Opportunity

We are seeking a highly analytical and operationally-minded Director of Enrollment Operations to own and optimize the full journey from member registration through activation. This mission-critical role reports to the Chief Medical Officer and EVP of Twin and serves as the strategic and executional owner of the enrollment full, directly driving member conversion and revenue realization.  

You will be responsible for the end-to-end member enrollment function focusing on reducing friction, eliminating inefficiencies, and enhancing the member experience through continuous process improvement and cross-functional collaboration. You will partner with Product, Engineering, Marketing, Member Acquisition, and Clinical Operations to drive innovations in the enrollment process and ensure seamless member activation at scale.  

Responsibilities

• Funnel Ownership: Own l enrollment funnel from member registration completion through clinical onboarding and sensor activation. Partnering with Product and Engineering  to optimize a tech-enabled conversation journey. You are responsible for driving outcomes across all care team service operational touchpoints.
• Strategic Leadership & Innovation: Drive strategy for the member enrollment function. Serve as the strategic owner for funnel design, optimization, and innovation.  You will leverage technology, product and analytics to unlock new levels of efficiency and member satisfaction. Your responsibility is to always ensure tight coordination between care delivery operations and the digital product experience and to own enrollment performance metrics across operational touchpoints
• Process Improvement: Build and lead a robust process improvement program that spans care coordination, nursing, fulfillment, onboarding, and clinical scheduling. Identify root causes of inefficiency, design scalable solutions, and ensure each step is repeatable, streamlined, and tightly executed 
• Operational Optimization and Automation: Identify and resolve bottlenecks in workflows involving humans, logistics, and clinical processes and developing automation solutions with product and engineering that ensures accountability for metrics and consistent w/w performance.
• Daily Funnel Monitoring & Analytics: Track and analyze key performance metrics such as care team capacity (scheduling, staffing, etc), appointment completion rates, lab test completion, kit shipment and delivery, and sensor activation rates. Use data-driven insights to drive proactive interventions and inform long-term improvements.
• Capacity Management: Monitor workforce and operational bandwidth (e.g., appointment slots, clinical staffing, lab capacity) to proactively balance load and avoid conversion delays. Partner with Associate Director, Practice Operations to support alignment with the care team day to day operations.
• Team Leadership & Development: Develop a high-performing team within enrollment operations, including responsibility for hiring, coaching, and performance management.
• Cross-Functional Collaboration: Work closely with Care Delivery, Clinical Operations, Practice Operations, Marketing, Supply Chain, L1 Support, and Product Operations teams to ensure alignment and seamless member handoffs across teams and systems.
• Service Experience Stewardship: Ensure the member’s first experience with Twin Health clinically and operationally—is timely, smooth, and effective. Anticipate and remove points of failure in service execution.
• Data-Driven Decisions: Use operational data to continuously refine processes and track the impact of interventions aimed at improving conversion and reducing drop-offs. Work closely with the Conversion analytics team to ensure all metrics are clearly defined, measured, and forecasted.

Key Metrics You Will Own

• Active Twins
• % Registration to Activation Rate (Target 50% qualified leads reg to activate)
• Average time from registration to activation
• Appointment scheduling and attendance rates
• Kit shipment, delivery, and sensor activation, success rates
• Lab test completion rates and Intake to Lab Completion %
• Funnel drop-offs at each operational stage
• Additional duties as assigned

Qualifications

• 8+ years in operations, healthcare service delivery, or clinical program management in a high-growth, cross-functional environment.
• Strong background in operational analytics and funnel performance tracking; proficient in tools like Excel, SQL, or dashboarding software (e.g., Salesforce, Tableau).
• Proven ability to drive improvements in care workflows, logistics, or fulfillment operations.
• Experience coordinating cross-functional teams including clinical staff, care coordinators, logistics providers, and support functions.
• Process-minded with an eye for systems efficiency, bottleneck reduction, and throughput improvement.
• Strong organizational, problem-solving, and communication skills; able to translate data into actions and operational decisions.
• Preferred Qualifications
• Experience in a B2B2C healthcare or digital health environment
• Familiarity with clinical logistics (e.g., lab processing, kit fulfillment)
• Understanding of practice operations and patient onboarding workflows
• This remote opportunity is available to US based persons. 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 $165,000-$185,000 annually. 

In addition, 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
• As a remote friendly company we are committed to providing opportunities for all who join to further build relationships, increase cross-functional collaboration, and celebrate our accomplishments.
• 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

 Opportunity

Join us as an Enrollment Operations Manager, where you’ll play a critical role in executing and improving how members enter and experience care. You’ll own key enrollment operations, translate performance data into action, and drive cross-functional initiatives that improve access, efficiency, and member outcomes. This is a high-impact role for someone who thrives in fast-moving environments and wants to build systems that directly affect patient experience.

Responsibilities 

• Monitor and Improve Enrollment Performance: Monitor, analyze, and report on key metrics across the enrollment funnel including activation, conversion, appointment completion, churn, and capacity. Translate data into clear, actionable insights and communicate performance, risks, and priorities to leadership on a regular cadence.
• Drive Operational Execution: Coordinate priorities, timelines, and deliverables across multiple teams involved in enrollment. Ensure work is progressing as expected, proactively identify risks, and step in to resolve issues before they impact the member experience or business goals. Partner with Enrollment Operations leadership to prioritize initiatives and align on performance goals
• Identify and Fix What’s Not Working: Continuously evaluate workflows across care coordination, logistics, onboarding, and scheduling. Identify bottlenecks, uncover root causes, and implement solutions that improve speed, quality, and scalability.
• Lead Process Improvement Initiatives: Execute process improvements in partnership with leadership, ensuring solutions are implemented effectively and sustained over time. Ensure solutions are not one-off fixes, but scalable systems that can support continued growth.
• Drive Cross-Functional Alignment:  Partner closely with Care Delivery, Clinical Operations, Practice Operations, Marketing, Supply Chain, Support, and Product teams to ensure seamless coordination and handoffs. Act as the connective tissue across teams to keep enrollment running smoothly.
• Run the Operating Cadence:  Own the weekly enrollment operating rhythm. Facilitate team meetings, track action items, surface blockers, and ensure accountability without introducing unnecessary process overhead.
• Build and Maintain Scalable Systems: Own documentation, SOPs, QA standards, and handoff protocols. Ensure processes are clearly defined, consistently executed, and not dependent on tribal knowledge.

Qualifications

• Service Experience: Motivated by improving the member experience; proactively identifies points of friction and works to make processes smoother, faster, and more effective
• 2–4 years of experience in program management, conversion operations, project management, or a similar coordination-heavy role
• Exceptional organizational skills with a demonstrated ability to manage multiple workstreams simultaneously without dropping details
• Strong cross-functional communicator who can work effectively across Operations, Technology, Analytics, and Care teams without formal authority
• Experience working with project management tools (Jira strongly preferred) and comfort building and maintaining structured campaign tracking systems
• Comfortable with performance data — able to read a dashboard, spot anomalies, and communicate what the numbers mean to stakeholders without requiring a data team to translate
• A bias toward action and ownership — you notice what’s missing, you flag it, and you help fix it rather than waiting to be asked
• Experience in health tech, digital health, or healthcare preferred but not required — passion for the mission matters more
• 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.
• Shift: M- F 11am-7pm PST preferred or 10am-6pm PST alternate

Compensation and Benefits  

The compensation range for this position is $90,000-$105,000 annually. 

In addition, 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
• As a remote friendly company we are committed to providing opportunities for all who join to further build relationships, increase cross-functional collaboration, and celebrate our accomplishments.
• 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

Opportunity 

Join us in one of our most critical clinician roles, inspiring behavior change and motivating members to adopt new behaviors and improve their health. As an RN at Twin you make a difference in people's lives every day by providing clinical guidance, support, education, and encouragement to empower your members seeking to prevent and reverse chronic metabolic diseases and improve their overall health. 

The Lead RN role is a great fit for you if you have experience managing operational initiatives, driving or supervising teams and their work, delivering on results and building rapport with departmental partners. You are also highly motivated, energetic, and focused on  enhancing the quality of healthcare. You have demonstrated the ability to work collaboratively with an interdisciplinary care team in the adoption of new technologies to coordinate care, engage in shared decision making, and achieve successful clinical outcomes. You are comfortable leveraging data in observing trends and developing corrective action plans to facilitate the transformation of member lives.

Join Us                                                                                                                                                                                                                                                              This is an exciting role for a Registered Nurse with a diverse healthcare systems background. Join us to use your finely-tuned skills providing patient care and overseeing team successes in accomplishing outcomes. You will also support a dynamic care team in identifying member goals, health priorities and learning opportunities. This will include acting independently to determine methods and procedures on new or special assignments, collaborating with partners and teams, while leading and overseeing direct reports. Other skill set considerations include ability to work efficiently and with competing priorities, comfort with technology and data, as well as employing knowledge of care management principles. 

This role will report to nurse management and work within a team structure. A successful candidate for this role will be curious, collaborative and adaptable to member journey and team needs. You will be excited to jump into a day that may look a bit different than the day before, while making improvements along the way and building upon your highly-valued skill set. 

Responsibilities

• Responsible for overseeing and guiding daily operations of team/unit while providing limited, hands-on clinical duties 
• Addresses clinical and administrative concerns such as troubleshooting and issue resolution, ensuring staff coverage and gathering feedback on care delivery systems to ensure safety, compliance, accuracy and standardization
• Achieves and upholds Twin service care goals, standards of clinical practice and outcomes, which includes monitoring and managing team performance, meeting SLAs and targets
• Guides development, organization and communication of nursing/team/unit policies and procedures
• Supports recruitment, training and mentoring of a US-based team/unit
• Manages achievement of KPI goals for team/unit and Twin Service outcomes
• Aligns and collaborates with cross-functional team leads, and serves as team representative and/or subject matter expert on initiatives and projects 
• Works with teams to collect data, insights and front-line feedback to help inform decisions
• Promotes member self-care management by utilizing clinical judgment, data analysis and critical thinking skills
• Prioritizes and manages individual members along the Twin journey by monitoring health condition reversal trends, conducting lab reviews, supporting medication management
• Collaborates closely with team colleagues including nurses, health coaches, providers, and operations teams to drive a seamless experience for members
• Provides timely responses and feedback to colleagues regarding member care, escalations and issue resolution 
• Organizes accurate records and maintains confidentiality according to federal law and Twin policies  
• Generates and analyzes reports as needed for management, identifying trends, anomalies and areas of concerns
• Participates in on-going education and performance improvement activities
• Additional duties as assigned

Qualifications 

• Currently active and unencumbered RN license 
• Minimum 5 years of direct patient care nursing experience, including 3 years in leadership role (i.e. unit or clinic supervisor, charge nurse, preceptor, other management area).
• Required, BSN from accredited school of nursing 
• Comfort and enthusiasm for adopting the latest technologies and integrating data and technical outputs in patient care
• Demonstrated ability to manage large caseloads and effectively work in a fast paced environment
• Proficient with simultaneously navigating the internet and multi-tasking with multiple electronic documentation systems and business tools (Google, Slack, etc.)
• Comfort with ambiguity and change
• Self-motivated and results-focused 
• Quick learner who integrates new knowledge
• Organized and detail-oriented 
• Ability to handle competing demands with diplomacy and enthusiasm
• Ability to work collaboratively with clinical infrastructure and hierarchies
• Excellent time management and ability to prioritize work assignments
• Passion for Twin’s purpose to transform lives by empowering people to reverse, prevent and improve chronic metabolic diseases

Compensation and Benefits  

The compensation range for this position is $90,000-$112,000 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

Opportunity

We are seeking energetic physicians to provide direct member care for our Twin Members in the United States. This role a full time position with a schedule of Monday through Friday 10am-6pm in your time zone with an on-call rotation. We are looking for candidates with multiple state licenses or an ILMC compact license. 

Responsibilities:

• Perform initial screening consultations for member enrollment utilizing Twin guidelines 
• Utilize the Twin Platform to make medication management decisions and write prescriptions for medication changes
• Monitor critical symptoms for the Twin member population, and consult on critical symptom follow-up as needed
• Monitor and have oversight of APP management of Twin member population 
• Provide regular availability for consultation and collaboration with APPs regarding management of Twin member population  
• Occasionally respond to member voicemails who may have additional questions regarding Twin Health and/or prior authorizations for ongoing medication use
• Provide valuable feedback related to the development of new technology and protocols to improve patient care and outcomes, as Twin's clinical tools have been built in-house through collaboration between our clinical and product teams
• Additional duties as assigned

Qualifications:

• MD/DO with ABMS Board Certification in Internal Medicine or Family Practice
• Minimum 2-3 years of clinical practice experience
• Active state licenses in multiple states, ILMC Compact preferred
• Excellent communication skills with a focus on clinician-patient interaction
• Available to be on-call quarterly
• Willingness to learn new technology platforms (with training)
• Willingness to complete interactive video-based consults as needed and deliver care remotely
• Ability to work closely with Advanced Practitioners including NPs and PAs and providing clinical oversight
• Passion for revolutionizing how we manage and treat chronic disease
• This remote opportunity is available to US based persons

Preferred Qualifications:

• Prior telemedicine experience
• Bilingual, fluent in both English and Spanish
• ILMC Compact
• Extensive experience treating patients living with diabetes in a clinical setting

Compensation and Benefits  

The compensation range for this position is $215,000-$230,000 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
• As a remote friendly company we are committed to providing opportunities for all who join to further build relationships, increase cross-functional collaboration, and celebrate our accomplishments.
• 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