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Cadence is the clinical AI company automating the treatment of chronic disease. Its Clinical Intelligence takes on the routine, high-volume work of chronic care – monitoring patients, surfacing risks, and coordinating action – so clinicians can focus on the decisions that require them. Grounded in partnerships with more than 20 leading health systems, deep EMR integrations, dedicated medical group, and experience serving a population of more than 100,000 patients, the system learns from real-world care delivery, improving as it scales. Cadence has been recognized by TIME as one of the Top 100 HealthTech Companies and by LinkedIn as a Top Startup (#4, 2025). The Role We're hiring a Senior Platform Engineer to own the reliability, automation, and scalability of the systems that power Cadence's revenue, growth, implementation, and patient outreach operations. This is a senior individual contributor role for an engineer who approaches business systems with the same discipline applied to production infrastructure - using version control, testing, observability, and continuous improvement to build workflows that hold at scale. You'll work across Salesforce, Iterable, Twilio, internal tooling, and data-driven integrations, partnering with Growth, Marketing, Implementation, Operations, Data, Product, IT, and Security to help Cadence reach and serve more patients. This role will report to our Head of IT.
Own the reliability, scalability, and operational health of Cadence's GTM and patient outreach platforms, including Salesforce, Iterable, Twilio, and related systems. Design, build, and operate cross-system automations, integrations, and workflows using APIs, webhooks, SQL, Git-based version control, deployment management, and observability tooling. Improve system reliability by implementing monitoring, alerting, root-cause analysis, and preventative controls that reduce workflow failures and operational risk across patient acquisition and engagement pipelines. Translate business requirements from Growth, Marketing, Operations, Product, Data, IT, and Security into scalable technical solutions, guiding architecture decisions from discovery through long-term support. Own complex technical and operational initiatives end-to-end - from problem definition and implementation through launch, ongoing support, and continuous improvement. Apply AI-assisted development tools to improve delivery velocity, system documentation, and operational efficiency across the platform. What You Need 10+ years of experience in platform engineering, systems engineering, automation engineering, DevOps, SRE, business systems engineering, or a comparable technical discipline. Demonstrated experience applying software engineering or platform engineering principles - version control, testing, deployment practices, environment management - to operational systems and business-critical workflows. Deep experience building and supporting cross-system automations and integrations using APIs, webhooks, event-driven architectures, automation platforms, and SQL. Strong debugging and root-cause analysis skills, with the ability to trace issues across systems, integrations, data flows, permissions, and configurations. Experience with Salesforce DX and Git-based Salesforce development and administration practices, or comparable experience applying engineering discipline to complex enterprise SaaS platforms. Ability to independently own ambiguous technical problems from architecture through launch, monitoring, and long-term operational support. Fluency with LLM APIs, prompt engineering, and AI-assisted development tools; demonstrated experience building or evaluating AI-powered systems in production. Preferred: Experience with Infrastructure-as-Code tooling (such as Terraform or Pulumi), GTM platforms (such as Iterable, Twilio, HubSpot, or Segment), or prior work in healthcare, patient engagement, or regulated environments is a plus. Compensation Our job titles may span more than one career level. The base salary for this role typically ranges between $175,000-$205,000 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.
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.