Remote Ruby On Rails Startup Jobs in Austin, TX (NOW HIRING)

Legion Health is building fast, affordable, high-quality mental health care at scale.

We are an AI-native psychiatry network where clinicians provide care directly to patients.

Our operations and technology systems help remove administrative friction so providers can focus on patient care.

Job Type: Full-time contract

Location: Fully remote

Work Hours: 1:00 PM to 9:30 PM Central Time

Compensation: $5-$15 per hour, based on experience

Ideal Experience: 2+ years in operations, recruiting coordination, healthcare administration, payroll support, or virtual assistant work

This is not a generic assistant role.

You will help keep Legion’s provider operations engine running smoothly.

You will support provider recruiting, onboarding, provider management, and payroll preparation.

The right person is organized, proactive, comfortable with spreadsheets, and excellent at follow-through.

This is a strong fit for someone who enjoys checklists, healthcare operations, provider communication, and detail-heavy workflows.

Manage provider recruiting coordination, including:

• Candidate tracking

• Interview scheduling

• Application follow-ups

• Hiring record updates

Support provider onboarding, including:

• Collecting required documents

• Tracking onboarding checklist completion

• Following up on missing items

• Coordinating internal handoffs

• Making sure providers are ready to start

Maintain provider operations trackers, including:

• Provider rosters

• Onboarding status

• Active and offboarding providers

• State coverage

• Collaborating physician relationships

• Credentialing or payer status

Communicate with providers through Slack, email, and internal systems.

Support weekly payroll preparation, including:

• Gathering provider pay inputs

• Reviewing visit counts

• Checking no-shows and late cancellations

• Updating pay sheets

• Validating payroll trackers

• Escalating discrepancies before payroll is finalized

Coordinate across recruiting, credentialing, clinical operations, billing, and payroll.

Document processes and improve SOPs so workflows become cleaner and easier to repeat.

Handle sensitive healthcare and payroll information with confidentiality and care.

Extremely organized and reliable

Strong with spreadsheets, trackers, and checklists

Detail-oriented with names, dates, pay periods, counts, and status fields

Clear and professional in written English

Comfortable following up with clinicians and internal teammates

Able to move quickly without sacrificing accuracy

Proactive about spotting missing information or unclear ownership

Calm under pressure in a fast-moving startup environment

Careful with sensitive information and HIPAA-aware

2+ years in one or more of the following:

• Healthcare operations

• Recruiting coordination

• Provider onboarding

• Payroll support

• HR administration

• Executive assistant or virtual operations support

Strong preference for experience supporting:

• Clinicians

• Healthcare providers

• Contractors

• Remote teams

Bonus points for experience with:

• Google Sheets

• Slack

• Ashby or another ATS

• Healthie or another EHR

• Looker Studio

• Stripe

• Payroll or invoice workflows

• Telehealth, behavioral health, credentialing, billing, or provider operations

Prefer only patient-facing support

Dislike spreadsheets, trackers, or reconciliation work

Need the same exact workflow every day

Wait for instructions instead of proactively following up

Are casual with deadlines, documentation, or payroll accuracy

Hourly Compensation: $5-$15 per hour, based on experience

Work Setup: Fully remote

Schedule: 8:00am - 5:00pm US Central Time

Impact: Help build the provider operations foundation that lets clinicians focus on patient care

Growth: Opportunity to grow into broader ownership across provider operations, onboarding, recruiting coordination, or payroll operations

Resume and application review

Initial interview

Practical operations exercise using a sample tracker or onboarding/payroll scenario

Final interview

Reference check

Legion Health is an Equal Opportunity Employer.

We welcome applicants from all backgrounds and are committed to building an inclusive, respectful, and high-performing team.