[Hiring] Engineering Manager @Twin Health

Role Description

We are seeking an Engineering Manager to lead our Copilot team. Copilot is our AI-powered platform for clinical operations: it drafts responses, routes member messages, and flags issues so care teams spend less time on administrative work and more time with members.

This is a hands-on management role. You will own the team, the delivery, and the outcomes. You'll stay close enough to the code and architecture to make good technical calls, but your main job is building a team that ships reliable AI-powered products in a regulated healthcare environment.

Responsibilities

• Lead, hire, and grow a team of full-stack engineers.
• Run 1:1s, set clear expectations, give direct feedback, and invest in each engineer's development and career growth.
• Own delivery for Copilot end-to-end: planning, sequencing, dependencies, and getting work into production on time.
• Partner with Product and Clinical Operations to set priorities, make tradeoffs, and guide the roadmap toward high user impact and service quality.
• Use business impact data and platform health metrics to drive prioritization.
• Set and enforce a high engineering bar, from system architecture that scales with growth down to rigorous design reviews, comprehensive automated testing, and production-grade observability.
• Champion AI-assisted engineering practices to increase the team's impact, velocity, and quality.
• Partner with the team on architecture and design decisions, empowering engineers to own the call while offering guidance where it adds the most value.
• Coordinate with the AI Platform team and other engineering teams on shared infrastructure and integrations.
• Communicate status, risks, and tradeoffs clearly to engineering, product, clinical, and executive audiences.
• Other duties as assigned.

Qualifications

• 8+ years of software engineering experience, including at least 2 years directly managing engineers.
• Track record of leading a team through end-to-end delivery of customer-facing products.
• Strong hands-on backend foundation, including microservices, API design, SQL databases, and event-driven architectures.
• Python and FastAPI experience is a strong plus.
• Experience architecting and operating production systems at scale.
• Hands-on experience with AI-assisted development workflows.
• Experience partnering with Product, Clinical Operations, and business stakeholders.
• Excellent written and verbal communication skills.
• Comfortable in a fast-moving, growth-stage environment.
• Experience shipping LLM agents or AI-powered products in production is a plus.
• Experience building products in healthcare or other regulated industries is a plus.
• Familiarity with AWS, Kubernetes, and CI/CD pipelines is a plus.
• Bachelor's or Master's degree in Computer Science or a related field.

Requirements

• 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.

Compensation and Benefits

• The compensation range for this position is $200,000 - $220,000 annually.
• 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.