Engineering Manager

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 an Engineering Manager to lead and grow a high-performing engineering team, responsible for delivering end-to-end products that solve real patient problems.

You’ll work across teams to own and deliver high-impact work that directly improves patient outcomes and scales our care model.This is a mission-critical leadership role working closely with product, design and our clinical teams to bring the product from concept to launch. 

What You’ll Do:

• Define and drive the technical vision and architecture across multiple product areas 
• Collaborate with design, product, cross-functional counterparts, and customers to shape the roadmap and long-term strategy.
• Leverage AI and automation to build a best-in-class product that delivers scalable, high-quality patient care.
• Hire, lead, and grow a high-performing team of agentic and full-stack engineers.
• Oversee the design, development, and maintenance of both frontend and backend services across the platform.
• Continuously evolve engineering standards, tooling, and processes to foster a culture of quality, collaboration, and innovation.

What You Need:

• 5+ years of experience in software engineering, including 2+ years in a people management role.
• Experience leading the development of complex software products from 0→1, preferably in healthcare, enterprise SaaS, or another regulated space.
• Able to operate strategically and tactically: comfortable presenting to execs and jumping into architecture or code reviews.
• Proven ability to thrive in a fast-paced, product-driven environment rooted in trust, autonomy, and direct feedback.
• Experience building robust backend systems with familiarity in modern cloud infrastructure (AWS/GCP), relational databases (Postgres/MySQL), and messaging systems (e.g., SQS, Kafka). Go experience is a big plus.

Compensation:

Our job titles may span more than one career level. The base salary for this role typically ranges between $210,000-$250,000 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.