveness around high-impact launches or patient communication issues
• Work Setup: In-Person in San Francisco, CA
• Impact: Build the AI-native communication system that helps patients access and stay in high-quality psychiatric care.
• Autonomy and Learning: Own lifecycle strategy, CRM infrastructure, patient journeys, AI-assisted personalization, experimentation, reporting, and retention systems end-to-end.
• Growth Opportunities: As Legion scales, this role can grow into Head of Lifecycle, Head of CRM, Head of Patient Engagement, or a broader growth leadership role.

Additional Information

• Apply here: https://jobs.ashbyhq.com/legionhealth/3a007cb1-faad-4854-a847-e4b77eaf3a42
• Overview of our hiring process: Resume + Application Screen, Founder Interview, Lifecycle + AI Systems Deep Dive, Professional Reference Checks.
• Estimated time-to-hire: 2 weeks
• Start date: ASAP
• Hiring manager: Arthur MacWaters