Head of Consumer Growth (backed by Y Combinator, $5M+ ARR, $23M+ raised)

Head Of Consumer Growth

Legion is hiring a Head of Consumer Growth 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. This is the person who makes 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 include owning 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 include 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 and benefits include a salary of $190,000 $300,000, based on experience. Variable performance bonus tied to efficient consumer growth (optional). Competitive early-stage equity. Medical, dental, and vision benefits. In-person retreats, meal stipends, growth budget, creator/content budget, learning stipend. Flexible, unlimited vacation policy. Flexible work hours. In-person work setup in San Francisco. 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 with strong performance.

To apply, visit https://jobs.ashbyhq.com/legionhealth/241da102-d6ee-4bfb-9676-d167b8390d0f. Overview of our hiring process includes resume + application screen, founder interview, growth deep dive + consumer growth case study, cross-functional interviews with product, data, clinical/ops, and founders, and professional reference checks. Estimated time-to-hire is 2 weeks. Start date is ASAP. Hiring manager is Arthur MacWaters.

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.