Cadence Solutions
Healthcare
StaffITSystemsEngineer
Neural analysis suggests this role is
optimal for Senior candidates.
“Staff IT Systems Engineer at Cadence Solutions. Skills: Automation, API integrations, Identity management, Infrastructure-as-code. Design automation across core IT systems. Build automation across core IT systems”
Industry & Context.
Debugging; Root cause analysis
What They're Looking For.
Must Have
8+ years of experience in IT, Automation-first mindset, Building automation using scripting or coding languages, Familiarity working in Git-based development workflows, Experience building API-based integrations, Hands-on experience with IAM platforms, Experience administering SaaS environments, Debugging complex, cross-system issues, Solid foundation in networking, Solid foundation in security, Solid foundation in infrastructure-as-code, Systems built and managed through code, Fluency with LLM APIs, Prompt engineering, AI-assisted development, Demonstrated experience building or evaluating AI-powered systems in production
Nice to Have
Okta Workflows or Tines experience
What You'll Do.
Design automation across core IT systems
Build automation across core IT systems
Own automation across core IT systems
Develop API-driven integrations
Develop workflows across systems
Build identity lifecycle automation
Scale identity lifecycle automation
Act as escalation point
Identify recurring issues
Eliminate root causes through automation
Eliminate root causes through system design improvements
Partner cross-functionally with IT
Partner cross-functionally with Security
Partner cross-functionally with business teams
Design scalable solutions
Establish technical standards
Establish operational rigor
Establish engineering best practices
Mentor team members on automation
Mentor team members on infrastructure-as-code
Mentor team members on integrations
Mentor team members on scalable systems design
How You'll Work.
Team & Collaboration
Cross-functional partnership; Partner with IT; Partner with Security; Partner with business teams
Full 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 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 a
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