Senior Platform Engineer, GTM Systems

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. What You'll Do 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