Lead Software Engineer

🕒 May 4

🇺🇸 United States – Remote

💵 $220k - $240k / year

⏰ Full Time

🟠 Senior

🧑‍💻 Full-stack Engineer

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 45%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Twin Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2018

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Twin Health is a company that focuses on improving the metabolic health of employees and health plan members by preventing and reversing chronic metabolic diseases. Utilizing proprietary Digital Twin AI technology, combined with smart devices, wearables, and a clinical care team, Twin Health provides personalized health recommendations. The solutions help in weight loss, lowering blood sugar levels, improving energy, mood, and sleep, and reducing dependency on costly medications by addressing the root causes of metabolic dysfunction. Their evidence-based programs deliver substantial health benefits, including considerable reduction in blood sugar levels, medication elimination, and overall metabolic health improvement, within six months.

📋 Description

• Lead end-to-end delivery of Copilot product capabilities for care teams, from 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 needs into an executable roadmap • Establish and drive measurable product and business outcomes, with appropriate instrumentation and post-launch iteration • Break complex initiatives into workstreams, delegate ownership, manage dependencies, and ensure high-quality delivery • Lead full-stack technical direction across user experiences, backend services, data flows, and system integrations while developing in Python and FastAPI • Design, develop, and scale microservices and APIs using Python/FastAPI; integrate with Java/Spring Boot services where appropriate • Make and document architectural decisions for event-driven, distributed systems, including reliability, scalability, security, and operational tradeoffs • Collaborate with AI/ML, Data Platform, Infrastructure, mobile, and engineering teams to deliver product capabilities and resolve dependencies • Develop and productionize AI-powered capabilities, including evaluation, guardrails, observability, and continuous-improvement workflows • Mentor engineers, provide technical direction and review, and improve engineering practices for safe releases and reliable production operation • Take on additional responsibilities as needed

🎯 Requirements

• 6+ years of professional software engineering experience, including recent hands-on backend or full-stack product development • Experience leading a significant project or team through end-to-end delivery, including planning, delegation, dependency coordination, and technical and delivery decisions • Experience partnering with Product Managers and business stakeholders to shape priorities, make tradeoffs, and own measurable outcomes • Experience 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 FastAPI microservices experience • Experience designing complex event-driven systems and distributed architectures, including 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 to engineering, product, clinical, and business audiences • Preferred: experience developing and operating AI agents or AI-powered products in production, including evaluation, safety controls, monitoring, and iterative improvement • Preferred: experience building products in healthcare, regulated environments, or fast-paced growth-stage companies

🏖️ Benefits

• 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 • 80% coverage for your family • Health Savings Account and Flexible Spending Account options • 401k retirement savings plan • High level of flexibility