Consumer Growth Leader (backed by Y Combinator, $5M+ ARR, $20M+ raised)

Legion Health; San Francisco (CA); On-site; USD 170,000 - 300,000; Full time

Benefits offered by this job

Health Insurance

Equity/Stock options

In-person sprints

Meal stipends

Growth budget

Unlimited vacation

Job summary

Legion Health is hiring a Consumer Growth Leader in San Francisco to own the full consumer funnel from first impression to reactivation, scaling paid acquisition and a high-velocity creative engine. You will build a creator program, optimize landing pages and onboarding, and partner across product, data, clinical, and compliance to maintain trust and quality.

The role requires 5+ years of growth leadership in a regulated, high-growth environment, with 7+ figure annual ad budgets and strong

Qualifications

• 5+ years in consumer growth or growth leadership at high-growth consumer or regulated company.
• Direct ownership of paid media budgets with clear CAC/ROAS accountability.
• Strong experience with paid social platforms (Meta/TikTok) and other channels.
• Excellent conversion optimization, landing pages, onboarding, and lifecycle touchpoints.
• Healthcare judgment: navigate privacy, compliance, and trust in marketing.

Responsibilities

• Own Legion’s consumer growth metrics across leads, visits, CAC, LTV, and retention.
• Scale paid acquisition across Meta, TikTok, Google Ads, YouTube, Reddit, affiliates, and more.
• Build a high-velocity creative engine (hooks, scripts, UGC, explainers).
• Develop creator/influencer programs with compliant, measurable outcomes.
• Own funnel from ad to appointment, including landing pages and intake flows.
• Grow SEO/content around anxiety, psychiatry access, and fast care.
• Lead lifecycle marketing: email, SMS, retargeting, winback.
• Collaborate with product, data, clinical, legal, and operations to protect quality.
• Build growth OS: dashboards, forecasting, and budget pacing.
• Hire and lead the first consumer growth team.

Skills

Consumer growth

Paid media budgets

Meta/TikTok ads

Landing page optimization

Analytics & attribution

Healthcare marketing

Leadership

Tools

GA4

Segment

Looker/Hex

SQL

HubSpot/Salesforce

Job description

About Legion Health

Legion Health believes everyone deserves fast, affordable, and world‑class health care. 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 recently became the first company ever to receive regulatory authorization to let AI prescribe psychiatric medications, allowing us to collapse health care’s admin costs and 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 25K+ 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.

Role Logistics

• Job Type: Full‑Time
• Role Type: Growth / Consumer Marketing / Performance Marketing
• Ideal Experience Level: 5+ years
• Location: San Francisco
• US Visa Sponsorship: Yes

The Opportunity

Legion is hiring a Consumer Growth Leader to build the company’s direct‑to‑patient growth engine from early traction into a category‑defining consumer health machine. You will own the full consumer funnel: first impression, landing page, intake, eligibility, scheduling, first visit, retention, and reactivation—making Legion unavoidable to patients who need fast, affordable psychiatric care.

This is a player‑coach role: you should be comfortable owning strategy, opening dashboards, writing ad hooks, reviewing landing pages, and hiring the team behind you.

The right person has the performance rigor of Hims/Ro, the consumer intuition of Function/Oura, the creator and UGC instincts of Seed/Curology, and the compliance judgment required to market real medical care without losing patient trust.

Responsibilities And Deliverables

• Own Legion’s consumer growth number across qualified leads, scheduled visits, completed visits, CAC, payback, contribution margin, LTV, retention, and reactivation.
• Build and scale paid acquisition across Meta, TikTok, Google Ads, YouTube, Reddit, affiliates, podcast/audio, CTV, direct mail, and emerging channels.
• Create a high‑velocity performance creative engine: hooks, scripts, UGC, clinician‑led explainers, testimonials, landing page angles, offer tests, and audience‑specific narratives.
• Build a creator and influencer program that drives measurable acquisition, not vanity awareness: whitelisting, Spark Ads, creator briefs, usage rights, clinical review, and performance iteration.
• Own funnel conversion from ad to appointment: landing pages, quizzes, intake flow, insurance/price messaging, scheduling, trust modules, abandonment recovery, and A/B testing.
• Build Legion’s SEO and content engine around anxiety, depression, psychiatry access, medication management, refills, insurance‑covered psychiatry, and fast mental health care.
• Own lifecycle marketing across email, SMS, retargeting, abandoned intake, no‑show prevention, post‑visit engagement, referrals, and winback.
• Partner with product, data, clinical, legal, compliance, and operations to make growth fast without breaking patient trust, clinical quality, or healthcare marketing rules.
• Build the growth operating system: weekly channel reviews, creative testing roadmap, CAC/payback dashboard, cohort reporting, attribution, incrementality tests, forecasting, and budget pacing.
• Hire and manage the first consumer growth team across performance marketing, lifecycle, SEO/content, creative strategy, analytics, agencies, and creator partnerships.

You’ll Be Successful If You…

• Build a repeatable consumer acquisition engine that can take Legion from early scale to the next order of magnitude.
• Improve CAC, conversion rate, visit completion rate, and payback while increasing qualified patient volume.
• Create a creative machine that ships and learns every week across paid social, creator, landing pages, and lifecycle.
• Prove which channels are incremental, which are platform‑reported noise, and where the next dollar should go.
• Make Legion trusted by patients, not just clicked on by patients.
• Translate complex psychiatric care and AI‑native medicine into simple, credible, emotionally resonant consumer messaging.
• Build a team and agency bench that operates with urgency, clean data, tight feedback loops, and no tolerance for vague marketing activity.
• Scale growth in a way clinical operations can absorb without damaging patient experience, quality, retention, or provider trust.

Ideal Background And Skills

• 5+ years in consumer growth, performance marketing, or growth leadership at a high‑growth consumer, DTC, marketplace, subscription, telehealth, healthcare, wellness, fintech, or regulated company.
• Direct ownership of meaningful paid media budgets, ideally 7‑figure+ annual spend, with clear accountability for CAC, ROAS, payback, LTV, and contribution margin.
• Deep hands‑on experience with paid social, especially Meta and TikTok; strong working knowledge of Google Search, YouTube, Reddit, affiliates, podcast/audio, CTV, direct mail, and emerging channels.
• Strong performance creative judgment: you can write hooks, critique scripts, brief creators, identify why an ad worked, and build systems that produce high‑quality creative at high volume.
• Proven experience improving conversion across landing pages, onboarding, quizzes, checkout/intake flows, pricing pages, scheduling flows, and lifecycle touchpoints.
• High analytical fluency: attribution, incrementality, cohort analysis, retention curves, LTV modeling, experimentation, budget pacing, and forecasting.
• Comfortable with tools such as Meta Ads, TikTok Ads, Google Ads, GA4, Segment, Mixpanel, Looker/Hex, SQL, HubSpot/Salesforce, Customer.io/Braze/Iterable, Webflow/Next.js landing pages, Optimizely/VWO, Figma, Airtable, and AI tools for creative iteration and analysis.
• Experience with creator‑led advertising, UGC, whitelisting, testimonials, customer stories, and compliance‑safe social proof.
• Healthcare judgment: you understand that patient acquisition is not the same as selling shoes. Claims, targeting, privacy, expectations, clinical review, and trust all matter.
• Low ego, high urgency, founder‑level ownership. You can set strategy on Monday, rewrite ad copy Tuesday, debug attribution Wednesday, and cut wasted spend Thursday.

Compensation & Benefits

• Salary: $170,000 – $300,000, based on experience
• Performance Bonus: Variable compensation tied to efficient consumer growth (optional)
• Early‑Stage Equity: Competitive
• Health Insurance: Medical, dental, and vision benefits
• Additional Perks: In‑person retreats, meal stipends, growth budget, creator/content budget, learning stipend
• Time Off: Flexible, unlimited vacation policy
• Work Hours: Flexible
• Work Setup: Remote, with regular in‑person founder/growth sprints
• Impact: Build the consumer growth engine for a company trying to change health care forever.
• Autonomy and Learning: Own the metrics, budget, roadmap, team, and operating cadence end‑to‑end.
• Growth Opportunities: As we scale, this role will naturally become VP Growth / Chief Growth Officer.

How To Apply And Hiring Process

• Apply here: https://jobs.ashbyhq.com/legionhealth/241da102-d6ee-4bfb-9676-d167b8390d0f
• Overview of our hiring process:
• Estimated time‑to‑hire: 2 weeks
• Start date: ASAP
• Hiring manager: Arthur MacWaters

Equal Employment Opportunity

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.