Senior Software Engineer, Backend Remote

Overview

At Twin Health, we empower people to improve and prevent chronic metabolic diseases, like type 2 diabetes and obesity, with a new standard of care. Twin Health is the only company applying AI Digital Twin technology exclusively toward metabolic health.

We start by building a dynamic model of each person’s metabolism — drawing on thousands of data points from CGMs, smartwatches, and meal logs — that maps their personal path to better health. Guided by a dedicated clinical care team, our members have lowered their A1C below the diabetes range, achieved lasting weight loss, and reduced or even eliminated medications, all while living healthier, happier lives.

Working here

Our team at Twin Health is passionate, talented, and united by a shared purpose: to improve the metabolic health and happiness of our members. We believe in empowering every Twin to make a meaningful impact for our members, our clients, and each other, while enjoying a supportive, collaborative work environment.

Twin has been recognized not only for our innovation but also for our culture, including:
Innovator of the Year by the Employer Health Innovation Roundtable (EHIR), selected to CB Insights’ Digital Health 150, and named one of Newsweek’s Top Most Loved Workplace®. With more than $100 million raised in recent funding, including a $53 million Series E round in 2025 led by Maj Invest, and a $50 million investment in 2023 led by Temasek, Twin is scaling rapidly across the U.S. and globally.

Backed by leading venture firms like ICONIQ Growth, Sequoia, Sofina, Temasek, and Peak XV, we are building the most impactful digital health company in the world.

Join us as we reinvent the standard of care in metabolic health.

We are looking for a Senior Engineer to join our Partner Integrations, Billing Platform team, where you’ll play a key role in developing and optimizing our billing system, and be able to make enhancements to the billing platform — critical to our billing operation, partner and customers. This is an exciting opportunity to work at the intersection of healthcare and advanced technology, collaborating with our Partner Integrations Onboarding team, and AI engineers, as well as product, managers, billing operations, accounting and finance teams.

• Build scalable and efficient services using microservices architecture capable of handling large datasets and complex processing.
• Integrate with payment platforms (e.g., Stripe or equivalent) to support Credit card payments, HSA/FSA transactions, payment history visibility and reconciliation.
• Ensure data quality, consistency, and security throughout the data integration process.
• Ensure high performance and reliability through scalable architecture and best practices.
• Integrate with third-party services to expand capabilities.
• Build Data pipelines to support data integration and transformation processes with tools including Python, DBT, Workato, Rivery, and Snowflake.
• Troubleshoot and resolve technical issues related to data pipelines and integration.
• Develop and implement data validation and monitoring strategies to ensure ongoing data integrity.
• Involve in scheduled operations to help audits and support the cross functional team.
• Create and maintain technical documentation, including integration specifications, data flow diagrams, and data dictionaries.
• Contribute to the continuous improvement of data integration processes and methodologies.
• Other duties as assigned.

• Bachelor’s degree in Computer Science or related field (Master’s preferred).
• 7+ years of experience working as a senior data engineer.
• Proficiency in Python, developing high-scale solutions/platforms.
• Strong experience with SQL & No
  
  SQL databases, data pipelines, ETL tools, and microservices architecture.
• Bonus:
  Familiarity with Rules Engines, Billing Systems, Complex Event Processing, or large-scale analytics systems.
• Excellent communication skills, both verbal and written.
• Preference for candidates with healthcare informatics and understanding of health plan operations.
• Familiarity with healthcare claims billing and data interoperability standards like EDI X12, HL7v2/3, and FHIR will be a plus.
• Remo…