Twin Health
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 personโs metabolism โ drawing on thousands of data points from CGMs, smartwatches, and meal logs โ 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 Insightsโ Digital Health 150, and named one of Newsweekโs Top Most Loved Workplaceยฎ .
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.
Opportunity
We are looking for a Senior Marketing Automation Engineer to own the architecture, automation, and operational execution of our marketing technology ecosystem. This role sits at the intersection of marketing strategy, data infrastructure, and technical implementation โ ensuring lifecycle campaigns, data flows, and automation infrastructure are scalable, reliable, and driving measurable business outcomes.
You will serve as the primary owner of our marketing engagement platform, architecting the automations that power our acquisition and enrollment communications while acting as the connective layer between the Hightouch CDP Solutions Architect, Salesforce owners, native app and web application teams, data engineering, marketing scheduling, enrollment operations, and campaign owners.
This is a hands-on, high-impact individual contributor/future manager role for someone who thrives in complexity, excels at cross-functional facilitation, and is energized by turning fragmented processes into scalable, intelligent systems that deliver a cohesive member experience across every lifecycle stage.
Responsibilities
Marketing Engagement Platform Ownership
โข Own end-to-end marketing engagement platform architecture including journey/canvas design, segmentation strategy, campaign logic, deliverability, and dynamic content
โข Design, build, and scale lifecycle automations across acquisition, enrollment, engagement, and retention journeys
โข Establish and enforce governance standards for naming conventions, template management, QA processes, and campaign documentation
โข Serve as the internal marketing engagement platform SME โ troubleshoot issues, evaluate new platform features, and continuously drive optimization
Data Architecture, Campaign Deployment, Journey Orchestration & Cross-Functional Collaboration
โข Partner with CDP, CRM, product, and data engineering teams to define audience sync requirements, data mapping, behavioral event instrumentation, and pipeline specifications that power lifecycle campaigns
โข Serve as the MarTech voice in data model and pipeline discussions, translating campaign and automation requirements into clear data specifications and advocating for the fields, events, and freshness standards marketing needs
โข Lead cross-team coordination across member acquisition, enrollment, and journey teams to align campaign timing, cadence, and channel mix around a unified communication strategy
โข Identify gaps and conflicts across journey stages and implement orchestration rules โ suppression logic, frequency caps, and priority sequencing โ to ensure every touchpoint fits within a cohesive, member-centric framework
AI-Powered Automation & Innovation
โข Identify and implement AI-driven opportunities (including Claude and API-based automation) to scale MarTech operations, content personalization, and campaign optimization
โข Build and manage API integrations that connect marketing platforms, internal tools, and third-party services
โข Continuously evaluate emerging MarTech capabilities and recommend adoption where ROI is clear
โข Develop and maintain Python-based scripts and automated jobs (e.g., scheduled ETL processes, audience list generation, campaign triggering) that run on AWS infrastructure (Lambda, Step Functions, S3, EventBridge) to streamline and scale marketing operations
โข Design, deploy, and monitor automated marketing workflows in AWS โ including cron-based scheduling, event-driven triggers, and error alerting โ to ensure campaigns and data syncs execute reliably without manual intervention
Qualifications (Required)
โข 5+ years of experience on lifecycle marketing teams โ not just campaign execution, but owning strategy, infrastructure, and cross-functional coordination
โข Hands-on experience working across multiple MarTech tools (CDP + messaging platform + CRM); must understand how these systems connect and where data flows break down
โข Experience with AWS services (Lambda, S3, Step Functions, EventBridge) for deploying and managing automated marketing workflows
โข Proficiency in at least one programming language (e.g., Python, JavaScript) with an understanding of operator logic and software development fundamentals
โข Experience with API development, webhooks, and integration patterns (REST APIs, JSON payloads)
โข Practical experience with Braze or Hightouch โ does not need to be expert-level, but must understand core concepts and be able to ramp quickly
โข SQL proficiency for data validation, audience queries, and troubleshooting data pipelines
โข Demonstrated use of AI tools (Claude, GPT, or similar) to improve operational workflows โ beyond copywriting, e.g., automating processes, building internal tools, or streamlining data pipelines
โข Evidence of system design thinking โ ability to architect scalable solutions across tools and teams, not just execute within a single platform
โข Strong technical communication skills โ able to translate between marketers who think in campaigns, engineers who think in schemas, and product teams who think in user flows
โข Demonstrated ability to lead and facilitate cross-functional initiatives without direct authority
โข Background in healthcare, digital health, or high-consideration consumer products
Compensation and Benefits
The compensation range for this position is $135,000 - $155,000 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
โข A competitive compensation package in line with leading technology companies
โข A remote and accomplished global team
โข Opportunity for equity participation
โข Unlimited vacation with manager approval
โข 16 weeks of 100% paid parental leave for delivering parents; 8 weeks of 100% paid parental leave for non-delivering parents
โข 100% Employer sponsored healthcare, dental, and vision for you, and 80% coverage for your family; Health Savings Account and Flexible Spending Account options
โข 401k retirement savings plan
We have been made aware of fraudulent interview requests being sent using the Twin Health's name. All communications will come from official Twin Health channels and a twinhealth.com email address. We will never ask you to complete a text interview or request financial details during the interview process.