Engineering Manager

Cadence Solutions

2d•$210,000 - $250,000•Remote

About The Position

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.

Requirements

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.

Responsibilities

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.