GTM Systems Lead

Cadence Solutions

3d•$190,000 - $230,000•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.

Requirements

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.

Responsibilities

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.