Jobs in the United States

25+ jobs

Added 4 mins ago
Major Projects - Project Manager
Vistra Nuclear Operations Company
Glen Rose, TX
The Senior Project Manager will be responsible for managing small to large scale O&M and Capital projects associated with and including budget maintenance, and adherence to projects…
Added 8 mins ago
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Senior Product Marketing Manager, Legal AI
Ironclad
San Francisco, CA · New York, NY
- $155,000 to $195,000 USD / year
We're looking for a Senior Product Marketing Manager to own the Legal persona end to end- taking on a general manager mindset for this segment of Ironclad's business.
Added 12 mins ago
Software Engineer 3
Kiewit
Lenexa, KS
…across Kiewit’s district portfolio. This role is ideal for a developer who has outgrown pure implementation and is ready to think at the systems level - shaping how applications are…
Added 12 mins ago
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Public Service - Higher Education Management Consulting Senior Manager – Transformation Lead
Accenture
Overland Park, KS
- $132,500 to $338,300 USD / year
You will own senior client relationships in your domain, lead high-stakes engagements, work collaboratively across the teams and for our clients, help shape markets before the RFP is…
Added 40 mins ago
Head of Program Design
Braven
Remote, United States
Added 40 mins ago
Head of Program Design
Braven
Remote, United States
Added 40 mins ago
Head of Program Design
Braven
Remote, United States
Added 40 mins ago
Head of Program Design
Braven
Remote, United States
Added 40 mins ago
Senior Coordinator, Volunteer Operations
Braven
Remote, United States
Job Title: Senior Coordinator, Volunteer Operations
Added 40 mins ago
Director, Program Innovation
Braven
Remote, United States
Added 40 mins ago
Director, Program Innovation
Braven
Remote, United States
Added 40 mins ago
Director, Program Innovation
Braven
Remote, United States
Added 40 mins ago
Director, Program Innovation
Braven
Remote, United States
Added 40 mins ago
Associate Director, Accelerator Operations
Braven
Remote, United States
This role is on the Accelerator Operations team and reports directly to the Senior Director, Accelerator Enablement.
Added 40 mins ago
Associate Director, Accelerator Operations
Braven
Remote, United States
This role is on the Accelerator Operations team and reports directly to the Senior Director, Accelerator Enablement.
Added 40 mins ago
Associate Director, Accelerator Operations
Braven
Remote, United States
This role is on the Accelerator Operations team and reports directly to the Senior Director, Accelerator Enablement.
Added 40 mins ago
Associate Director, Accelerator Operations
Braven
Remote, United States
This role is on the Accelerator Operations team and reports directly to the Senior Director, Accelerator Enablement.
Added 40 mins ago
Associate Director, Digital Product Management
Braven
Remote, United States
This is a domain-owning, senior individual contributor role at the intersection of Braven's programs, product strategy, and process automation. As a member of the Systems team, you will be…
Added 40 mins ago
Associate Director, Digital Product Management
Braven
Remote, United States
This is a domain-owning, senior individual contributor role at the intersection of Braven's programs, product strategy, and process automation. As a member of the Systems team, you will be…
Added 40 mins ago
Associate Director, Digital Product Management
Braven
Remote, United States
This is a domain-owning, senior individual contributor role at the intersection of Braven's programs, product strategy, and process automation. As a member of the Systems team, you will be…
Added 40 mins ago
Associate Director, Digital Product Management
Braven
Remote, United States
This is a domain-owning, senior individual contributor role at the intersection of Braven's programs, product strategy, and process automation. As a member of the Systems team, you will be…
Added 40 mins ago
Senior Software Engineer
Braven
Remote, United States
In order to achieve its ambition of serving 80,000-100,000 Fellows over the next decade, Braven is hiring a Senior Software Engineer to lead the design and delivery of the platform, tools,…
Added 40 mins ago
Senior Software Engineer
Braven
Remote, United States
In order to achieve its ambition of serving 80,000-100,000 Fellows over the next decade, Braven is hiring a Senior Software Engineer to lead the design and delivery of the platform, tools,…
Added 58 mins ago
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Access Excellence Senior Director
HealthPartners
Bloomington, MN
- $76.14 to $114.22 USD / hour
HealthPartners is hiring a Access Excellence Senior Director. This leader provides strategic leadership and oversight for enterprise access infrastructure, including referral and order…
Added 58 mins ago
Senior Director, Revenue Cycle - Patient Access Functions
Mayo Clinic
Rochester, MN

Senior IT Systems Engineer

Remote, United States

The base salary for this role typically ranges between $175,000 – $200,000 depending on experience, skills, seniority, and business needs.

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Job details

Pay: The base salary for this role typically ranges between $175,000 – $200,000 depending on experience, skills, seniority, and business needs.
Experience: 5+ years of experience in IT systems engineering, technical operations, or a related engineering role, with a track record of independently building and operating automation.
Posting language: English
Posted: Jun 16, 2026

Original job description

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).

The Role

We’re hiring a Senior IT Systems Engineer to build and operate the identity, endpoint, and SaaS infrastructure that supports Cadence’s clinical and operational teams. You’ll use code, APIs, and AI-powered automation to make our systems more secure, reliable, and scalable as we grow.

This is a hands-on engineering role with ownership from design through deployment and ongoing operation. AI will be central to how you work, from accelerating development and troubleshooting to building intelligent workflows. You’ll turn manual processes and recurring problems into maintainable systems, partnering closely with IT Operations, Security, and teams across the business.

What You'll Do

Design, build, and own automation and API-driven integrations across Okta, Google Workspace, Slack, and other critical SaaS platforms to reduce manual work and improve reliability.
Use AI-assisted development tools and LLM APIs to build and improve operational workflows, applying appropriate permissions, testing, monitoring, and human review.
Build and scale identity lifecycle automation across employee onboarding, role changes, and offboarding, including provisioning, access controls, and timely deprovisioning. Partner with Revenue Operations on Salesforce access management, including permission sets and role-based access.
Engineer automated device enrollment, configuration, software deployment, patching, and compliance workflows across our macOS and iOS fleet.
Partner with Security to strengthen endpoint protections and secure access, automate security controls and evidence collection, and support audit readiness.
Build reliable, maintainable systems through version control, code review, testing, and infrastructure as code, with clear documentation, monitoring, alerting, and recovery.
Own complex technical projects and cross-system escalations from investigation through resolution, addressing root causes through automation and translating business needs into solutions that balance delivery speed, security, and reliability.

What You Need

5+ years of experience in IT systems engineering, technical operations, or a related engineering role, with a track record of independently building and operating automation. Experience in a startup or high-growth environment is a plus.
Practical experience using AI-assisted development tools as part of your engineering workflow and integrating LLM APIs into tools or automation. You can evaluate output quality, protect sensitive data, scope permissions, and determine when deterministic logic or human review is needed.
Strong programming skills in Python, TypeScript, or a comparable language, with experience using Git-based development workflows and Terraform or similar infrastructure-as-code tools. Examples of tools, integrations, or open source projects you’ve built are welcome.
Experience administering SaaS platforms such as Google Workspace, Slack, and Zoom and building REST API integrations, webhooks, and event-driven workflows using code, automation platforms such as Okta Workflows or Tines, or both.
Strong knowledge of identity and access management, including hands-on experience with Okta, SAML, SCIM, OIDC, automated provisioning, and least-privilege access. Familiarity with Salesforce permission sets, permission set groups, and access controls is a plus.
Hands-on experience managing macOS and iOS fleets through MDM platforms such as Kandji, Iru, or Jamf, including configuration, software deployment, patching, and device compliance. Experience with Netskope or Santa is a plus.
Strong networking and security fundamentals, including DNS, TLS, VPNs, firewalls, Zero Trust access, and secure handling of credentials and sensitive data, with the ability to troubleshoot across systems independently. Experience supporting audit readiness for SOC 2, ISO 27001, HIPAA, or similar requirements is a plus.

Compensation

Our job titles may span more than one career level. The base salary for this role typically ranges between $175,000 – $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.

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