Senior IT Support Specialist

Re‑architecting U.S. healthcare demands speed, precision, and an obsession with details. Cadence is building a remote care delivery system that keeps older people healthy, out of the hospital, and  pairing each patient with a dedicated clinical team that reviews their health every day, versus every few months, we catch issues early and intervene before they escape. The result: measurably better outcomes for patients and less administrative burden for clinicians.

Today, Cadence supports tens of thousands of active patients nationwide. Our AI‑powered system and scalable clinical model enable proactive, population‑level care. We’re among the fastest‑growing companies in healthtech, and we’re just getting started.

We are seeking a Senior IT Support Specialist to deliver high-quality technical support and scale our internal operations across a distributed remote workforce. Serving as the primary owner for our west coast hours, this role will drive operational excellence and automation to ensure our employees can work seamlessly, securely, and with minimal friction.

Note:

This position will be required to work PST/PDT business hours to provide consistent operational coverage.

The Senior IT Support Specialist is responsible for delivering fast, high-quality support while helping scale how IT operates across a distributed company. This role is focused on ownership, operational excellence, and continuous improvement, not just ticket resolution. You will be expected to identify patterns, improve systems, and help reduce manual work over time.

• Provide high-quality support across Slack, ticketing systems, and async channels with a focus on speed and clarity
• Own support coverage during West Coast hours and act as a reliable point of contact for employees
• Troubleshoot issues across devices, identity, and SaaS systems including access, performance, and configuration
• Support onboarding and offboarding end-to-end including device provisioning, account setup, and access management
• Manage and maintain company devices using Kandji or similar MDM

• Identify trends in support requests and proactively drive improvements to reduce recurring issues
• Partner with IT Engineering to improve workflows and support automation efforts
• Maintain and improve documentation and self‑service resources to reduce friction for employees
• Help operationalize new tools and processes to improve how IT scales
• Help introduce scalable operational practices and consistency as the company continues to grow rapidly

• 4+ years of experience in IT support or a similar role in a fast‑paced environment
• Strong ownership mindset with the ability to drive issues to resolution without handoffs
• Experience supporting macOS and iOS environments
• Experience operating successfully in fast‑paced or high‑growth environments where priorities and processes evolve quickly
• Strong operational maturity and ability to independently manage responsibilities with minimal oversight
• Familiarity with tools like Okta, Google Workspace, Slack, Zoom, and Kandji or similar
• Ability to troubleshoot across identity, device management, and SaaS systems
• Clear and effective communication in both real‑time and async environments
• Comfortable working independently and owning a critical time zone PST/PDT hours

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.

• 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
• National and local discounts powered by Tri Net
• Unlimited PTO and paid holidays
• Remote equipment setup and home office stipend
• Paid Parental Leave
• 401K and…