Senior Engineering Manager New Remote, USA

Twin Health; Menlo Park (CA); Hybrid; USD 200,000 - 220,000; Full time

Benefits offered by this job

Equity participation

Remote global team

Unlimited vacation

Job summary

Twin Health is seeking a Senior Engineering Manager to lead our Enrollment team—the front door of our treatment platform. You’ll influence eligibility, onboarding, and clinical intake to optimize member experience and drive scalable growth.

Collaborating with backend, mobile, AI engineers, clinical operations, and partner teams, you’ll shape architecture, enforce testing, champion AI‑assisted development, and participate in on‑call rotations, with regular travel to Menlo Park.

Qualifications

• BS in CS or STEM; 8+ years software engineering; 3+ years leading teams.
• Backend focus with microservices, API design, SQL, event-driven architectures.
• Experience operating production systems at scale: observability, on-call, incident management.

Responsibilities

• Lead and grow a team of backend and full-stack engineers; manage performance and retention.
• Set engineering bar: scalable architecture, testing, observability, production-grade systems.
• Champion AI-assisted engineering practices to improve velocity and quality.
• Collaborate with product/design/ops to align roadmap with business impact.
• Drive metrics-driven prioritization using health metrics and business data.
• Work with Core AI to integrate Generative AI and Predictive AI features.
• Occasional on-call rotations; travel to Menlo Park for planning workshops.
• Other duties as assigned

Skills

Leadership

Microservices

API design

SQL databases

Event-driven

Observability

On-call

AI-assisted development

Education

Bachelor's degree in CS or STEM

Master's degree preferred

Job description

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.

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.

We are looking for a Senior Engineering Manager to lead our Enrollment team and play a key role in shaping how members join Twin Health. Enrollment is the front door to our treatment platform, and every step of it, from eligibility and onboarding through clinical intake and getting a member started on their journey, directly affects member experience, partner satisfaction, and business growth. This is an exciting opportunity to work at the intersection of healthcare, backend engineering, and system integrations, collaborating closely with backend, mobile, and AI engineers, as well as clinical operations and partner teams to streamline workflows, reduce friction, and scale enrollment to meet rapid growth.

Candidates may be considered for multiple open roles across Twin Health throughout the review and interview process as our teams identify matching opportunities

Responsibilities

• Lead, coach, and grow a team of backend and full-stack engineers: hiring, performance management, career development, and retention.
• Set and enforce a high engineering bar — from system architecture that scales with rapid growth down to rigorous design reviews, comprehensive automated testing, and production-grade observability.
• Champion AI-assisted engineering practices to increase metrics impact with velocity and quality.
• Collaborate with product, design, and operations teams to understand requirements and guide the roadmap to achieve high user impact and service quality.
• Drive metrics-driven prioritization using business impact data and platform health metrics.
• Collaborate with the Core AI team to integrate and deliver features powered by Generative AI and Predictive AI.
• Take on additional responsibilities as needed, including on-call rotations.
• Regular travel to our Menlo Park headquarters for planning workshops and team collaboration sessions.
• Other duties as assigned

Qualifications

• Bachelor's degree in Computer Science or a STEM-related field (Master's preferred).
• 8+ years of software engineering experience, including 3+ years managing engineering teams, with a track record of hiring, developing, and retaining strong engineers.
• 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.
• Experience architecting and operating production systems at scale: observability, on‑call, incident management, and performance optimization.
• Hands‑on experience with AI‑assisted development workflows
• Demonstrated success partnering with product, design, and operations stakeholders, including roadmap governance and prioritization in a high-demand environment.
• Excellent written and verbal communication skills.
• Experience in healthcare or regulated environments (HIPAA) is a plus.
• Experience with or exposure to Generative AI and Predictive AI is a plus, but not required.
• This remote opportunity based out of the U.S. Applicants must be authorized to work for any employer in the U.S.

Compensation and Benefits

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

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

$145,000 - $160,000 USD

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in Twin Health’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service‑connected disability.

A "recently separated veteran" means any veteran during the three‑year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

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An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

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