Go-to-Market (GTM) Engineer (backed by Y Combinator, $5M+ ARR, $23M+ raised)

The role

You will build the AI-native commercial and referral infrastructure for provider partnerships. This involves owning technical architecture for market mapping, outbound workflows, referral intake, and attribution.

What you will do

• Select and architect the provider-partnership CRM
• Design a durable account hierarchy
• Build a provider prospecting data layer
• Create account-scoring and territory systems
• Build coordinated outbound workflows
• Map clinic-level champions and referral coordinators
• Equip sales representatives with contact data and account briefs
• Deploy AI-assisted workflows for research and outreach
• Build an omnichannel referral-ingestion layer
• Automate referral processing and insurance eligibility connection

Required qualifications

• 5+ years in GTM engineering, revenue operations, sales operations, growth engineering, business systems, data engineering, internal tools, or another systems-building role close to revenue
• 3+ years directly owning CRM architecture, GTM automation, data pipelines, outbound infrastructure, attribution, or technically complex revenue programs
• Advanced SQL
• Ability to write and review production-quality Python, JavaScript, or TypeScript
• Deep CRM fluency in HubSpot, Salesforce, Attio, or similar
• Hands-on experience with APIs, webhooks, ETL or reverse ETL, event instrumentation, identity resolution, error handling, observability, and modern data warehouses
• Practical fluency with modern GTM tools such as Clay, Apollo, Definitive Healthcare, LinkedIn Sales Navigator, Outreach, Salesloft, n8n, Make, Zapier, Workato, or equivalent platforms
• Production experience with LLM-powered research, extraction, classification, routing, or agentic automation
• Strong analytical judgment across funnels, attribution, pipeline, conversion, velocity, cohort analysis, experimentation, and revenue impact
• Strong product sense and build-versus-buy judgment
• Healthcare and security judgment regarding access controls and data use
• Excellent cross-functional communication

Nice to have

• Experience in healthcare, provider partnerships, referrals, physician networks, field sales, multi-location organizations, or another complex relationship-driven business
• Experience with eFax, referral management, EHR integrations, HL7, FHIR, eligibility, claims, provider directories, or NPI data

Benefits

• Early-Stage Equity
• Medical, dental, and vision benefits
• In-person retreats
• GTM and revenue-systems tooling budget
• Learning stipend
• AI tooling budget
• Flexible, unlimited vacation policy

Before you apply

• US Visa Sponsorship: Yes
• Hiring process includes Resume + Application Screen, Founder Interview, GTM + AI Systems Deep Dive, 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.