Senior Director, Finance

twinhealth; New York (NY); Hybrid; USD 250,000 - 280,000; Full time

Job summary

Twin Health, a leader in metabolic health technology, is seeking a Senior Director of Finance to own and scale the financial function, including investor and board relationships, and to drive high-impact liquidity events. This hybrid role is based in New York City and requires authorization to work in the United States, with no visa sponsorship available.

Responsibilities include overseeing close processes, controls, and audit readiness; collaborating with senior leadership on strategic finance

Qualifications

• 10+ years of progressive Finance experience with demonstrated IPO or major liquidity event leadership.
• Credibility with institutional investors, investment bankers, and board members.

Responsibilities

• Own the Finance function operations: close process, controls, reporting rhythm, audit readiness.
• Lead external Finance: investor relations, board reporting, fundraising, and external materials.
• Own liquidity-event workstreams: coordinate prep activities, manage external finance team, liaise with bankers/auditors/investors.
• Manage Director-level reports across strategy, external-facing finance, and FP&A to deliver output goals.
• Partner with VP Finance and CFO on strategic financial decisions and board communications.
• Drive team hiring, development, and performance as the function scales.
• Maintain financial systems, tooling, and vendor relationships across Finance.
• Handle other duties as assigned.

Skills

Finance leadership

Investor relations

Board communications

GAAP knowledge

Leadership

Education

Bachelor's degree in a relevant field

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

Twin Health is at a pivotal moment. With over $300M raised to date, a rapidly expanding member base, and a growing base of marquee clients, we are building the financial infrastructure to match our ambition. The Senior Director, Finance is the operational and external-facing finance leader who will own this buildout; running the day-to-day function, managing our investor and board relationships with the CFO, and serving as the principal Finance leader on Twin's path to future value inflection. This is a high-visibility, high-impact role reporting directly to the VP of Finance, with multiple Director-level direct reports and a mandate that spans from close process excellence to boardroom credibility.

Responsibilities

• Own the Finance function operationally: financial close process, controls, reporting rhythm, compliance, and audit readiness
• Lead external Finance: serve as the primary Finance representative alongside the CFO in investor relations, board reporting, and fundraising. Maintain institutional relationships and ensuring materials are accurate, clear, and on time
• Own the Finance-side workstreams for future liquidity events: serve as principal on all related preparation activities, directing the external facing finance team on day-to-day execution while supporting banker, auditor, and investor relationships
• Manage Director-level direct reports across strategy, external-facing finance, and FP&A setting clear direction, developing each leader, and holding the function to a high standard of output
• Partner with VP Finance and CFO on strategic financial decisions, capital markets positioning, and board-level communications
• Drive Finance team hiring, development, and performance management as the function scales toward future liquidity events
• Maintain financial systems, tooling, and vendor relationships across the Finance function
• Other duties as assigned.

Qualifications

• 10+ years of progressive Finance experience, including demonstrated IPO or transaction experience as a principal. Has personally led or been a primary driver of a public offering or major liquidity event, not solely in a supporting capacity
• Proven credibility with institutional investors, investment bankers, and board members. Comfortable representing a company at the highest level externally
• Strong people leadership. Has managed Director-level or equivalent reports and built high-performing Finance teams in high-growth environments
• Deep knowledge of GAAP, financial controls, financial statement preparation, and audit processes
• Track record of building and scaling Finance functions in fast-paced, growth-stage technology or digital health companies
• Exceptional communicator: able to distill complex financial information into clear, structured narratives for board and investor audiences
• Healthcare or digital health industry experience preferred
• Bachelor's degree in a relevant field

This is a hybrid opportunity based out of the U.S. in Twin's New York City office, 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 $250,000 - $280,000 annually.