# Principal Design System Designer at Twin Health

- Company: Twin Health
- What the company does: Twin Health helps employees and health plan members improve their metabolic health for normalized blood sugar, reduced medications, and sustained weight loss. Backed by Peak XV and ICONIQ.
- Company website: https://www.twinhealth.com/
- Type: Startups (AI role)
- Level: Principal and up
- Location: Remote, USA
- Work setup: Remote
- Pay: $220K to $230K base salary per year (USD)
- Posted: 2026-04-08
- Apply by: 2026-10-08
- Apply: https://job-boards.greenhouse.io/twinhealth/jobs/5849866004
- Page: https://www.1752.vc/careers/jobs/twin-health-principal-design-system-designer/

## About the role

Join us as we reinvent the standard of care in metabolic health. This is not a maintenance role—this is a defining new era for our company, and you are arriving at the inflection point. Reporting directly to the Head of Design, you will lay the architectural bedrock that dictates how fast we move, how beautifully we build, and how deeply we impact lives for years to come.

## What they're looking for

- 8-10 years of experience as a system designer
- Experience: A proven track record as a Principal Designer who has successfully built a 0–1 design system or led a massive overhaul of an existing one at scale within a top-tier, fast-paced tech environment
- Visual & Systems Excellence: An outstanding portfolio that demonstrates exceptional execution and visual craft, inextricably linked with deep, scalable, and systematic thinking
- 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

Tags: Product