Medical Director, Psychiatry

About the role

You will serve as the primary clinical authority and external voice of Legion Health in psychiatry, owning the medical strategy that underpins our AI-native care model and ensuring clinical excellence is communicated with precision and integrity. You will define and enforce medical standards that govern psychiatric evaluation, medication management, documentation, escalation, and longitudinal patient outcomes across all care pathways. In this role, you will act as a bridge between clinical care and commercial execution, translating complex psychiatric and AI concepts into clear, evidence-based narratives that build trust with payers, health systems, regulators, and referral partners. You will shape how Legion explains its model of care, ensuring that every interaction reinforces safety, transparency, and measurable quality. You will also own the clinical governance of our AI workflows, validating that they are explainable, clinically sound, and responsibly implemented in partnership with product, engineering, and compliance teams. As a founding clinical leader, you will mentor psychiatrists, PMHNPs, supervising physicians, and clinical operations staff to align with Legion's standards and culture. You will represent Legion in high-stakes dialogues, including payer diligence, medical advisory boards, regulatory engagements, and partnership discussions, safeguarding the credibility of our model. Your work will directly influence how referral partners understand when and how to use Legion for their patients, ensuring appropriate adoption and integration into existing care ecosystems. You will also create the clinical materials that communicate outcomes, quality frameworks, and medical policies to external audiences, reinforcing our commitment to data-driven care. Ultimately, you will be responsible for making Legion the most trusted name in AI-native psychiatric care through clinical credibility, partnership instincts, and unwavering attention to patient safety.

Key facts

What you'll do

• Serve as Legion's senior clinical voice with payers, referral partners, health systems, regulators, advisors, provider groups, and the broader medical community.
• Build trust in Legion's model of AI-native psychiatry by clearly communicating how care is delivered, how clinicians remain involved, and how patient safety is protected.
• Partner with the founders on payer, provider-referral, employer, health-system, and strategic partnership conversations.
• Help shape Legion's clinical brand: how we talk about psychiatry, AI, medication management, access, safety, outcomes, and patient trust.
• Own Legion's medical quality standards across psychiatric evaluation, medication management, documentation, follow-up, escalation, and patient outcomes.
• Develop clinical protocols and care standards that make Legion easy for payers, PCPs, therapists, health systems, and other referral partners to trust.
• Partner with product, engineering, data, clinical operations, and compliance to ensure Legion's AI-enabled workflows are clinically sound, explainable, and responsibly governed.
• Support referral growth by helping clinical partners understand when Legion is appropriate for their patients and how to refer with confidence.
• Help build payer-facing and partner-facing clinical materials, including care model overviews, outcomes narratives, quality frameworks, and medical policies.
• Recruit, mentor, and support psychiatrists, PMHNPs, supervising physicians, and future clinical leaders.
• Represent Legion in high-stakes clinical conversations, including payer diligence, partner diligence, medical advisory discussions, and regulatory conversations.
• Define and communicate the clinical rationale behind Legion's automation, ensuring that stakeholders understand the role of clinicians in every interaction.
• Establish metrics and feedback loops that demonstrate the safety, quality, and scalability of Legion's care model to external stakeholders.
• Act as a thought leader in AI-native psychiatry, contributing to external publications, advisory boards, and industry discussions where clinical rigor is essential.

Requirements

• Hold a current medical license in the state of California or the ability to obtain one, with a board certification or eligibility in psychiatry.
• Have a minimum of 5 years of clinical experience in psychiatry, with at least 2 years in a leadership role that includes direct supervision of clinical staff.
• Demonstrate a proven track record of delivering high-quality psychiatric care in complex patient populations while adhering to strict safety and compliance standards.
• Show experience in building and maintaining trusted relationships with payers, health systems, referral networks, and regulatory bodies within healthcare.
• Possess strong knowledge of psychiatric evaluation, medication management, documentation standards, and clinical risk management in both virtual and in-person settings.
• Exhibit excellent judgment in balancing innovation in AI-driven care with the ethical and clinical responsibilities inherent in psychiatry.
• Have a history of collaborating with cross-functional teams, including engineering, product, compliance, and operations, to align clinical strategy with business objectives.
• Communicate clearly and persuasively to diverse audiences, including clinicians, executives, payers, and regulators, translating clinical concepts into actionable insights.

Nice to have

• Prior experience working with AI-enabled care delivery or digital health platforms that integrate clinical and technical workflows.
• Background in developing clinical policies or care models for value-based care, behavioral health integration, or virtual mental health services.
• Experience engaging with regulators or policy bodies on issues related to AI, mental health parity, or clinical quality measurement.

Practical notes

US Visa Sponsorship: Yes

Location: San Francisco

Job Type: Full-Time

Hours: Full-time, standard business hours with flexibility for on-call advisory responsibilities as needed.

Travel: Minimal to none, given the centralized nature of the role in San Francisco.

, but early submission is strongly encouraged for this founding executive role.