Senior Platform Engineer, GTM Systems

Cadence Solutions

12d•$175,000 - $205,000•Remote

About The Position

Cadence is a clinical AI company focused on delivering continuous, proactive care for older adults with chronic conditions. They operate as a full clinical care delivery organization, pairing patients with dedicated clinical teams and using their Clinical Intelligence platform to monitor vitals, identify risks, optimize medications, and close care gaps. Cadence is now integrating AI agents into these workflows to enhance efficiency, with clinicians always maintaining control over clinical decisions. The company aims to improve patient engagement, allow clinicians to focus on critical tasks, and generate significant cost savings for Medicare.

Requirements

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.

Nice To Haves

Experience with Infrastructure-as-Code tooling (such as Terraform or Pulumi)
Experience with GTM platforms (such as Iterable, Twilio, HubSpot, or Segment)
Prior work in healthcare, patient engagement, or regulated environments is a plus.

Responsibilities

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.