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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Lead Software Engineer - **Company:** Twin Health - **Location:** United States (Remote available) - **Experience:** Expert - **Salary:** $220,000.0 - $240,000.0 - **Contract:** Permanent contract - **Skills:** Java (Programming Language), Application Programming Interfaces (APIs), Artificial Intelligence, User Authentication, Data Infrastructure, Software Debugging, Distributed Systems, Python (Programming Language), Machine Learning, Performance Tuning, Software Engineering, Data Streaming, Systems Integration, Spring-boot, Backend, Fastapi, Event Driven Architecture, Api Design, Microservices - **Published:** September 4, 2026 - **Apply:** https://startup.jobs/lead-software-engineer-twin-health-7958427 ## About the Role * 6+ years of professional software engineering experience, including recent hands-on backend or full-stack product development. * Demonstrated experience leading a significant project or team through end-to-end delivery, including planning work, delegating ownership, coordinating dependencies, and making technical and delivery decisions. * Demonstrated experience partnering with Product Managers and business stakeholders to shape priorities, make tradeoffs, and own measurable customer or business outcomes. * Experience personally owning and delivering customer-facing products from discovery or definition through launch, measurement, iteration, and production support. * Full-stack technical leadership experience, with strong hands-on Python backend expertise and experience building microservices using FastAPI. * Experience personally designing complex, event-driven systems and distributed architectures, including making documented scalability, reliability, and operational tradeoffs. * Strong knowledge of API design, authentication and authorization, data modeling, production debugging, and performance optimization. * Ability to communicate technical decisions, risks, tradeoffs, and progress clearly to engineering, product, clinical, and business audiences. ## Description We are seeking a Lead Software Engineer to join our Copilot team and play a key role in shaping the technical direction and execution of our new AI-powered platform. This platform is designed to optimize and enhance the efficiency of our clinical operations teams. This role offers a compelling opportunity at the intersection of backend engineering, healthcare technology, and system integrations. As a technical leader, you will drive architectural decisions, lead complex initiatives, and influence engineering best practices. You will work closely with AI, mobile, and other engineering teams, as well as clinical operations stakeholders, to streamline workflows and ultimately improve the member experience. Responsibilities * Lead the end-to-end delivery of Copilot product capabilities for the care teams, from product discovery and technical design through implementation, launch, measurement, and production operations. * Partner with Product Managers and clinical or business stakeholders to define priorities, evaluate tradeoffs, and translate customer and business needs into an executable product roadmap. * Establish, own, and drive measurable product and business outcomes; ensure appropriate instrumentation and use post-launch results to guide iteration. * Break complex initiatives into clear workstreams, delegate ownership effectively across engineers, manage dependencies, and hold the team accountable for high-quality delivery. * Lead full-stack technical direction across user experiences, backend services, data flows, and system integrations while remaining hands-on in Python and FastAPI backend development. * Design, develop, and scale reliable microservices and APIs using Python/FastAPI; contribute to or integrate with Java/Spring Boot services where appropriate. * Make and document architectural decisions for complex, event-driven, distributed systems, including reliability, scalability, security, and operational tradeoffs. * Collaborate closely with AI/ML, Data Platform, Infrastructure, mobile, and other engineering teams to deliver cohesive product capabilities and resolve cross-team dependencies. * Develop and productionize AI-powered capabilities, including evaluation, guardrails, observability, and continuous-improvement workflows. * Mentor engineers, provide technical direction and review, and improve the engineering practices needed for safe, frequent releases and reliable production operation. * Take on additional responsibilities as needed. ## Related Videos - [API Design - Getting Started](https://www.wearedevelopers.com/videos/33-api-design-getting-started) - [Developing the Backend with Stefan Lingler, CTO at Shpock](https://www.wearedevelopers.com/videos/100360-developing-the-backend-with-stefan-lingler-cto-at-shpock) - [Intro to FastAPI](https://www.wearedevelopers.com/videos/462-intro-to-fastapi) - [Inside Bitpanda's Tech Stack: Scaling a European Fintech Leader - Markus Dorner](https://www.wearedevelopers.com/videos/1979-inside-bitpanda-s-tech-stack-scaling-a-european-fintech-leader-markus-dorner) - [Rest API Antipatterns](https://www.wearedevelopers.com/videos/100208-rest-api-antipatterns) - [Throwing off the burdens of scale in engineering](https://www.wearedevelopers.com/videos/608-throwing-off-the-burdens-of-scale-in-engineering) ## Related Articles - [How We Built a Worry-Free System That Runs for 10+ Years – And What We’d Do Again](https://www.wearedevelopers.com/magazine/751-how-we-built-a-worry-free-system-that-runs-for-10-years-and-what-we-d-do-again) - [Fully Remote Software Engineer Jobs](https://www.wearedevelopers.com/magazine/447-fully-remote-software-engineer-jobs) - [The 7 Most Popular Backend Frameworks for Developers](https://www.wearedevelopers.com/magazine/403-the-7-most-popular-backend-frameworks-for-developers) - [Navigating the AI Shift](https://www.wearedevelopers.com/magazine/629-navigating-the-ai-shift) - [Why Upskilling And Reskilling is Important For Developers](https://www.wearedevelopers.com/magazine/428-why-upskilling-and-reskilling-is-important-for-developers) - [The Best X (Twitter) Accounts for Developers](https://www.wearedevelopers.com/magazine/294-the-best-x-twitter-accounts-for-developers)