Lead Software Engineer
Twin HealthBase 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.
Categories
About Twin Health
Twin Health combines advanced medical science and technology with a clinical care team to help people take control of conditions like type 2 diabetes, prediabetes, and obesity. Twin is a metabolic health benefit offered exclusively through employers or health plans. Our Digital Twin™ technology learns a member’s unique metabolism based on insights collected from smart devices, meal logs, and lab work. By seeing how their body responds to lifestyle choices, Twin can provide real-time, personalized recommendations on nutrition, activity, sleep, stress, and more. Our clinical care team then guides the member on a clear path toward their health goals, celebrating each win along the way. This leads to life-changing results: 💊 73% of members eliminated medications (including injections) ⚡️On average, members lost 14 pounds in 6 months ❤️🩹66% of members improved hypertension 💪81% of members improved cholesterol ⚖️On average, members saw a 2.2 point drop in A1C We also help our partners deliver cost-effective, clinically validated solutions: - $8.4K annual savings per member with at least one high-cost medication - $3.2M projected pharmacy savings, annualized across all members with one or more high-cost medications - Twin is validated by the American Heart Association, American Diabetes Association, The Journal of the American College of Cardiology, and more Twin’s outcomes aren’t just clinical and cost-effective — they’re human. Members report feeling more energized, getting a better night’s sleep, and having the energy to play with their kids or grandkids a little longer. We’re proud to help people feel their best with the power of a healthy metabolism.