About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?
NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
We are looking for a Senior GTM Systems Engineer to join our Internal Systems team. This is a hybrid role for someone who thrives at the intersection of software engineering, revenue systems, and go-to-market strategy. You will be responsible for the technical architecture, integration, and automation of our core GTM platforms, including Salesforce, HubSpot, Intercom, Stripe, and our internal Ruby applications.
This role requires close collaboration with Sales, Marketing, Support, and Engineering teams. You will implement and govern workflows that support high-integrity lead management, sales operations, and cross-system data flows. Ideal candidates have strong technical acumen, sound business judgment, and the ability to build trust with both individual contributors and senior stakeholders.
What You'll Do
- Systems Engineering and Automation
- Build and maintain automations and workflows across GTM platforms including Salesforce, HubSpot, Intercom, Stripe, and Chargebee
- Develop and maintain API-based integrations between third-party systems and internal applications
- Implement custom code where needed (e.g., Apex in Salesforce, Functions in HubSpot, middleware scripts)
- Support data operations to ensure clean, reliable data is accessible for reporting and analysis
- Cross-functional Partnership and Governance
- Collaborate with Sales, Marketing, and Support to translate business needs into scalable system designs
- Evaluate change requests from go-to-market teams, balancing business agility with system integrity
- Manage approval flows, lead routing, lifecycle definitions, and data ownership rules
- Build relationships and serve as a trusted partner to both sales leadership and engineering teams
What You'll Bring
- 5+ years of experience in engineering or technical systems roles, including experience with GTM or RevOps tooling
- Strong knowledge of Salesforce or HubSpot configuration and customization
- Proficiency in at least one programming language (e.g., Ruby, Python, JavaScript)
- Experience with APIs, custom integrations, and middleware services
- Familiarity with lead and deal lifecycle management, territory assignment, and quoting workflows
- Excellent communication and judgment when working with sales representatives and leadership
Bonus Points For
- Experience with Stripe, Chargebee, Revenue.io (RingDNA), Chili Piper
- Hands-on experience with reporting tools such as Sigma or DBT
- Background in data warehousing environments (e.g., Snowflake)
- Experience in a fast-paced, SaaS company environment
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers. - Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. - Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. - Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. - Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. - Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact [email protected] to request assistance.
Top Skills
What We Do
We connect patients, doctors, and developers to accelerate healthcare innovation. Our customers range from independent doctors offices like Grand Street Dental to public tech companies like SmileDirectClub. We help doctors modernize their businesses, help developers innovate faster, and help patients receive a modern healthcare experience.
We’re pursuing a society-changing goal and the market opportunity is open for the taking. We’ve 5X’d in the last year, and as an early stage employee you will have the chance to make a foundational impact on our company’s continued growth.
