Insurance Directory Optimization Specialist (backed by Y Combinator, $5M+ ARR, $20M+ raised)

About this role

Part‑time or Full-time / Contract • Remote

🧠 ABOUT LEGION HEALTH

At Legion Health https://legionhealth.com/, 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 https://nypost.com/2026/03/27/business/artificial-intelligence-can-now-prescribe-mental-health-drugs/, 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 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.

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: Part-Time or Full-Time Contract (1099)

- Role Type: Provider Directory Operations / Payer Data / Credentialing / Growth Operations

- Ideal Experience Level: 2+ years

- Location: Remote

- Time Commitment: Approximately 20–40 hours/week

- Initial Engagement: 3-month project, with opportunity to renew and expand based on results

- Work Hours: Flexible, with enough U.S. business-hours overlap for payer outreach

- Start Date: ASAP

🚀 THE OPPORTUNITY

Legion is hiring a Provider Directory Growth & Operations Lead to turn insurance-payer directories into a measurable, scalable patient-acquisition channel. Payer member portals are among the highest-intent places patients look for in-network psychiatric care, yet inaccurate or low-visibility listings create silent failure points: patients cannot find Legion, see the wrong information, or reach a phone-only dead end.

You will own the full directory funnel: authoritative provider data → payer publication → member-side search visibility → click or call to action → eligibility → scheduling → completed first visit. You will be accountable for both operational accuracy and business outcomes, including directory-sourced intakes, booked visits, conversion, and incremental revenue.

This is a hands-on operator role. You should be comfortable auditing large rosters, working inside payer portals, calling and emailing network-operations teams, reconciling CAQH and NPPES data, investigating edge cases, maintaining airtight change logs, creating UTM links, setting up recurring QA, and partnering with Growth and Engineering to route patients into a touchless onboarding experience.

✅ RESPONSIBILITIES AND DELIVERABLES

- Own Legion’s provider-directory accuracy and growth metrics across every contracted payer and network, state, clinician, service location, specialty, and member-facing directory surface.

- Build and maintain the authoritative provider-data source of truth, including clinician legal and display names, Type 1 and Type 2 NPIs, group affiliations, taxonomy codes, licenses, specialties, service locations, telehealth eligibility, accepting-new-patients status, contact information, booking URLs, payer participation, last verification date, owner, status, and supporting evidence.

- Reconcile the source of truth against NPPES, CAQH, credentialing rosters, payer portals, third-party aggregators, and internal provider and contracting systems; define source precedence for every field so discrepancies are resolved consistently.

- Create a complete baseline inventory and risk-ranked remediation backlog, prioritizing missing providers, inactive or departed providers, wrong locations, missing telehealth indicators, incorrect specialties, duplicate records, broken links, phone-only calls to action, and high-volume payer opportunities.

- Audit each directory as a patient would: search by ZIP code, state, plan, specialty, telehealth, availability, and accepting-new-patients filters; confirm Legion appears in the expected results and that every profile is accurate, complete, and actionable.

- Verify that telehealth filters, virtual-visit tags, map pins, specialty mappings, language fields, appointment availability, and accepting-new-patients indicators behave correctly across desktop and mobile directory experiences where available.

- Submit corrections through the right payer workflow—portal, roster file, API, secure email, ticket, or escalation—and track submission date, confirmation number, payer owner, promised service level, follow-up date, publication date, and member-side verification. A fix is not complete until it is live and independently rechecked.

- Standardize naming conventions, address formatting, phone numbers, credentials, taxonomy and specialty mappings, group affiliations, telehealth designations, and URL structure; build validation rules and an explicit exception log.

- Partner with payer directory and netw

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