Insurance Directory Optimization Specialist (backed by Y Combinator, $1M+ ARR, $6.3M+ raised) at Legion Health (S21)
$50K - $150K  •  0.10% - 0.20%
AI-native psychiatry, built for scale and covered by insurance
San Francisco, CA, US / Remote
Contract
Any (new grads ok)
About Legion Health

We’re rebuilding psychiatry from the ground up—AI-native, insurance-covered, and engineered to scale.

Legion Health is a high-quality psychiatry network where patients get care from licensed clinicians, fast and affordably. Under the hood, our LLM agents and orchestration layer automate operations, reduce admin, and enable truly great care.

Most startups bolt AI onto broken workflows. We’re replacing the workflows—and the system underneath.

If you’ve ever wanted to use AI to actually fix something that matters, this is your shot.

About the role

Part‑time or Full-time / Contract • Remote

🧠 About Legion Health

Legion Health is a Y Combinator‑backed, AI‑native telepsychiatry company on a mission to deliver the best psychiatric care in the world—and to do it at scale. By automating every possible operational task with generative AI, we free clinicians to focus on what matters most: patient care. We already shrink weeks‑long wait times to same‑day appointments and serve thousands of insured patients across Texas (and growing).

One of the largest drivers of new patients is insurance‑payer provider directories. Accurate, telehealth‑friendly listings translate directly into lives helped—and revenue realized. We need a detail‑obsessed contractor to own these directories end‑to‑end.

🚀 The Opportunity

You will audit, correct, and continuously optimize Legion’s listings across every payer’s member portal and directory, then route patients who discover us there into our touchless, self‑serve onboarding funnel. This role is perfect for a virtual assistant, data‑entry specialist, or health‑tech ops contractor who loves hunting down discrepancies, working with spreadsheets/APIs, and turning “Call our office” into a one‑click digital experience.

What You’ll Do

Directory Audit & Cleanup

  • Build a master inventory of all Legion provider entries (NPIs, specialties, locations) across every contracted payer and network.
  • Identify and fix errors: outdated addresses, missing telehealth flags, wrong specialties, inactive providers, duplicate listings, broken URLs.
  • Standardize naming conventions, taxonomy codes, and “Accepting New Patients” indicators.

Prominence & Search‑Rank Boosting

  • Partner with payer directory teams to surface Legion higher in search results (e.g., “telepsychiatry,” “virtual psychiatry Texas”).
  • Ensure telehealth filter toggles, map pins, and specialty filters return Legion providers.
  • Push for featured badges or “virtual visit” tags wherever available.

Touchless Patient Routing

  • Replace phone‑only CTAs with direct links to Legion landing pages, self‑scheduling URLs, or SMS short‑codes.
  • Create and maintain unique UTM‑tagged links per payer to track source → intake → visit conversion.
  • Collaborate with Growth and Engineering to A/B‑test landing pages and measure drop‑off.

Data Sync & Governance

  • Establish a single “source of truth” spreadsheet or Airtable containing provider data, directory status, update dates, and payer contacts.
  • Set up monthly sweeps (manual or scripted) to confirm listings remain accurate after payer updates.

Reporting & Impact

  • Deliver weekly dashboards covering percentage of error‑free listings, directory‑sourced intakes, and conversion rates to scheduled visits.
  • Quantify incremental patient volume and revenue unlocked by each directory fix.

You’ll Be Successful If You…

  • Sweat the details—typos in an address mean lost patients; you catch them all.
  • Speak both “payer” and “patient”—you can push a network‑ops rep for an XML file and write patient‑friendly CTA copy.
  • Automate whenever possible—simple scripts, Airtable automations, PostHog funnels—whatever keeps manual work near zero.
  • Own outcomes—you measure success in booked appointments, not completed forms.

Ideal Background

  • 2+ years in provider‑data management, revenue‑cycle ops, health‑plan credentialing, or growth ops for telehealth.
  • Proven experience updating payer directories (Availity, CAQH, HealthSmart, etc.) or physician‑finder tools.
  • Comfortable wrangling large CSVs, VLOOKUPs, and basic SQL/API calls.
  • Familiar with UTM tracking, analytics, and funnel metrics.
  • Bonus: Knowledge of NPI registry, taxonomy codes, and Texas payer landscape.

Engagement Details

  • Scope: ~20-40 hrs/week (first 3 months project‑based; renewable).
  • Compensation: Competitive hourly rate (1099) + bonuses tied to strong performance
  • Tools: PostHog, analytics dashboards, and direct payer portals.

Why Legion?

Every directory you fix puts life‑changing psychiatric care in front of people who may have waited months—and lets our clinicians focus on healing, not paperwork. You’ll see your work translate into same‑day visits, healthier patients, and measurable revenue within weeks.

Technology

Technology at Legion

We are revolutionizing telepsychiatry through a core AI infrastructure that enables a vastly improved patient experience and quality of mental health care. We are actively improving our services in ingesting, chunking, embedding, caching, and searching to achieve this goal. Our technical goals include:

  • Enhanced processing: Implement robust data structures and caching mechanisms to handle increasing volumes of language data spanning every facet of patients’ care while minimizing latency and maximizing system responsiveness.
  • System scalability: Ensure our systems can scale effectively to support growth from one million to hundreds of millions of data points.
  • Securing sensitive data: Uphold the highest standards of data security and privacy in compliance with HIPAA guidelines.

##Stack TypeScript, Node.js, PostgreSQL, Redis, Supabase, Azure, Google Cloud, AWS, LangChain, PostHog, Retool

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