Head of Engineering (backed by Y Combinator, $5M+ ARR, $23M+ raised)
About this role
This role suits an experienced engineer who thrives on owning entire complex problem spaces independently and shipping production systems at high velocity in San Francisco. Head of Engineering at Legion Health is a principal-level position responsible for building autonomous medical care infrastructure and scaling engineering operations.
Role Overview
Legion Health is hiring a Head of Engineering in San Francisco to own critical architecture across their regulated clinical care platform. The position suits a hands-on technical leader with a staff-plus IC, chief-architect, or platform-consulting background who prefers building over managing and can take ambiguous, load-bearing problems from conception to completion.
Key Responsibilities
Requirements
Skills and Tools
Salary and Benefits
About the Company
Legion Health is building autonomous medical care, starting with psychiatry, backed by Y Combinator and prominent venture capital firms and founders. The company provides a regulated clinical product that e-prescribes controlled substances, operating with an AI-native care-delivery platform that automates administrative work and lowers clinical labor costs.
How to Apply
Apply on the official company careers page.
Skills and tech stack
Questions candidates ask
Where is the Head of Engineering role located?
The role is based in-person at the San Francisco headquarters, though partial remote work may be considered for exceptional candidates.
What is the salary and compensation structure?
The salary ranges from $250,000 to $400,000 depending on experience, and includes early-stage equity, medical, dental, and vision insurance, meal stipends, and unlimited vacation.
Is visa sponsorship available for this position?
Yes, US visa sponsorship is available.
What technical stack does Legion Health use?
The tech stack includes TypeScript, Node.js, Postgres, Next.js on Vercel, AWS, production LLM agent orchestration, EHR integrations, and PHI-grade security tools.
Is this a management role?
No, this is a senior individual contributor seat focused on building rather than managing, intended for someone who takes on entire problem spaces independently.