Head of Talent and People (backed by Y Combinator, $5M+ ARR, $23M+ raised)

The role

You will own the entire employee journey and build the talent engine for a healthcare company. This includes full-cycle recruiting, people operations, culture building, and managing the employee lifecycle.

What you will do

• Own the company-wide talent plan and sequenced hiring plan
• Run full-cycle recruiting across multiple departments
• Build outbound pipelines for passive candidates
• Create hiring standards including scorecards and interview plans
• Build the employer brand and talent narrative
• Manage recruiting operations, analytics, and Ashby configuration
• Own the complete employee lifecycle from offers to offboarding
• Run payroll and payment operations for employees and contractors
• Administer medical, dental, vision, and other benefit programs
• Partner with leadership on compensation and headcount planning

Required qualifications

• 5+ years of progressively responsible experience in recruiting, talent leadership, People Operations, HR, or organizational leadership at high-growth technology companies
• Experience serving as the first, early, or senior-most People and Talent hire at a venture-backed startup
• Demonstrated success personally sourcing, assessing, and closing exceptional passive candidates
• Strong technical-recruiting ability across AI, engineering, data, and product
• Hands-on People Operations experience across payroll, benefits, HRIS, employee records, equity administration, onboarding, offboarding, leaves, policies, vendor management, and compliance
• Sound working knowledge of California and multi-state employment practices
• Experience managing sensitive employee-relations matters
• Experience designing or operating compensation bands, leveling, performance reviews, promotion processes, talent reviews, manager training, and workforce planning
• Excellent judgment under ambiguity
• Strong analytical fluency
• Comfortable with tools such as Ashby, Rippling, Gusto, Justworks, Deel, Carta, Pave, Slack, Notion, Google Workspace, modern device-management systems, and AI tools
• Exceptional written and verbal communication

Nice to have

• Experience in healthcare
• Experience in regulated technology
• Experience in AI
• Experience in clinician recruiting
• Experience in mixed employee/contractor workforces
• Experience in immigration
• Experience in relocation
• Experience in workplace operations
• Experience in rapid office-based scaling

Benefits

• Meaningful ownership in a category-defining company
• Medical, dental, and vision benefits
• Support for moving to San Francisco
• In-person retreats
• Company events
• Meal stipends
• AI tooling
• Professional-development support
• Flexible, unlimited vacation policy

Before you apply

• US Visa Sponsorship is available for exceptional candidates
• Hiring process includes Resume + Application Screen, Founder Interview, Live Working Session or Case Study, Onsite Cross-Functional Interviews with Founders, and Professional Reference Checks

About the company

Legion Health is building autonomous medical care, starting with psychiatry, using AI infrastructure. The company is backed by Y Combinator and leading venture capital firms.