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Salary: USD 175,000 - 195,000 / annual
Twin Health is a digital health company applying AI Digital Twin technology to help people improve and prevent chronic metabolic diseases like type 2 diabetes and obesity. The company builds dynamic metabolic models for each person using data from continuous glucose monitors, smartwatches, and meal logs, paired with dedicated clinical care teams. Twin has raised over $100 million in funding (including a $53 million Series E in 2025) and is backed by leading venture firms including Sequoia, Sofina, and Temasek.
You will join as a Senior Backend Engineer on the Health Pod team, playing a key role in developing integrations with third-party scheduling systems and clinical tools to support clinical operations. This role sits at the intersection of healthcare, backend engineering, and system integrations, requiring close collaboration with backend, mobile, and AI engineers as well as clinical operations teams.
Key responsibilities include:
- Develop, optimize, and maintain backend services using Spring Boot, REST APIs, and SQL databases
- Architect and build scalable integrations with third-party systems (scheduling software, EMRs, healthcare tools) to improve operational efficiency
- Develop AI-powered tools and AI agents that streamline decision-making, automate administrative tasks, and improve clinical workflows
- Ensure reliability, security, and scalability in integrations, considering HIPAA compliance requirements
- Implement event-driven architectures for seamless real-time communication across systems
- Develop and maintain automated unit and integration tests to uphold code quality
- Monitor and optimize system performance to handle rapid growth and high transaction volumes
- Collaborate with cross-functional teams to understand requirements and improve integration performance
- Participate in on-call rotations
- Travel regularly to Menlo Park headquarters for planning workshops and team collaboration sessions
Requirements:
- Bachelor's degree in Computer Science or STEM-related field (Master's preferred)
- 5+ years of software engineering experience
- Proficiency in Java and experience developing microservices using Spring Boot
- Strong understanding of API design and development, including RESTful services, authentication (OAuth, JWT), and third-party API integrations
- Hands-on experience with SQL databases (PostgreSQL, MySQL) and query optimization
- Experience integrating with third-party systems, particularly healthcare-related tools
- Excellent verbal and written communication skills
- Must be authorized to work for any employer in the U.S. (no visa sponsorship available)
- Plus: experience in healthcare, biosensors, or related fields
- Plus: experience developing AI agents