Logo for Cadence

Senior IT Systems Engineer

Role overview

Qualifications

  • 5+ years of experience in IT systems engineering or a closely related role
  • Proficiency building and maintaining automation using scripting or coding languages such as Python, TypeScript, or similar
  • Experience designing and implementing API-based integrations including REST APIs, webhooks
  • Strong experience administering SaaS environments including Google Workspace, Slack, and Zoom

Responsibilities

  • Design, build, and own automation across core IT systems
  • Develop API-driven integrations and event-based workflows across platforms
  • Build and scale identity lifecycle automation covering joiner, mover, and leaver workflows
  • Serve as the escalation point for complex cross-system issues

About the company

Cadence logo

Cadence

Cadence is a health technology company helping the nation’s most patient-centric health systems deliver more consistent, proactive healthcare every day. Cadence’s remote patient intervention solution couples powerful new technology with clinical excellence, providing its patients a precise and personal level of care all outside of the four walls of the hospital. At Cadence, we aim to exceed the expectations of our patients, clinicians, and partners every day. Our team values trust and autonomy, and we empower one another to make decisions, solve problems and build something better. We give clear, candid feedback with the utmost honesty and encouragement. If you’re interested in joining us, explore opportunities at www.cadence.care. *Note that in all Cadence videos posted on this page, testimonials are those of real Cadence patients who have not been compensated and voluntarily provided their statements and opinions. Patient results and experiences with Cadence may vary and are unique and individual to each patient.

Company details

Company size51 - 200

Your match analysis

See how your profile stacks up against this role.

We compared the job requirements to your profile to show where you're strong and where you fall short.

Job description

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 a Senior IT Systems Engineer to design, automate, and scale the core infrastructure that powers our company. This is an engineering discipline role where the expectation is code driven systems, not ticket driven operations. This person will contribute to platform maturity through API integrations, identity lifecycle automation, and scalable workflow design with a direct impact on how Cadence's clinical and operational teams function every day.

What You'll Do

  • Design, build, and own automation across core IT systems to reduce manual work, improve reliability, and scale with the organization.
  • Develop API-driven integrations and event-based workflows across platforms including Okta, Google Workspace, Slack, and other critical SaaS tools.
  • Build and scale identity lifecycle automation covering joiner, mover, and leaver workflows with a strong focus on security and operational efficiency.
  • Contribute to root cause resolution for recurring technical issues, eliminating failure points through system design and automation rather than repeated manual intervention.
  • Strengthen the technical quality of IT systems through rigorous code review, thorough documentation, and repeatable automation patterns.
  • Serve as the escalation point for complex cross system issues, debugging across integrations, environments, and SaaS platforms with minimal support.
  • Partner with IT, Security, and business stakeholders to evaluate, design, and deliver scalable infrastructure solutions that meet clinical and operational requirements.

What You Need

  • 5+ years of experience in IT systems engineering or a closely related role, with a demonstrated automation-first approach to infrastructure problems.
  • Proficiency building and maintaining automation using scripting or coding languages such as Python, TypeScript, or similar, with experience in Git-based development workflows.
  • Experience designing and implementing API-based integrations including REST APIs, webhooks, and event-driven workflows across SaaS environments.
  • Hands-on experience with IAM platforms such as Okta and automation tooling such as Okta Workflows, Tines, or comparable platforms.
  • Strong experience administering SaaS environments including Google Workspace, Slack, and Zoom, with the ability to debug complex, cross-system issues independently.
  • Demonstrated experience with networking fundamentals, security principles, and infrastructure-as-code tooling such as Terraform.
  • Fluency with LLM APIs, prompt engineering, and AI-assisted development tools; demonstrated experience building or evaluating AI-powered systems in production.

Compensation

Our job titles may span more than one career level. The base salary for this role typically ranges between $160,000 – $200,000 depending on experience, skills, seniority, and business needs. In addition to base salary, this role may be eligible for equity as part of the total compensation package. Actual compensation may vary by location.

Benefits & Perks

  • Competitive pay & equity*
  • Fully remote
  • Comprehensive health coverage: Medical, dental & vision
  • Paid time off
  • 401k plan + matching
  • Paid parental leave
  • Home office stipend

*benefit offerings may vary depending on job profile, job level and worker type

Cadence is committed to equal opportunity and fairness regardless of race, color, religion, sex, gender identity, sexual orientation, nation of origin, ancestry, age, physical or mental disability, country of citizenship, medical condition, marital or domestic partner status, family status, family care status, military or veteran status or any other basis protected by local, state or federal laws. 

A notice to Cadence applicants: Our Talent team only directs candidates to apply through our official careers page at https://www.cadence.care/our-team.  Cadence will never refer you to external websites, ask for payment or personal information, or conduct interviews via messaging apps. We receive all applications through our website and anyone suggesting otherwise is not with Cadence.

If you require a reasonable accommodation during the interview or hiring process, please notify your recruiter. 

Apply once. Then go straight to the hiring manager.

After you apply, unlock the direct contact details of the people who actually make the call. A quick follow-up makes you 5x more likely to land an interview.

MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
Unlocked after you apply
·

System Engineer Related jobs

Other jobs at Cadence

Premium

Reach out to the hiring manager directly.

Gain access to the contact details of the hiring managers who actually decide, and reach out to network with them directly. That, plus more when you upgrade:

  • Full match report with fit score and gaps
  • Career diagnostics on how recruiters read you
  • Curated company matches and warm intros
  • 48h early access to new roles

Cancel anytime.