Senior Software Engineer, Backend at Twinhealth

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 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. Opportunity 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. Responsibilities • 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 Qualifications • 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 & NoSQL databases, Data Pipeline, 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 plus. • 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 $150,000 - $160,000 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