GTM Systems Lead

About the role

We're hiring a GTM Systems Lead to own the strategy, reliability, and evolution of the technical systems powering Cadence's GTM and patient outreach operations. This is a senior individual contributor role that operates at the intersection of systems architecture, cross-functional strategy, and hands-on technical execution. You will set the direction for GTM Systems, drive high-priority initiatives across Growth, Marketing, Implementation, and Operations, and serve as the internal authority on how Cadence's GTM technology stack scales alongside the business. Reporting to the Head of IT, you'll partner directly with senior leaders to shape the infrastructure decisions that have a meaningful impact on patient engagement and company growth.

Responsibilities

• Own the strategy, architecture and roadmap for GTM Systems across Regal.ai, Iterable, Salesforce, Twilio, and related platforms; including building, debugging, and maintaining GTM workflows, automations, integrations, and data-driven outreach journeys.
• Partner with IT/Security to maintain access controls, admin permissions, API key hygiene, sandbox environments, and compliance-sensitive GTM system configurations
• Use AI tools such as Claude Code, Codex, and other LLMs to drive development velocity, debugging, documentation, and workflow improvement at scale.
• What You Need
• Deep expertise with GTM platforms such as Salesforce, Regal.ai, Iterable, HubSpot, Twilio, or similar tools; comfortable working with APIs, webhooks, event-driven workflows, SQL, and data-driven automation at scale
• Strong judgment around patient-facing workflows, system reliability, access controls, QA, and launch risk; strong debugging skills across multi-system workflows, including observability and alerting.
• Ability to own ambiguous problems from intake through resolution w

Benefits

Additional Information

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.

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