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

Responsibilities

• 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.
• 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.
• 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 network-operations teams to improve Legion’s legitimate search prominence through accurate category mapping, telepsychiatry and virtual-care terminology, featured or virtual-visit badges, complete profile fields, and correct filter eligibility.
• Replace phone-only or generic calls to action with direct Legion landing pages, self-scheduling links, or SMS short codes wherever payer rules and directory capabilities allow.
• Create and govern unique UTM-tagged links by payer, network, directory, state, and placement; maintain a durable naming convention, redirect ownership, destination QA, and documentation so attribution survives future updates.
• Partner with Growth and Engineering to build payer- and state-aware landing experiences, align insurance and availability messaging, reduce intake abandonment, and A/B-test calls to action, trust signals, scheduling flows, and page content.
• Instrument and validate the directory funnel in PostHog or equivalent analytics from directory referral through eligibility, intake, scheduling, completed first visit, retention, and reactivation; maintain event definitions and investigate attribution gaps.
• Build weekly reporting that covers inventory completeness, percentage of error-free listings, search-visibility coverage, corrections opened and closed, aging by payer, clicks, intakes, scheduled visits, completed visits, conversion rates, and attributable revenue.
• Quantify the incremental patient volume and revenue unlocked by each material directory fix; maintain an opportunity model that ranks the backlog by expected impact, confidence, effort, and time to resolution.
• Create payer contact maps, escalation paths, reusable outreach templates, roster-submission checklists, evidence standards, SOPs, and a decision log so the operating system is auditable, repeatable, and transferable.

Qualifications

• 2+ years in provider-data management, payer or network operations, credentialing, revenue-cycle operations, healthcare data quality, growth operations, or a closely related role.
• Direct experience updating payer directories, provider-finder tools, or network rosters through platforms such as Availity, CAQH, HealthSmart, payer-specific portals, delegated roster workflows, or third-party directory vendors.
• Strong working knowledge of Type 1 and Type 2 NPIs, NPPES, CAQH ProView, taxonomy codes, specialties, group affiliations, service locations, telehealth designations, accepting-new-patients status, and network participation.
• Experience diagnosing discrepancies across multiple systems, determining the authoritative source, documenting the root cause, and verifying the member-facing correction after publication.
• Advanced comfort with Google Sheets or Excel, including large CSVs, XLOOKUP or VLOOKUP, INDEX-MATCH, pivot tables, data validation, deduplication, conditional formatting, normalization, and reconciliation.
• Comfort with lightweight SQL, APIs, JSON or XML, SFTP roster files, scripts, or no-code automation; you do not need to be a software engineer, but you should be able to remove repetitive work.
• Experience with UTM conventions, redirect QA, PostHog or comparable product analytics, funnel reporting, and conversion-rate measurement.
• Ability to operate across portals, spreadsheets, email, phone, ticketing systems, and ambiguous payer processes while maintaining precise evidence and follow-up discipline.
• Strong written and verbal communication. You can write a clean escalation, ask a payer representative for the exact file or field definition needed, and explain the patient and revenue impact of an unresolved issue.
• Excellent quality-control instincts. You notice one transposed digit, inconsistent taxonomy mapping, outdated address, missing virtual-care tag, or suspicious duplicate—and you investigate until the record is corrected.