Founding People and Talent Leader (backed by Y Combinator, $5M+ ARR, $23M+ raised)

🧠 About Legion Health

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.

📍 Role Logistics

Job Type: Full-Time

Role Type: People / Talent / Recruiting / People Operations

Ideal Experience Level: 5+ years

Location: San Francisco

Work Setup: In person in San Francisco; this is not a remote role

Reports To: Co-founder and CEO

US Visa Sponsorship: Yes

🚀 The Opportunity

Legion is hiring a Founding People and Talent Leader to build the talent engine and people operating system behind a category-defining healthcare company.

You will be the senior-most owner of People and Talent at Legion. You will own the entire employee journey—from the first outbound recruiting message through interviews, closing, relocation, onboarding, performance, development, compensation, engagement, and eventual offboarding.

This is an unusually broad, hands-on leadership role. In the same week, you might personally source an exceptional AI engineer, close a senior operator, coach a manager through difficult feedback, review payroll, coordinate an employee’s move to San Francisco, improve onboarding, and produce a company dinner or offsite.

You will not inherit a large recruiting or HR team. During the first 12–18 months, you are the team : the lead recruiter, People operator, culture builder, employee-experience owner, and trusted adviser to the founders. You will build systems and eventually hire support only where the company’s scale and bottlenecks justify it.

The right person combines the talent instincts of an elite startup recruiter, the operational precision of an exceptional People leader, the judgment of a trusted executive partner, and the warmth of someone who genuinely enjoys creating an extraordinary place to work.

This is not a role for someone who wants to advise from a distance, manage a team of recruiters, or hand execution to vendors. We need a player-coach who can build the strategy, open Ashby, source candidates, close offers, fix broken processes, and personally make sure every new employee has a laptop and a great first day.

✅ Responsibilities and Deliverables

Own Legion’s company-wide talent plan: translate business priorities, product roadmaps, clinical expansion, and organizational constraints into a sequenced hiring plan with clear role priorities, scorecards, timelines, and accountable hiring managers.

Personally run full-cycle recruiting across AI and engineering, product, consumer growth, operations, finance, clinical leadership, executive, and other hard-to-fill roles—from role kickoff and sourcing through assessment, references, offer negotiation, and close.

Build exceptional outbound pipelines. Identify and engage high-performing passive candidates through targeted research, personalized outreach, referrals, communities, events, founder networks, and persistent relationship-building.

Create a rigorous hiring standard for every role: outcome-based scorecards, calibrated interview plans, structured questions, useful work samples, interviewer training, evidence-based debriefs, references, and explicit hiring decisions.

Become a compelling closer. Understand what motivates each candidate and thoughtfully navigate compensation, equity, risk, mission, career trajectory, immigration, relocation, counteroffers, family considerations, and other barriers to joining an early-stage company.

Deliver an unusually strong candidate experience: fast communication, organized scheduling, prepared interviewers, honest expectations, thoughtful selling, clear decisions, and respectful rejection.

Build Legion’s employer brand and talent narrative across job descriptions, recruiting content, founder channels, employee stories, events, referrals, candidate materials, and targeted communities.

Own recruiting operations and analytics, including Ashby configuration, pipeline integrity, scheduling workflows, templates, agency management, recruiting spend, weekly talent reviews, forecasting, and hiring-manager accountability.

Measure recruiting performance using metrics that matter: quality of hire, source quality, qualified pipeline, conversion by stage, time in stage, time to fill, offer acceptance, hiring-manager responsiveness, candidate experience, retention, and agency dependence.

Own the complete employee lifecycle: offers, employment agreements, background checks, work authorization, onboarding, employee records, status changes, leaves, promotions, compensation changes, transfers, departures, and offboarding.

Run reliable payroll and payment operations for employees and contractors. Coordinate payroll changes, bonuses, deductions, reimbursements, commissions where applicable, tax registrations, and issue resolution accurately and on time.

Own the operating relationship with benefits, payroll, HRIS, equity, immigration, background-check, employment-law, and other People vendors. Hold every partner accountable for service, accuracy, cost, and employee experience.

Administer and continuously improve medical, dental, vision, leave, retirement, wellness, and other benefit programs, ensuring employees understand and can actually use what Legion provides.

Partner with finance and leadership on compensation philosophy, salary bands, equity practices, offer construction, promotions, market calibration, headcount planning, and People budgets.

Build pragmatic People infrastructure: policies, handbook, compliance calendar, employee files, required notices, training, reporting, approval workflows, templates, manager resources, and a clear source of truth.

Coordinate with qualified employment, immigration, benefits, tax, and other counsel to manage California and multi-state employment requirements, worker classification, accommodations, leaves, investigations, immigration, terminations, and other sensitive matters. You are not expected to be Legion’s lawyer, but you are accountable for recognizing risk early and getting the right advice.

Handle employee relations with discretion, fairness, speed, and sound judgment. Support investigations, performance concerns, interpersonal conflict, accommodations, conduct issues, improvement plans, and departures without