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 Software Engineer - Platform to build and scale the infrastructure that embeds compliance and risk controls directly into the Cadence platform. You will have significant autonomy and broad scope to identify problems, set direction, and ship improvements across the platform. That autonomy requires sound judgment: you should be an independent self-starter who can move quickly, manage ambiguity, and operate safely in a high-stakes environment. For the right engineer, this is an opportunity to be unusually prolific.
What You'll Do- Design and build systems across application, backend, data, and cloud infrastructure boundaries
- Create secure defaults, reusable controls, and paved paths that help teams build quickly and safely
- Strengthen identity, access, secrets, CI/CD, Kubernetes, observability, and other platform capabilities
- Help define how Cadence evaluates, monitors, and governs AI used in patient care
- Identify architectural risks and turn them into practical technical solutions
- Partner with Product, Engineering, Clinical, Legal, and Security leaders to shape our approach to trust at scale
- Independently take ambiguous, high-impact problems from initial design through production
- 4 or more years of experience building and operating production software or infrastructure
- Breadth across several areas such as frontend, backend, APIs, distributed systems, cloud infrastructure, data, or developer tooling
- Strong architectural judgment and the ability to reason about reliability, security, operability, and speed
- A track record of setting direction, acting without waiting for detailed instructions, and delivering across a broad scope
- The judgment to move quickly without compromising patient safety, security, or operational rigor
- Curiosity and confidence when working in unfamiliar codebases and technical domains
- A tendency to think about failure modes, misuse, auditability, and safe defaults
- Clear communication with both technical and non-technical partners
- Interest in growing deeper expertise in security, responsible AI, and healthcare technology
- Experience in security, healthcare, compliance, or AI governance is valuable, but not required. We care most about your ability to understand complex systems, learn quickly, exercise sound judgment, and build thoughtful solutions across traditional engineering boundaries.
Our job titles may span more than one career level. The base salary for this role typically ranges between $150,000 - $250,000, depending on experience, skills, seniority, and business needs. In addition to base salary, this role is 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.
Cadence (cadence.care) New York, New York, USA Office
295 Lafayette Street, 7th Floor, New York, NY , United States, 10012
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