Staff IT Systems Engineer

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 Staff IT Systems Engineer to design, automate, and scale the core infrastructure that powers our company. This is a builder-first role where IT is treated as an engineering discipline. This person will drive platform maturity through API integrations, identity lifecycle automation, and code-driven workflows to ensure our teams operate securely and at peak efficiency, while raising the technical bar of the IT organization through mentorship, standards, and scalable systems design. What You'll Do Design, build, and own automation across core IT systems to reduce manual work and improve reliability. Develop API-driven integrations and workflows across systems like Okta, Google Workspace, Slack, and other SaaS tools. Build and scale identity lifecycle automation (joiner, mover, leaver) with a strong focus on security and efficiency. Act as an escalation point for complex technical issues, debugging across systems, integrations, and environments. Identify recurring issues and eliminate root causes through automation and system design improvements. Partner cross-functionally with IT, Security, and business teams to design scalable solutions and improve core systems. Establish technical standards, operational rigor, and engineering best practices across the IT organization, and mentor team member