SeniorGTMSystemsEngineer

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 GTM Systems Engineer to own the technical foundation that powers Cadence's revenue engine. You will design, build, and scale the systems, automations, and data infrastructure that drive customer and partner acquisition across sales, outbound, and marketing workflows. This role sits at the intersection of GTM strategy and systems architecture, operating across Salesforce, Regal.ai, and a connected stack of data and engagement tools. What You'll Do Design and scale the GTM tech stack, including Salesforce, Regal.ai, and marketing automation platforms, ensuring systems are reliable, observable, and built to evolve alongside rapid organizational growth. Build and automate customer acquisition journeys in Regal.ai using data signals, segmentation logic, and structured experimentation. Construct and maintain actio