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Salary: USD 90,000 - 115,000 / annual
Twin Health is a digital health company using AI-powered Digital Twin technology to help people prevent and manage chronic metabolic diseases like type 2 diabetes and obesity. The company has raised over $100 million in funding and is scaling rapidly across the U.S. and globally.
This is a hands-on, individual-contributor role owning Twin Health's direct mail channel end-to-end. Direct mail currently drives approximately 59% of member registrations—the company's single largest acquisition channel—but has lacked dedicated ownership and systematic optimization.
Key responsibilities include:
**Direct Mail Program Ownership**
- Own the direct mail channel completely: drop cadence, creative testing, cost-per-piece accounting, and vendor relationship management with the print partner (RRD).
- Diagnose and reverse the scan-rate decline from 3.27% to 1.01% over the past 11 months by determining whether the driver is creative fatigue, cadence, list saturation, or contact-data quality.
- Lead the transition from partner-batch mailing (one drop per partner per month) to lead-type-triggered mailing, ensuring high-value leads receive pieces within their launch window rather than on the partner's calendar.
**Instrumentation & Decision Logging**
- Log every mailer, variant, and segment decision with rationale and considerations—not just what shipped—to convert today's judgment into tomorrow's training data.
- Partner with the Technical Lead and Senior Marketing Analyst to close data gaps: partner-grain send records, scan-rate tracking, and per-piece cost.
- Ensure every send is joinable to individual lead records, not just reconcilable at aggregate or partner level.
**Testing & Optimization**
- Design and run direct mail A/B tests (messaging, format, cadence) with stated hypotheses and success metrics before launch.
- Build on the existing Motivation vs. Barrier messaging framework and extend it with new axes as evidence supports.
**Cross-Functional Partnership**
- Partner with Marketing on creative production and approval; this role tags and measures content while Marketing produces and approves it.
- Coordinate with the partner/client team on partner-specific creative approval SLAs and marketing permission tiers before any send.
**AI-Powered Execution**
- Use AI tools such as Claude to draft creative variant copy, summarize test results, and accelerate reporting.
**Requirements**
- 5+ years in direct mail or offline/print channel marketing, ideally in a regulated or healthcare-adjacent industry.
- Experience managing a direct mail vendor/print relationship (RRD or comparable), including cost negotiation and production timelines.
- Comfortable working with campaign and lead-level data in a CRM (Salesforce) and marketing automation platform (Braze or comparable).
- Experience designing and reading A/B tests, with a working understanding of sample size and significance.
- Strong project management skills—this channel runs on hard print and drop deadlines.
- Able to reason about lead-grain data concepts; understands why "how many pieces did we mail" and "how many of these specific leads received mail" are different, both-necessary questions.
**Preferred Qualifications**
- Experience in a highly regulated industry (healthcare, financial services, insurance) with partner or client creative-approval workflows.
- Experience with lifecycle/cadence-based marketing (triggered off an individual's stage) rather than calendar-batch marketing.
- SQL literacy.
- Experience partnering with data or analytics teams to close measurement gaps in an existing channel.