Note: The job is a remote job and is open to candidates in USA. Twin Health is a digital health company using AI Digital Twin technology to improve metabolic health and manage chronic metabolic diseases. The Senior Engineering Manager will lead the engineering team responsible for evolving the treatment platform across nutrition, activity, and medication management, while driving scalable architecture, AI-powered features, roadmap prioritization, and collaboration across technical and clinical teams.
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
Skills
- Bachelor's degree in Computer Science or a STEM-related field
- 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
- 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
- Master's preferred
- 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
Benefits
- A remote work arrangement
- 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