Senior Software Engineer, Security Infrastructure

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.

We're looking for a Senior Software Engineer, Security Infrastructure to build scalable security infrastructure that embeds compliance and risk controls directly into the Cadence platform. You will solve complex security challenges such as data classification, AI governance, GRC automation, and secure integration with healthcare partners and external systems.

WHAT YOU’LL DO:

• Embed directly within Product and Platform Engineering teams to implement security-critical features and components of Cadence’s platform, and assist teams in making secure architectural and implementation changes as needed.
• Create security capabilities that differentiate Cadence and influence the broader healthcare ecosystem, including building reusable security primitives, contributing to open standards and open-source initiatives, and partnering with customers and vendors to raise the bar for privacy, interoperability, and secure AI adoption.
• Design and implement security controls across cloud infrastructure, Kubernetes, CI/CD systems, endpoints, identity systems, secrets management, and broader platform security primitives to keep core systems secure.
• Build AI governance processes, frameworks, and safeguards that help ensure Cadence’s AI systems are safe, reliable, fair, and aligned with patient safety outcomes.

WHAT YOU’LL NEED:

• Bachelor's or Master’s degree in Computer Science, Engineering or related field, or equivalent work experience
• 3+ years of software engineering experience, with at least 2+ years building and shipping real systems or infrastructure
• Strong ability to navigate and reason across the stack - quickly understanding unfamiliar codebases, architectures, and tooling ecosystems.
• Ability to identify patterns and design scalable “golden paths” (e.g., logging, access controls, network security) that work across teams.
• Effective communicator who translates technical findings into clear designs, builds alignment, and drives initiatives from concept to execution.
• Demonstrated interest in security and ability to think adversarially - approaching system design with rigor, considering failure modes, and leveraging modern tools (including AI) to accelerate solutions.

NICE TO HAVE:

• Experience operating in small teams or startup environments, with a high degree of ownership and autonomy.
• Contributions to open-source projects or a track record of building reusable tooling.
• Experience leveraging modern tools, including AI-assisted analysis, to accelerate research and solution design

WHO WE ARE:
We move fast, raise standards, and own outcomes. We hire drivers, not passengers – people who take initiative, solve problems, and sweat the details because lives depend on it. Momentum matters in healthcare where slow decisions cost lives. At Cadence, we set a high bar and back each other relentlessly to clear it. If you’re ready to do the best work of your career and make a real impact in healthcare, join us.

WHAT YOU’LL GET:

• Autonomy to tackle big, complex problems that matter
• An opportunity to improve lives every single day
• A chance to shape a category‑defining company at scale
• Medical, dental, and vision insurance
• Competitive total compensation and meaningful equity
• TelaDoc (virtual primary care)
• National and local discounts powered by TriNet
• Unlimited PTO and paid holidays
• Remote equipment setup and home office stipend
• Paid Parental Leave
• 401K and 401K match
• Charitable Donation Match program
• Location: Remote

Noteworthy
Our job titles may span more than one career level. The base pay for this role typically ranges between $170k-$220k annual base salary. Total compensation includes base salary and equity. The actual base pay is determined by a variety of factors, including experience, skills, training, and business needs. Compensation may vary based on market location and is subject to change.

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.