Director, FP&A

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 Health is scaling rapidly and building the financial planning infrastructure to match. The Director of FP&A will own the operational heartbeat of our financial planning and run a disciplined GAAP and cash forecasting process, managing a rigorous weekly reforecast cadence, and leading the monthly finance reviews that drive accountability across every P&L in the business. This is a high-output, high-visibility role that puts you at the center of how Twin understands and manages its financial performance. You will report to the Senior Director, Finance and work closely with the broader Strategic Finance team to translate business initiatives into forecast impact. Responsibilities • Own detailed GAAP and cash forecasting: full responsibility for the methodology, assumptions, and accuracy of Twin's financial forecast across weekly, monthly, quarterly, and multi-year horizons • Run the weekly reforecast process end-to-end. Own the cadence, methodology, and output, ensuring it is rigorous, timely, and decision-ready for senior leadership • Lead monthly finance reviews for all P&L departments and sub-departments. Prepare materials, run the reviews, and hold department owners accountable to their numbers • Identify, track, and communicate variances versus operating plan and board plan; develop gap-closing analysis and recommendations in partnership with functional leaders • Partner closely with the strategic finance team to incorporate the financial impact of strategic initiatives into the rolling forecast • Manage and develop the FP&A team, setting clear priorities and maintaining appropriate analyst resource allocation across the Finance function • Build and maintain the operating model as the business evolves, ensuring it reflects the latest business assumptions and can support board and investor reporting • Other duties as assigned. Qualifications • 6+ years of progressive FP&A experience, including direct ownership of a company-wide forecasting process in a growth-stage environment • Demonstrated experienc