Engineering Manager, Copilot
Twin Health · Remote, USA
About this role
**Twin Health — Engineering Manager, Copilot** ## About Twin Health Twin Health empowers people to improve and prevent chronic metabolic diseases (like type 2 diabetes and obesity) using AI Digital Twin technology focused exclusively on metabolic health. Their approach builds a dynamic model of each person’s metabolism using data from CGMs, smartwatches, and meal logs—supporting better health outcomes guided by a dedicated clinical care team. ## Opportunity Twin Health is seeking an **Engineering Manager** to lead the **Copilot** team. Copilot is an AI-powered platform for clinical operations that: - drafts responses - routes member messages - flags issues so care teams spend less time on administrative work and more time with members This is a **hands-on management role**. You’ll own the team, delivery, and outcomes—staying close to code and architecture to make strong technical decisions while primarily 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 (1:1s, feedback, expectations, and career development) - Own Copilot delivery end-to-end: planning, sequencing, dependencies, and on-time production releases - Partner with Product and Clinical Operations to set priorities, make tradeoffs, and guide the roadmap using business impact and platform health metrics - Set and enforce a high engineering bar (scalable architecture, rigorous design reviews, automated testing, production-grade observability) - Champion AI-assisted engineering practices to improve impact, velocity, and quality - Partner on architecture and design decisions—empowering engineers to own the call with 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** software engineering experience, including **2+ years** directly managing engineers (hiring, performance management, career development) - Track record leading end-to-end delivery of customer-facing products (definition → launch → measurement → iteration) - Strong hands-on backend foundation (microservices, API design, SQL, event-driven architectures). **Python and FastAPI** a plus - Experience architecting and operating production systems at scale (observability, incident management, performance optimization) - Hands-on experience with AI-assisted development workflows - Experience partnering with Product, Clinical Operations, and business stakeholders (roadmap governance and prioritization in a high-demand environment) - Excellent written and verbal communication skills, including explaining technical risk to non-technical audiences - Comfortable in a fast-moving, growth-stage environment where priorities shift - LLM agents / AI-powered products in production is a plus - Healthcare or other regulated industry experience is a plus - Familiarity with **AWS, Kubernetes, and CI/CD** pipelines is a plus - Bachelor’s or Master’s degree in Computer Science or related field - **Remote (U.S.-based):** applicants must be authorized to work in the U.S.; Twin is unable to sponsor or take over sponsorship of an employment visa at this time ## Compensation & Benefits - **$200,000 – $220,000 USD annually** - Competitive compensation package - Remote
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