Senior Engineering Manager, Treatments Platform

Location: Remote, USA

Department: Engineering

Opportunity

We are looking for a Senior Engineering Manager to join our team and play a key role in evolving our treatment platform across nutrition, activity and medication management. 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 teams to streamline workflows and enhance member experience.

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 

• Bachelors degree in Computer Science or a STEM-related field (Masters 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. 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 $205,000 - $235,000 annually. 

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