Bilingual Coach (English/Spanish, PST/MST)

Twin Health

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.

Working here

Our team at Twin Health is passionate, talented, and united by a shared purpose: to improve the metabolic health and happiness of our members. We believe in empowering every Twin to make a meaningful impact for our members, our clients, and each other, while enjoying a supportive, collaborative work environment.

Twin has been recognized not only for our innovation but also for our culture, including: Innovator of the Year by the Employer Health Innovation Roundtable (EHIR), selected to CB Insights’ Digital Health 150, and named one of Newsweek’s Top Most Loved Workplace® .

With more than $100 million raised in recent funding, including a $53 million Series E round in 2025 led by Maj Invest, and a $50 million investment in 2023 led by Temasek, Twin is scaling rapidly across the U.S. and globally. Backed by leading venture firms like ICONIQ Growth, Sequoia, Sofina, Temasek, and Peak XV, we are building the most impactful digital health company in the world.

Join us as we reinvent the standard of care in metabolic health.

Opportunity

Twin is growing and we are adding to our team. 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.

This role is not a fit if you're looking for the autonomy of independent or contract coaching — self-set hours, a capped or self-managed caseload, or full latitude to design your own coaching approach. It's built for coaches who want structure and a technology-integrated practice.

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.

A Day In The Life

• 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

Responsibilities

• 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

Productivity

• 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

Communication

• 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

Human-Centered Service & Hospitality

• 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
• Other duties as assigned

Qualifications

• 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
• Fluency in Spanish

Preferred

• 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.

Compensation and Benefits

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
• 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

Salary range for US jobs

US Salary Range

$70,000—$80,000 USD

We have been made aware of fraudulent interview requests being sent using the Twin Health's name. All communications will come from official Twin Health channels and a twinhealth.com email address. We will never ask you to complete a text interview or request financial details during the interview process.