Job Description

Health Coach

Remote, USA

At 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.

We 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.

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

This is a data- and AI-driven coaching model, not an independent private-practice style of coaching. Your day-to-day priorities, member outreach, and session focus are generated by the Twin platform from continuous data streams — CGM, weight, sleep, movement, and app engagement — and your role is to interpret those insights and deliver them with empathy and motivational skill, not to build an independent care plan from scratch. You'll follow standardized SOPs and escalation pathways, lean on nurses, nurse practitioners, and physician assistants for clinical needs, and work within structured, time-boxed sessions rather than open-ended ones.

This role is a great fit if you naturally help people take on difficult things, understand that habit change is hard, and are skilled in behavioral tools that activate people to change — and if you also genuinely enjoy working inside a structured, metrics-driven, technology-forward environment where the coaching model, caseload, and tools are standardized and evolve quickly as we scale.

The schedule for this position is Monday - Friday, some evenings. This is a W-2, employee-model role with a fixed schedule and team coverage obligations.

Back-to-back 15- and 30-minute video coaching sessions across a high-volume, uncapped caseload

Reviewing AI-surfaced member data (glucose trends, weight, sleep, engagement) before and during sessions to guide the conversation

Daily AI-assisted member rounding between scheduled visits, plus progress notes and chats completed within 24 business hours

Following SOPs for coaching structure, documentation, and escalation — with limited discretion to deviate from the standardized model

Adapting to frequent changes in tools, protocols, and schedules as Twin scales

Onboard, activate, and manage members as part of a seamless coaching experience

Conduct 15-minute and 30-minute virtual coaching sessions via video or phone to engage members in setting goals, managing their care, and staying motivated on their journey to self-efficacy — completing the full arc of education, motivation, and data review within these time-boxed windows

Motivate, coach, and provide exceptional service and support to members to achieve health goals as designated by the Twin app

Provide general education on healthy eating principles, meal planning basics, and lifestyle strategies — without crossing into Medical Nutrition Therapy or individualized therapeutic nutrition

Use AI-powered tools and other resources as the primary basis for member support, metrics-driven insights, and coaching direction

Use AI-powered tools to support daily member rounding in addition to scheduled visits, and complete progress notes and chats within 24 business hours

Provide feedback on member metrics including weight, continuous glucose monitoring, sleep, movement, adherence to nutrition guidance, and app engagement, identifying opportunities for improvement

Strictly adhere to Standard Operating Procedures for member management, session structure, and escalations.

Collaborate closely with coaching team colleagues, providers, registered nurses, and operations teams to drive a seamless member experience

Participate in ongoing pilot programs and support additional programs as needed, including new tools or workflow changes

Participate in collecting member testimonials to support partner success needs

Act as a team player, providing coverage for weekend and holiday on-call responsibilities (approximately 2–4x per year) and unplanned PTO visit coverage

Maintain a high-volume, uncapped caseload that will fluctuate based on business needs

Maintain flexibility to work any shift (at least 2 evening shifts per week) or change shifts based on business needs

Complete additional duties as assigned

Maintain a HIPAA-compliant remote work environment and reliable internet connectivity sufficient to conduct uninterrupted video-based member visits

Thrive in a fast-paced, performance-driven environment with competing priorities

Demonstrate strong time management, staying within allotted session lengths rather than routinely extending visits

Consistently meet or exceed productivity and quality benchmarks, including session-time adherence

Work autonomously within your day-to-day tasks while remaining fully aligned with team goals, SOPs, and operational standards

Adapt quickly to evolving tools, processes, and business needs

Clear, confident communicator across member and internal interactions

Strong team player who collaborates effectively in a fast-paced environment

Strong interpersonal skills with the ability to deliver clear, concise communication

Ability to balance efficiency with empathy in every interaction, including within time-boxed sessions

Skilled in de-escalation and handling challenging conversations with professionalism

Communicate effectively across multiple channels (phone, video, chat, email)

Provide clear insights and updates to team members, leadership, and cross-functional partners

Thrives in a collaborative team environment

Passionate about member success and skilled in the art of having difficult conversations

Open to learning from constructive feedback, including feedback on adapting to new tools or process changes

Measurable track record of member satisfaction and understanding of NPS

Passion for Twin's purpose to transform lives by empowering people to reverse, prevent, and improve chronic metabolic diseases

At least 2 years of experience in a metabolic health coaching role or dietitian setting

Demonstrated comfort and enthusiasm blending motivational interviewing and behavior-change coaching with metrics-driven, AI-informed direction — this is core to the role, not a supplemental skill

Proficient in navigating complex technology, including the remote member app, AI systems, and internal dashboards, with the ability to learn new tools quickly

Demonstrated experience managing a high-volume, uncapped caseload, or clear ability and willingness to do so

Comfortable operating within a fixed schedule, standardized SOPs, and a structured coaching model

Open mindset; flexible and adaptable to frequent process, tool, and schedule changes

Experience and comfort supporting cardiometabolic conditions (T2D, pre-diabetes, obesity)

Experience thriving in a high-growth, quickly changing environment (startup experience), including comfort with ambiguity and frequent change

Prior experience maintaining a high-volume, uncapped caseload

Experience and enthusiasm for delivering back-to-back coaching via video calls

Prior experience in a W-2, employee-model coaching or clinical role (rather than solely independent/1099 contractor work)

Strong computer skills (Google Workspace, Slack, EHR) and ability to work from a computer for extended periods

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.

The compensation range for this position is $70,000 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

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