New

Senior GTM Systems Engineer

Remote

Re‑architecting U.S. healthcare demands speed, precision, and an obsession with details. Cadence is building a remote care delivery system that keeps older people healthy, out of the hospital, and at home. By pairing each patient with a dedicated clinical team that reviews their health every day, versus every few months, we catch issues early and intervene before they escalate. The result: measurably better outcomes for patients and less administrative burden for clinicians.

Today, Cadence supports tens of thousands of  active patients nationwide. Our AI‑powered system and scalable clinical model enable proactive, population‑level care. We’re among the fastest‑growing companies in healthtech, and we’re just getting started.

We are seeking a Senior GTM Systems Engineer to help design, scale, and maintain the technical systems that power Cadence’s revenue engine. You will build and automate customer and partner acquisition journeys, create and manage curated datasets, and orchestrate outbound engagement at scale. You will also streamline sales, provider management, and marketing workflows across Salesforce and related tools.

This is a builder-first role operating in a fast-moving, high-growth environment where systems, processes, and business needs evolve quickly. You will help design and scale the technical foundation behind Cadence’s GTM organization, bringing structure, automation, and operational maturity while remaining highly adaptable and execution-oriented. We are looking for someone who has experienced growth-stage scale and understands how to build systems that can evolve alongside a rapidly growing company.

Note: This engineer will be required to work EST/EDT business hours to provide consistent operational coverage.

WHAT YOU’LL DO:

  • Design, build, and maintain our GTM tech stack, ensuring systems are scalable, reliable, and aligned with business needs
  • Design, build, and automate customer acquisition journeys in Regal.ai using data signals, segmentation logic, and experimentation
  • Curate simplified, actionable datamarts that identify which customers are ready for outreach, reducing reliance on complex, full-scale data ingestion
  • Design and maintain scalable Salesforce workflows that support B2B and existing customer use cases across the full customer lifecycle
  • Build API-driven integrations and workflows across Salesforce, Regal.ai, marketing automation tools, and internal systems
  • Develop automation and system logic to eliminate manual processes and improve speed, targeting, and conversion
  • Build observability into GTM systems to detect and troubleshoot issues across journeys, workflows, and data pipelines before they impact performance
  • Manage and enhance marketing automation systems to support high-output engagement across email, scoring, and campaign tracking
  • Partner closely with the Data team to ensure datamarts are accurate, accessible, and structured for dynamic outreach and experimentation
  • Embed with growth-focused teams to translate business goals into scalable technical solutions
  • Leverage AI tools such as Claude Code, Codex, and other LLMs to accelerate workflow development, improve targeting, and enhance outbound engagement
  • Research and evaluate emerging tools and technologies, including AI-driven solutions, to continuously improve the GTM stack
  • Help introduce scalable operational structure and technical rigor across GTM systems without slowing down business execution
  • Design systems and workflows that can scale alongside rapid organizational and operational growth
  • Participate in an on-call rotation to support call center operations and routing systems, ensuring reliability and rapid issue resolution

WHAT YOU'LL NEED:

  • 4+ years of experience in enterprise business systems, GTM engineering, or business application technology roles
  • A systems thinker who can design scalable GTM architecture, not just patch point solutions
  • Strong cross-functional communication skills with the ability to translate between business stakeholders and technical systems
  • Comfortable operating in ambiguity and rapid growth environments where priorities, systems, and processes evolve quickly
  • You know how to balance speed and structure, helping teams scale operational maturity without introducing unnecessary process or bureaucracy
  • Strong builder mindset with a focus on automation, systems design, and eliminating manual work
  • Advanced SQL skills with hands-on experience building and maintaining datamarts for outreach and segmentation, and comfort working with data warehouse infrastructure such as Fivetran, Snowflake, DBT, and Metabase to build dashboards and funnel analytics
  • Strong understanding of GTM workflows and how sales, outbound, marketing, and provider teams operate together
  • Experience working with platforms like Salesforce, HubSpot, Regal.ai, and marketing automation tools, including building workflows and system logic
  • Comfortable working with APIs, webhooks, and event-driven systems to integrate tools and automate processes
  • Comfortable going beyond UI-based configuration and building scalable solutions through APIs, automation, code, and systems design
  • Experience managing systems or workflows through code, version control, or reproducible configurations rather than manual setup
  • Experience designing and optimizing automated, data-driven customer journeys, particularly in B2C engagement contexts
  • Strong debugging and problem-solving skills across multi-system workflows, including observability and alerting
  • Comfortable using AI tools to accelerate development, improve workflows, and enhance day-to-day productivity
  • Has operated in high-growth environments where systems and processes needed to evolve rapidly alongside company scale
  • Comfortable bringing order and scalability to ambiguous or partially defined operational environments
  • Has seen the operational challenges that emerge as companies scale from a few hundred employees into larger growth-stage organizations
  • Ability to translate business requirements into scalable technical solutions
  • You review manual GTM processes, diagnose the root cause, and proactively recommend automations or other solutions in a simple memo-style format

NICE TO HAVE:

  • Experience in high-growth or startup environments
  • Experience with experimentation frameworks, A/B testing, or growth analytics
  • Familiarity with data pipelines and working closely with data engineering teams
  • Exposure to provider or healthcare-related GTM workflows
  • Have built or prototyped AI-powered workflows using LLM APIs, Claude Code, or similar tools
  • Exposure to B2B processes such as lead-to-opportunity
  • Prior experience at an early-stage startup where you were one of the first technical hires supporting GTM systems
  • Experience supporting or scaling GTM systems during periods of rapid company growth (Series B through D/E or similar)
  • Experience with call center or outbound engagement platforms such as Twilio, DialPad, Decagon, or similar tools

WHO WE ARE:

We move fast, raise standards, and own outcomes. We hire drivers, not passengers – people who take initiative, solve problems, and sweat the details because lives depend on it. Momentum matters in healthcare where slow decisions cost lives. At Cadence, we set a high bar and back each other relentlessly to clear it. If you’re ready to do the best work of your career and make a real impact in healthcare, join us.

WHAT YOU’LL GET:

  • Autonomy to tackle big, complex problems that matter
  • An opportunity to improve lives every single day
  • A chance to shape a category‑defining company at scale
  • Medical, dental, and vision insurance
  • Competitive total compensation and meaningful equity
  • TelaDoc (virtual primary care)
  • National and local discounts powered by TriNet
  • Unlimited PTO and paid holidays
  • Remote equipment setup and home office stipend
  • Paid Parental Leave
  • 401K and 401K match
  • Charitable Donation Match program
  • Location: Remote

Noteworthy

Our job titles may span more than one career level. The base pay for this role typically ranges between $175,000 – $205,000 annual base salary. The actual base pay is determined by a variety of factors, including experience, skills, training, and business needs. Compensation may vary based on market location and is subject to change.

Cadence is committed to equal opportunity and fairness regardless of race, color, religion, sex, gender identity, sexual orientation, nation of origin, ancestry, age, physical or mental disability, country of citizenship, medical condition, marital or domestic partner status, family status, family care status, military or veteran status or any other basis protected by local, state or federal laws. 

A notice to Cadence applicants: Our Talent team only directs candidates to apply through our official careers page at https://www.cadence.care/our-team.  Cadence will never refer you to external websites, ask for payment or personal information, or conduct interviews via messaging apps. We receive all applications through our website and anyone suggesting otherwise is not with Cadence.

Apply for this job

*

indicates a required field

Resume/CV*

Accepted file types: pdf, doc, docx, txt, rtf

Select...
Select...

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

As set forth in Solutions’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

Select...
Select...
Race & Ethnicity Definitions

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Select...

Voluntary Self-Identification of Disability

Form CC-305
Page 1 of 1
OMB Control Number 1250-0005
Expires 04/30/2026

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

  • Alcohol or other substance use disorder (not currently using drugs illegally)
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
  • Blind or low vision
  • Cancer (past or present)
  • Cardiovascular or heart disease
  • Celiac disease
  • Cerebral palsy
  • Deaf or serious difficulty hearing
  • Diabetes
  • Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
  • Epilepsy or other seizure disorder
  • Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
  • Intellectual or developmental disability
  • Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
  • Missing limbs or partially missing limbs
  • Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
  • Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
  • Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
  • Partial or complete paralysis (any cause)
  • Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
  • Short stature (dwarfism)
  • Traumatic brain injury
Select...

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.