Email & SMS Specialist

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.

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.

Email is Twin's existing digital acquisition channel, but it's currently under-performing a fixable problem: high-volume sends are landing in Gmail's Promotions tab, which has paused content testing until placement is resolved. SMS is the opposite situation — entirely net-new, zero SMS sent today, but built on the same Braze platform Email already runs on, so there's no new infrastructure to stand up, only a new channel to launch on infrastructure that already exists.

This role owns both channels end to end, reporting to the Associate Director of Acquisition Strategy & Channel Ops, who sets cross-channel priority and sequencing across Direct Mail, Email/SMS, and Search & Discovery. This is an execution and testing role, not a standalone-strategy role — the "what and when" across channels is orchestrated one level up; this role owns the "how well" on Email and SMS specifically.

Email Program Ownership

• →Own email end to end: creative testing, cadence, segmentation execution, and the day-to-day Braze platform relationship.
• →Resolve the Gmail Promotions inbox-placement issue currently capping email's reach and blocking content testing — the immediate, dated problem this role inherits on day one.

SMS Buildout (net-new)

• →Build Twin's first SMS program from scratch on the existing Braze platform — greenfield channel, not greenfield infrastructure.
• →Own SMS consent and TCPA compliance from day one, since this is a new regulated channel with its own legal requirements distinct from email.
• →Instrumentation & Decision Logging
• →Log every creative, cadence, and segment decision — what was considered, what was chosen, and why — the same discipline as every other Channel Ops role, so today's judgment becomes tomorrow's training data for the Acquisition Engine.
• →Ensure every send is joinable to an individual lead record, not just reconcilable in aggregate.

Testing & Optimization

• →Design and run email and SMS A/B tests with a stated hypothesis and success metric before launch.
• →Build on the existing Motivation vs. Barrier messaging framework already validated in market, and extend it to SMS as that channel comes online.

Cross-Functional Partnership

• →Reports to the Associate Director, Acquisition Strategy & Channel Ops, who orchestrates priority and sequencing across all channel specialists and partners with the Senior Marketing Analyst and Technical Lead on measurement and infrastructure — this role executes within that direction.
• →Partner with Marketing on creative production and approval — this role tags and measures content; Marketing produces and approves it.

AI-Powered Execution

• →Use AI tools such as Claude to draft creative variants and accelerate reporting.
• →Other duties as assigned

• 4+ years in email marketing or marketing automation, ideally hands-on with Braze or a comparable ESP/CDP
• Direct experience launching or scaling an SMS program, including consent and TCPA compliance basics
• Strong grasp of deliverability and inbox-placement mechanics (sender reputation, authentication, list hygiene, Promotions-tab avoidance)
• Comfortable working with lead-level data and campaign reporting in a CRM (Salesforce) and marketing automation platform
• Experience designing and reading A/B tests
• Comfortable executing within a channel strategy set by someone else, rather than setting standalone channel direction — this role reports into an orchestration layer, not around it

Preferred

• Experience in a regulated industry with consent/compliance requirements beyond standard CAN-SPAM
• SQL literacy
• Experience partnering with a channel-orchestration manager or director rather than owning multi-channel strategy solo
• 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.