{"id":3785267,"url":"https://alion.io/job/twin-health-engineering-manager-copilot","title":"Engineering Manager, Copilot","company":{"id":7821,"name":"Twin Health","domain":"twinhealth.com","url":"https://alion.io/company/twin-health","size_band":"501-1000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Greenhouse","truth_index":{"grade":"A","score":87,"open_postings":12,"ghost_share":0,"stale_share":0.333,"repost_share":0,"time_to_fill_p50_days":67,"computed_at":"2026-11-05T05:54:30Z"}},"role":"Leadership","role_family":"Leadership","seniority":"lead","employment_type":null,"work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"posting_text","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":200000,"max":220000,"currency":"USD","period":"year","gross":null,"usd_annual":220000},"salary_estimate":null,"experience_years_min":8,"visa_sponsorship":true,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Copilot","optional":false},{"name":"Digital Twin","optional":false},{"name":"FastAPI","optional":false},{"name":"Incident Management","optional":false},{"name":"LLM","optional":false},{"name":"Python","optional":false},{"name":"SQL","optional":false},{"name":"AWS","optional":true},{"name":"CI/CD","optional":true},{"name":"Kubernetes","optional":true}],"status":"live","first_seen_at":"2026-11-04T23:41:59Z","employer_posted_date":"2026-11-04","last_verified_at":"2026-11-05T08:15:15Z","board_verified":true,"closed_at":null,"days_open":0,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":0},"description":"Twin Health \nAt 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. \nWe 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.\nWorking here \nOur 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.\nTwin 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® .\nWith 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.\nJoin us as we reinvent the standard of care in metabolic health.\nOpportunity\nWe are seeking an Engineering Manager to lead our Copilot team. Copilot is our AI-powered platform for clinical operations: it drafts responses, routes member messages, and flags issues so care teams spend less time on administrative work and more time with members.\nThis is a hands-on management role. You will own the team, the delivery, and the outcomes. You'll stay close enough to the code and architecture to make good technical calls, but your main job is building a team that ships reliable AI-powered products in a regulated healthcare environment.\nResponsibilities \nLead, hire, and grow a team of full-stack engineers. Run 1:1s, set clear expectations, give direct feedback, and invest in each engineer's development and career growth.\nOwn delivery for Copilot end-to-end: planning, sequencing, dependencies, and getting work into production on time.\nPartner with Product and Clinical Operations to set priorities, make tradeoffs, and guide the roadmap toward high user impact and service quality, using business impact data and platform health metrics to drive prioritization.\nSet and enforce a high engineering bar, from system architecture that scales with growth down to rigorous design reviews, comprehensive automated testing, and production-grade observability.\nChampion AI-assisted engineering practices to increase the team's impact, velocity, and quality.\nPartner with the team on architecture and design decisions, empowering engineers to own the call while offering guidance where it adds the most value.\nCoordinate with the AI Platform team and other engineering teams on shared infrastructure and integrations.\nCommunicate status, risks, and tradeoffs clearly to engineering, product, clinical, and executive audiences.\nOther duties as assigned\nQualifications \n8+ years of software engineering experience, including at least 2 years directly managing engineers (hiring, performance management, and career development).\nTrack record of leading a team through end-to-end delivery of customer-facing products, from definition through launch, measurement, and iteration.\nStrong 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. Python and FastAPI experience is a strong plus.\nExperience architecting and operating production systems at scale: observability, incident management, and performance optimization.\nHands-on experience with AI-assisted development workflows.\nExperience partnering with Product, Clinical Operations, and business stakeholders, including roadmap governance and prioritization in a high-demand environment.\nExcellent written and verbal communication skills, including explaining technical risk to non-technical audiences.\nComfortable in a fast-moving, growth-stage environment where priorities shift.\nExperience shipping LLM agents or AI-powered products in production is a plus.\nExperience building products in healthcare or other regulated industries is a plus.\nFamiliarity with AWS, Kubernetes, and CI/CD pipelines is a plus.\nBachelor's or Master's degree in Computer Science or a related field.\nThis 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.\nCompensation and Benefits\nThe compensation range for this position is $200,000 - $220,000 annually. \nTwin 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\nA competitive compensation package in line with leading technology companies\nA remote and accomplished global team\nOpportunity for equity participation \nUnlimited vacation with manager approval\n16 weeks of 100% paid parental leave for delivering parents; 8 weeks of 100% paid parental leave for non-delivering parents\n100% Employer sponsored healthcare, dental, and vision for you, and 80% coverage for your family; Health Savings Account and Flexible Spending Account options\n401k retirement savings plan\nSalary range for US jobs\nUS Salary Range\n$200,000—$220,000 USD\nWe 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.","description_format":"text","description_chars":6693,"description_truncated":false,"requirements":{"experience_years_min":8,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"bachelor","optional":false},"security_clearance":false,"languages":[]},"benefits":["401k plan","Equity","Parental leave","Retirement plans"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Digital Therapeutics"],"lifecycle":[{"event":"open","at":"2026-11-05T03:15:02Z"}],"visa":[{"country":"US","licensed_sponsor":true,"evidence":"H-1B filings in 12 months: 12 · green card filings: 4","filings_12m":12,"filings_prev_12m":7,"green_card_filings_12m":4,"median_offered_wage_usd":175000,"route":null,"cap_exempt":false,"checked_at":"2026-10-29T16:27:21+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)","US Department of Labor: PERM disclosure data (green cards)"],"filings_for_role_12m":0}],"liveness":{"score":90,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.903,"p_room":1,"age_days":0,"expected_fill_days":67,"reasons":["conf:2","velocity","win:early"],"computed_at":"2026-11-05T05:54:30Z"},"pay":{"stated_usd_annual":220000,"is_top_pay":true},"html_url":"https://alion.io/job/twin-health-engineering-manager-copilot","json_url":"https://alion.io/job/twin-health-engineering-manager-copilot.json","meta":{"generated_at":"2026-11-05T11:41:53Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":14963,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-06T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":7821},"rest":"https://alion.io/mcp/rest/get_company?id=7821"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Ftwin-health-engineering-manager-copilot"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Ftwin-health-engineering-manager-copilot"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Ftwin-health-engineering-manager-copilot"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/twin-health-engineering-manager-copilot\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Ftwin-health-engineering-manager-copilot"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":3785267}},{"tool":"search_jobs","arguments":{"company":"twinhealth.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":3785267},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. Docs: https://alion.io/developers"}}