Total Rewards Manager

Posted Yesterday
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Hiring Remotely in USA
Remote
Senior level
Artificial Intelligence • Healthtech • Machine Learning • Software • Telehealth
AI-driven remote care platform empowering health systems to deliver proactive, personalized patient support at scale.
The Role
Leads compensation and benefits programs, including vendor management, benefits operations, open enrollment, compensation cycles, market benchmarking, equity coordination, and executive compensation analysis. The role also manages the transition from a professional employer organization to direct benefits administration, ensuring accurate systems, compliance, employee support, payroll reconciliation, and cross-functional execution.
Summary Generated by Built In

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).

WHAT YOU’LL DO:

The Total Rewards Manager will lead the day-to-day execution and evolution of compensation and benefits programs across Cadence. You will combine analytical depth with hands-on operational ownership to deliver competitive, equitable, financially sustainable rewards and a clear, responsive employee experience.

You will build scalable processes for a distributed workforce spanning clinical, non-exempt, and corporate roles, partnering closely with People, Finance, Payroll, Talent Acquisition, Legal, and stock administration. A near-term priority is establishing reliable benefits operations as the company transitions from a professional employer organization to direct administration.

Benefits Strategy & Vendor Management
  • Own the benefits broker relationship, setting priorities, reviewing service delivery, coordinating renewals, and evaluating recommendations on plan design, cost, and employee needs.
  • Coordinate the broker, medical and disability carriers, benefits administration platform, and other providers across plans covered by the company’s wrap arrangements; clarify responsibilities and resolve cross-vendor issues.
  • Evaluate benefit costs, utilization, employee feedback, and vendor performance; develop recommendations and budgets in partnership with Finance and People leadership.
  • Coordinate plan documentation, required notices, reporting, and compliance activities with the broker, administrators, Legal, and Finance, maintaining clear owners and deadlines.

Benefits Operations & Employee Support
  • Own the benefits service model, including employee inquiries, escalations, knowledge resources, service standards, and vendor handoffs.
  • Serve as the designated reviewer for system workflows and benefit requests, including qualifying life events, dependent changes, enrollment corrections, and COBRA handoffs; validate supporting documentation, eligibility, effective dates, and downstream updates under established procedures.
  • Partner with Payroll and Finance to reconcile elections, deductions, carrier eligibility, and invoices; investigate discrepancies and coordinate timely corrections.
  • Lead annual open enrollment from renewal planning through system testing, employee communications, enrollment reconciliation, and post-enrollment issue resolution.
  • Partner with Talent Acquisition and onboarding teams to explain benefits accurately and ensure new hires receive timely enrollment guidance.
  • Partner with leave administration on benefits continuation and disability-related handoffs, maintaining clear ownership across functions.
Benefits Transition & Systems
  • Lead benefits workstreams for the transition from a professional employer organization, documenting which services must move to internal teams or new vendors and establishing coverage for inherited employee-support volume.
  • Partner with People systems owners and vendors on plan configuration, eligibility rules, approval workflows, carrier connections, and payroll deductions.
  • Own benefits acceptance testing, data reconciliation, employee communications, and readiness checks before launch; track defects and post-launch stabilization.
  • Maintain documented procedures, access controls, reviewer coverage, and escalation paths so critical benefits processes remain reliable during absences and peak periods.
Compensation Programs & Market Intelligence
  • Lead two compensation cycles each year, coordinating timelines, budgets, eligibility, planning data, manager guidance, approvals, payroll handoffs, and employee communications.
  • Maintain ongoing market intelligence and refresh salary ranges and market pricing as roles, hiring markets, and workforce needs evolve.
  • Build and maintain scalable job levels, salary structures, compensation guidelines, and exception processes with People leadership and Finance.
  • Analyze internal equity, pay positioning, range placement, and compression; recommend appropriate adjustments and document decisions.
  • Partner with Talent Acquisition on offer pricing, leveling, cash and equity recommendations, and approval of exceptions within established authority.
  • Support the design and administration of incentive programs where applicable, aligning measures, costs, and operating processes with business objectives.
Equity & Executive Compensation
  • Coordinate with stock administration on compensation-cycle equity inputs, new-hire grants, refresh recommendations, approved award data, and employee communications; reconcile handoffs while preserving stock administration’s ownership of grant processing and records.
  • Support executive compensation benchmarking, cash and equity analysis, and recommendations in partnership with People leadership, Finance, Legal, and external advisors.
  • Prepare analysis and materials for executive and Board or compensation committee review as needed; track required approvals and coordinate implementation of approved decisions.
WHAT YOU’LL NEED:Required Qualifications
  • 5+ years of progressive experience in total rewards, compensation, or benefits, with meaningful hands-on ownership across both compensation and benefits.
  • Experience leading compensation cycles, market benchmarking, salary structures, and offer support.
  • Experience managing benefits brokers and carriers, open enrollment, employee escalations, and benefits administration workflows.
  • Strong analytical and financial modeling skills, with the ability to validate complex data and communicate clear recommendations.
  • Experience implementing or improving rewards processes and systems in a growing, multi-state organization.
  • Working knowledge of compensation and benefits compliance requirements and sound judgment about when to involve Legal, brokers, or specialized advisors.
  • Ability to manage overlapping deadlines, influence cross-functional partners, and communicate sensitive rewards information with accuracy and discretion.
Preferred Qualifications
  • Healthcare technology or technology company experience, including clinical, non-exempt, and corporate employee populations.
  • Experience transitioning benefits from a professional employer organization to direct administration.
  • Experience with Alliant, Aetna, Lincoln, Rippling, TriNet, or comparable brokers, carriers, and platforms.
  • Experience supporting equity programs, stock administration partnerships, and executive compensation analysis.
  • CCP, CEBS, or a comparable compensation or benefits credential.

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. 

Skills Required

  • 5+ years of progressive experience in total rewards, compensation, or benefits, with hands-on ownership across compensation and benefits
  • Experience leading compensation cycles, market benchmarking, salary structures, and offer support
  • Experience managing benefits brokers and carriers, open enrollment, employee escalations, and benefits administration workflows
  • Strong analytical and financial modeling skills
  • Experience implementing or improving rewards processes and systems in a growing, multi-state organization
  • Working knowledge of compensation and benefits compliance requirements
  • Ability to manage overlapping deadlines, influence cross-functional partners, and communicate sensitive rewards information accurately and discreetly
  • Healthcare technology or technology company experience with clinical, non-exempt, and corporate employee populations
  • Experience transitioning benefits from a professional employer organization to direct administration
  • Experience with Alliant, Aetna, Lincoln, Rippling, TriNet, or comparable brokers, carriers, and platforms
  • Experience supporting equity programs, stock administration partnerships, and executive compensation analysis
  • CCP, CEBS, or comparable compensation or benefits credential

Cadence (cadence.care) Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Cadence (cadence.care) and has not been reviewed or approved by Cadence (cadence.care).

  • Healthcare Strength — Health, dental, and vision coverage are complemented by mental health support and wellness programs. Offerings such as One Medical access, TalkSpace, and a 24/7 employee assistance program reinforce comprehensive care.
  • Leave & Time Off Breadth — Time off includes unlimited vacation, paid holidays, and paid sick days. Parental leave is described as generous.
  • Retirement Support — A 401(k) plan with company matching supports long-term savings. Additional tools like HSAs and FSAs bolster overall financial security.

Cadence (cadence.care) Insights

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The Company
HQ: New York, NY
370 Employees
Year Founded: 2020

What We Do

Cadence is future-proofing primary care for an aging population. We’re building the first AI-native chronic disease platform – extending the doctor’s office beyond the visit and enabling health systems to deliver proactive care at home. Powered by our care intelligence and multidisciplinary clinical team, we monitor every patient, identify risks early, and act before problems escalate. Today, more than 90,000 seniors across 20 health systems rely on Cadence to stay healthier at home. Every day, more than 7,000 Americans age into Medicare, most with complex, ongoing health needs. Traditional healthcare was built for episodic visits, not for the continuous support that chronic care requires. The result? Overwhelmed health systems, rising costs, and patients who fall through the cracks. Cadence solves this problem. Our platform seamlessly integrates with a health system’s existing clinical workflow, using AI and machine learning to continuously monitor patient data, detect trends, and trigger timely interventions. We pair this technology with a nationally licensed clinical team that collaborates directly with each patient’s physician ensuring that every alert turns into meaningful, compassionate action. This hybrid model of technology + clinical care is what sets Cadence apart. We don’t just collect data; we turn insights into outcomes. Behind our platform is a world-class team of engineers, clinicians, and operators, all united by a shared mission — to make compassionate, continuous care accessible at scale. We tackle big, complex challenges with cutting-edge technology and deep empathy, knowing that every improvement we make has a direct impact on real people’s lives. Together, we’re building a system where technology amplifies humanity — and every patient gets the care they deserve, every day.

Why Work With Us

We’re a collaborative, learning-driven engineering culture tackling one of the toughest problems in tech - healthcare at scale. At Cadence, you’ll ship real-world systems that impact thousands of patients, gain exposure to cutting-edge AI and data science, and grow alongside teammates who value curiosity, humility, and excellence.

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