Note: The job is a remote job and is open to candidates in USA. Twin Health is a digital health company applying AI Digital Twin technology to improve and prevent chronic metabolic diseases. The Lead Software Engineer will shape the technical direction and delivery of an AI-powered Copilot platform for clinical operations, leading architecture, full-stack development, system integrations, AI capabilities, and engineering practices.
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; ensure appropriate instrumentation and use post-launch results to guide iteration
- 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; contribute to or integrate with Java/Spring Boot services where appropriate
- 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
- Mentor engineers, provide technical direction and review, and improve the engineering practices needed for safe, frequent releases and reliable production operation
- Take on additional responsibilities as needed
Skills
- 6+ years of professional software engineering experience, including recent hands-on backend or full-stack product development
- 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
- Experience personally designing complex, event-driven systems and distributed architectures, including making 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 clearly to engineering, product, clinical, and business audiences
- Experience developing and operating AI agents or AI-powered products in production, including evaluation, safety controls, monitoring, and iterative improvement
- Experience building products in healthcare, regulated environments, or fast-paced growth-stage companies
Benefits
- 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
Company Overview
Company H1B Sponsorship