Staff IT Systems Engineer

Remotelead

OtherIt Systems Engineer

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OtherIt 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).

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.

Responsibilities

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→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 members on automation, infrastructure-as-code, integrations, and scalable systems design.

Requirements

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8+ years of experience in IT, systems engineering, or a related role with a strong automation-first mindset.
Comfortable building and maintaining automation using scripting or coding languages such as Python, TypeScript, or similar, with familiarity working in Git-based development workflows.
Experience building API-based integrations (REST APIs, webhooks, and event-driven workflows) across SaaS tools.
Hands-on experience with IAM platforms (Okta or similar) and automation tools (Okta Workflows, Tines, etc.).
Strong experience administering SaaS environments (Google Workspace, Slack, Zoom) and debugging complex, cross-system issues.
Solid foundation in networking, security, and infrastructure-as-code (e.g. Terraform), with a bias toward systems built and managed through code.
Fluency with LLM APIs, prompt engineering, and AI-assisted development tools; demonstrated experience building or evaluating AI-powered systems in production.