Engineering Manager, Copilot

Twin Health; Oregon; Hybrid; USD 200,000 - 220,000; Full time

Benefits offered by this job

Remote-first culture

Equity participation

Unlimited vacation

Paid parental leave

Employer-sponsored health insurance

401k

Job summary

Twin Health seeks an Engineering Manager to lead the Copilot team, an AI-powered platform for clinical operations. The role blends hands-on coding with people leadership to deliver reliable AI-powered healthcare products.

You will own the team, roadmap, and delivery, staying close to code while guiding architecture and best practices in a regulated healthcare environment. Remote US-based.

Qualifications

• 8+ years software engineering experience, with at least 2 years directly managing engineers.
• Led end-to-end delivery of customer-facing products from definition to launch and iteration.
• Strong backend foundation: microservices, API design, SQL, event-driven architectures; Python/FastAPI a plus.
• Experience operating production systems at scale: observability, incident management, performance optimization.
• Hands-on with AI-assisted development workflows.
• Experience partnering with Product, Clinical Operations, and stakeholders on roadmap governance.
• Excellent written and verbal communication; able to explain technical risk to non-technical audiences.
• Regulated industries or healthcare experience is a plus.

Responsibilities

• Lead, hire, and grow a team of full-stack engineers; conduct 1:1s and career development.
• Own end-to-end delivery for Copilot: planning, sequencing, dependencies, production rollout.
• Partner with Product and Clinical Operations to set priorities and guide the roadmap for high impact.
• Set and maintain a high engineering bar: architecture reviews, automated testing, observability.
• Champion AI-assisted engineering practices to boost impact, velocity, and quality.
• Collaborate on architecture decisions and empower engineers to own the calls.
• Coordinate with the AI Platform and other teams on shared infrastructure and integrations.
• Communicate status, risks, and tradeoffs clearly to engineering, product, clinical, and exec teams.
• Other duties as assigned.

Skills

Full-stack engineering

Team management

Backend design

Python

FastAPI

SQL databases

Microservices

API design

Observability

AI-assisted development

AWS

Kubernetes

CI/CD

Communication

Education

Bachelor's or Master's in Computer Science

Tools

AWS

Kubernetes

CI/CD pipelines

FastAPI

Python

Observability tools

Job description

Twin Health 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. Twin Health is the only company applying AI Digital Twin technology exclusively toward metabolic health. 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. 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. 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.

Opportunity

We are seeking an Engineering Manager to lead our Copilot team. Copilot is our AI-powered platform for clinical operations: it drafts responses, routes member messages, and flags issues so care teams spend less time on administrative work and more time with members. This is a hands‑on management role. You will own the team, the delivery, and the outcomes. You'll stay close enough to the code and architecture to make good technical calls, but your main job is building a team that ships reliable AI‑powered products in a regulated healthcare environment.

Responsibilities

• Lead, hire, and grow a team of full‑stack engineers. Run 1:1s, set clear expectations, give direct feedback, and invest in each engineer's development and career growth.
• Own delivery for Copilot end‑to‑end: planning, sequencing, dependencies, and getting work into production on time.
• Partner with Product and Clinical Operations to set priorities, make tradeoffs, and guide the roadmap toward high user impact and service quality, using business impact data and platform health metrics to drive prioritization.
• Set and enforce a high engineering bar, from system architecture that scales with growth down to rigorous design reviews, comprehensive automated testing, and production‑grade observability.
• Champion AI‑assisted engineering practices to increase the team's impact, velocity, and quality.
• Partner with the team on architecture and design decisions, empowering engineers to own the call while offering guidance where it adds the most value.
• Coordinate with the AI Platform team and other engineering teams on shared infrastructure and integrations.
• Communicate status, risks, and tradeoffs clearly to engineering, product, clinical, and executive audiences.
• Other duties as assigned

Qualifications

• 8+ years of software engineering experience, including at least 2 years directly managing engineers (hiring, performance management, and career development).
• Track record of leading a team through end‑to‑end delivery of customer‑facing products, from definition through launch, measurement, and iteration.
• Strong hands‑on backend foundation, including microservices, API design, SQL databases, and event‑driven architectures, with the credibility to lead design reviews and guide technical decisions. Python and FastAPI experience is a strong plus.
• Experience architecting and operating production systems at scale: observability, incident management, and performance optimization.
• Hands‑on experience with AI‑assisted development workflows.
• Experience partnering with Product, Clinical Operations, and business stakeholders, including roadmap governance and prioritization in a high‑demand environment.
• Excellent written and verbal communication skills, including explaining technical risk to non‑technical audiences.
• Comfortable in a fast‑moving, growth‑stage environment where priorities shift.
• Experience shipping LLM agents or AI‑powered products in production is a plus.
• Experience building products in healthcare or other regulated industries is a plus.
• Familiarity with AWS, Kubernetes, and CI/CD pipelines is a plus.
• Bachelor's or Master's degree in Computer Science or a related field.
• This remote opportunity based out of the U.S. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Compensation and Benefits

The compensation range for this position is $200,000 - $220,000 annually.

Twin has an ambitious vision to empower people to live healthier and happier lives, and to achieve this purpose, we need the very best people to enhance our cutting‑edge technology and medical science, deliver the best possible care, and turn our passion into value for our members, partners and investors. We are committed to delivering an outstanding culture and experience for every Twin employee through a company based on the values of passion, talent, and trust. We offer comprehensive benefits and perks in line with these principles, as well as a high level of flexibility for every Twin.

• A competitive compensation package in line with leading technology companies
• A remote and accomplished global team
• 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

Salary range for US jobs

US Salary Range

$200,000—$220,000 USD