Twin Health

Twin Health

Lead Software Engineer

Remote, USA · Senior

Sponsorship not specified$220k-$240kDetected 30 days ago
PythonJavaFastAPISpringDistributed SystemsBackend DevelopmentFull-Stack DevelopmentAPI DevelopmentMachine LearningAgentic AIProduct ManagementPatient CareLeadershipCommunication

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odds of building a lasting career here

61Sponsors, lottery-bound
Cap-exempt (no lottery)0
Sponsors this role90
Entry-level history0
PERM / green-card track0
Lottery odds (Level IV)94
Fits your clock70

Sponsors, but it's cap-subject — you still face the weighted lottery (~61% per draw at Level IV). Good if you win; have a cap-exempt backup on your list.

Lottery odds assume a STEM candidate.

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Employer immigration record

from this employer's Department of Labor filings

Files H-1B transfers

6 transfer filings in the last year, covering 6 workers. Median labor-condition decision: 7 days. An employer that already files transfers is one that can take over an existing H-1B.

Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.

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About the role

  • Twin Health is the only company applying AI Digital Twin technology exclusively toward metabolic health.
  • Guided by a dedicated clinical care team, our members have lowered their A1C below the diabetes range, achieved lasting weight loss, and reduced or even eliminated medications, all while living healthier, happier lives.
  • Working here Our team at Twin Health is passionate, talented, and united by a shared purpose: to improve the metabolic health and happiness of our members.

Responsibilities

  • Lead the end-to-end delivery of Copilot product capabilities for the care teams, 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, evaluate tradeoffs, and translate customer and business needs into an executable product roadmap.
  • Establish, own, and drive measurable product and business outcomes
  • Break complex initiatives into clear workstreams, delegate ownership effectively across engineers, manage dependencies, and hold the team accountable for high-quality delivery.
  • Lead full-stack technical direction across user experiences, backend services, data flows, and system integrations while remaining hands-on in Python and FastAPI backend development.
  • Design, develop, and scale reliable microservices and APIs using Python/FastAPI
  • Make and document architectural decisions for complex, event-driven, distributed systems, including reliability, scalability, security, and operational tradeoffs.
  • Collaborate closely with AI/ML, Data Platform, Infrastructure, mobile, and other engineering teams to deliver cohesive product capabilities and resolve cross-team dependencies.
  • Develop and productionize AI-powered capabilities, including evaluation, guardrails, observability, and continuous-improvement workflows.
  • Establish, own, and drive measurable product and business outcomes; ensure appropriate instrumentation and use post-launch results to guide iteration.

Requirements

  • 6+ years of professional software engineering experience, including recent hands-on backend or full-stack product development.
  • Experience personally designing complex, event-driven systems and distributed architectures, including making documented scalability, reliability, and operational tradeoffs.
  • Ability to communicate technical decisions, risks, tradeoffs, and progress clearly to engineering, product, clinical, and business audiences.
  • Demonstrated experience leading a significant project or team through end-to-end delivery, including planning work, delegating ownership, coordinating dependencies, and making technical and delivery decisions.
  • Demonstrated experience partnering with Product Managers and business stakeholders to shape priorities, make tradeoffs, and own measurable customer or business outcomes.
  • Experience personally owning and delivering customer-facing products from discovery or definition through launch, measurement, iteration, and production support.
  • Full-stack technical leadership experience, with strong hands-on Python backend expertise and experience building microservices using FastAPI.
  • Strong knowledge of API design, authentication and authorization, data modeling, production debugging, and performance optimization.

Nice to have

  • A competitive compensation package in line with leading technology companies

Compensation

  • A competitive compensation package in line with leading technology companies

Benefits

  • Opportunity for equity participation
  • Unlimited vacation with manager approval
  • 16 weeks of 100% paid parental leave for delivering parents; 8 weeks of 100% paid parental leave for non-delivering parents
  • 100% Employer sponsored healthcare, dental, and vision for you, and 80% coverage for your family; Health Savings Account and Flexible Spending Account options
  • 401k retirement savings plan

Company info

  • At Twin Health, we empower people to improve and prevent chronic metabolic diseases, like type 2 diabetes and obesity, with a new standard of care.
  • We start by building a dynamic model of each person's metabolism - drawing on thousands of data points from CGMs, smartwatches, and meal logs - that maps their personal path to better health.
  • Working here
  • to improve the metabolic health and happiness of our members.
  • We believe in empowering every Twin to make a meaningful impact for our members, our clients, and each other, while enjoying a supportive, collaborative work environment.
  • Twin has been recognized not only for our innovation but also for our culture, including: Innovator of the Year by the Employer Health Innovation Roundtable (EHIR), selected to CB Insights' Digital Health 150, and named one of Newsweek's Top Most Loved Workplace®.
  • With more than $100 million raised in recent funding, including a $53 million Series E round in 2025 led by Maj Invest, and a $50 million investment in 2023 led by Temasek, Twin is scaling rapidly across the U.S. and globally.
  • Backed by leading venture firms like ICONIQ Growth, Sequoia, Sofina, Temasek, and Peak XV, we are building the most impactful digital health company in the world.
  • Join us as we reinvent the standard of care in metabolic health.
  • We are seeking a Lead Software Engineer to join our Copilot team and play a key role in shaping the technical direction and execution of our new AI-powered platform.
  • This platform is designed to optimize and enhance the efficiency of our clinical operations teams.
  • This role offers a compelling opportunity at the intersection of backend engineering, healthcare technology, and system integrations.
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