Twin Health

Lead Software Engineer

Twin Health
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2 months ago
Remote, United StatesStaff+
H1B sponsor

Base Salary

$220k - $240k/yr

Responsibilities

  • Lead Copilot capabilities from product discovery and technical design through implementation, launch, measurement, and production operations.
  • Partner with Product Managers and clinical or business stakeholders to define priorities, tradeoffs, roadmaps, and measurable outcomes.
  • Provide full-stack technical direction across user experiences, backend services, data flows, and system integrations while remaining hands-on in Python and FastAPI.
  • Design, develop, and scale reliable microservices and APIs using Python and FastAPI, and integrate with Java/Spring Boot services when appropriate.
  • Architect complex event-driven and distributed systems while documenting scalability, reliability, security, and operational tradeoffs.
  • Collaborate with AI/ML, Data Platform, Infrastructure, mobile, and other engineering teams to resolve dependencies and deliver cohesive capabilities.
  • Develop and productionize AI-powered capabilities, including evaluation, guardrails, observability, and continuous-improvement workflows.
  • Mentor engineers, delegate ownership, provide technical reviews and direction, and improve practices for safe releases and reliable production operations.

Requirements

  • At least 6 years of professional software engineering experience, including recent hands-on backend or full-stack product development.
  • Experience leading a significant project or team through end-to-end delivery, including planning, delegation, dependency coordination, and technical and delivery decisions.
  • Experience partnering with Product Managers and business stakeholders to shape priorities, make tradeoffs, and own measurable outcomes.
  • Experience personally delivering customer-facing products from discovery or definition through launch, measurement, iteration, and production support.
  • Strong hands-on Python backend expertise and experience building microservices with FastAPI.
  • Experience designing complex event-driven systems and distributed architectures, including documented scalability, reliability, and operational tradeoffs.
  • Strong knowledge of API design, authentication and authorization, data modeling, production debugging, and performance optimization.
  • Ability to communicate technical decisions, risks, tradeoffs, and progress to engineering, product, clinical, and business audiences.
  • Preferred: experience developing and operating AI agents or AI-powered products in production, including evaluation, safety controls, monitoring, and iterative improvement.
  • Preferred: experience building products in healthcare, regulated environments, or fast-paced growth-stage companies.

Benefits

  • Remote work with a global team and a high level of flexibility.
  • Equity participation opportunity.
  • Unlimited vacation with manager approval.
  • 16 weeks of 100% paid parental leave for delivering parents and 8 weeks for non-delivering parents.
  • 100% employer-sponsored healthcare, dental, and vision for employees, with 80% family coverage plus HSA and FSA options.
  • 401(k) retirement savings plan.

Tech Stack

FastAPIJavaPythonSpring Boot
Twin Health

About Twin Health

501-1,000 employees

Twin Health builds a metabolic care program that uses digital twin technology and a clinical team to help adults manage type 2 diabetes, prediabetes, and obesity. The service is sold as an employer and health-plan benefit, combining mobile guidance with data from CGMs, wearables, meal logs, and lab work. Founded in 2018 and headquartered in Menlo Park, it is a privately held company.

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