GTM Systems Lead

Remote

Sixty million Medicare seniors live with chronic disease. The care system sees most of them twice a year. Cadence is building the infrastructure to support them every day.

Cadence is a clinical AI company that delivers continuous, proactive care for older adults with chronic conditions like hypertension, heart failure, and diabetes. We pair patients with a dedicated clinical team, integrate deeply into health system EMRs and workflows, and use our Clinical Intelligence platform to monitor vitals, surface risk early, optimize medications, and close care gaps between visits. The result: patients engage with care 100x more than before Cadence, clinicians focus on judgment instead of administrative work, and Medicare saves $2M a week.

We operate as a full clinical care delivery organization, not a software vendor. Our clinicians work alongside health system partners, extending the reach of local primary care providers into patients' homes. We're now applying AI agents across these workflows – from alert review and medication titration to lifestyle coaching and care coordination – with clinicians always in control of clinical decisions.

The Role

We're hiring a GTM Systems Lead to own the strategy, reliability, and evolution of the technical systems powering Cadence's GTM and patient outreach operations. This is a senior individual contributor role that operates at the intersection of systems architecture, cross-functional strategy, and hands-on technical execution. You will set the direction for GTM Systems, drive high-priority initiatives across Growth, Marketing, Implementation, and Operations, and serve as the internal authority on how Cadence's GTM technology stack scales alongside the business. Reporting to the Head of IT, you'll partner directly with senior leaders to shape the infrastructure decisions that have a meaningful impact on patient engagement and company growth.

What You'll Do

  • Own the strategy, architecture and roadmap for GTM Systems across Regal.ai, Iterable, Salesforce, Twilio, and related platforms; including building, debugging, and maintaining GTM workflows, automations, integrations, and data-driven outreach journeys.
  • Lead launch readiness strategy for GTM and patient outreach workflows and health system launches, defining QA standards, checklists, sign-offs, phone numbers, SMS/email setup, routing logic, journey configuration, and post-launch validation. You will own the outcomes across launches, not just execution of individual components. 
  • Own reliability strategy for outbound and inbound patient communication workflows, including call routing, caller ID, callbacks, progressive dialer behavior, phone number setup, and Twilio/Regal handoffs; participate in the on-call rotation for call center operations, routing systems, and patient outreach workflows.
  • Set prioritization for the GTM Systems intake queue, making tradeoff decisions across competing stakeholder needs, overdue items, and recurring work; own incident follow-through including root cause analysis, stakeholder communication, remediation, and prevention, and surface patterns to leadership that inform longer-term investment decisions.
  • Define & build observability into GTM systems to detect issues across journeys, workflows, integrations, and data pipelines before they impact patients or business operations; own GTM systems documentation, runbooks, and knowledge transfer so support and launch processes are repeatable and not dependent on tribal knowledge.
  • Serve as a strategic partner to senior leaders across Growth, Implementation, Marketing, Sales, Provider Operations, Data, and Product to translate business needs into scalable technical solutions; act as the escalation point when GTM priorities conflict, partnering with the Head of IT to make clear tradeoff decisions.
  • Partner with IT/Security to maintain access controls, admin permissions, API key hygiene, sandbox environments, and compliance-sensitive GTM system configurations
  • Use AI tools such as Claude Code, Codex, and other LLMs to drive development velocity, debugging, documentation, and workflow improvement at scale.

What You Need

  • 10+ years of combined experience across GTM systems, business systems engineering, revenue/revops systems, project management, or adjacent technical operations roles, including ownership of complex, cross-functional systems initiatives that require technical judgment, stakeholder alignment, prioritization, and reliable execution from scoping through launch.
  • Deep expertise with GTM platforms such as Salesforce, Regal.ai, Iterable, HubSpot, Twilio, or similar tools; comfortable working with APIs, webhooks, event-driven workflows, SQL, and data-driven automation at scale
  • Strong judgment around patient-facing workflows, system reliability, access controls, QA, and launch risk; strong debugging skills across multi-system workflows, including observability and alerting.
  • Ability to own ambiguous problems from intake through resolution without needing constant direction; able to manage stakeholders, priorities, incidents, launches, and execution details across a high-growth environment.
  • Ability to coach another engineer while still directly contributing to execution; understands that ownership means driving the outcome, not just completing the ticket.
  • Fluency with AI productivity tools (such as Gemini, Notion AI, or comparable platforms) and comfort applying them to structured workflows, reporting, and process documentation.

Compensation

Our job titles may span more than one career level. The base salary for this role typically ranges between $190,000-$230,000 depending on experience, skills, seniority, and business needs. In addition to base salary, this role may be eligible for equity as part of the total compensation package. Actual compensation may vary by location.

Benefits & Perks

  • Competitive pay & equity*
  • Fully remote
  • Comprehensive health coverage: Medical, dental & vision
  • Paid time off
  • 401k plan + matching
  • Paid parental leave
  • Home office stipend

*benefit offerings may vary depending on job profile, job level and worker type

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.

If you require a reasonable accommodation during the interview or hiring process, please notify your recruiter. 

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