Senior GTM Systems Engineer

About NexHealth

NexHealth’s mission is to accelerate innovation in healthcare. Fixing healthcare is the challenge of our generation. This industry is stuck in the 1990s while affordability and accessibility are spiraling out of control. We currently spend ~20% of GDP on healthcare, while the 25% of the world's data is stuck on legacy and antiquated health systems. NexHealth’s goal is to create an open and modern ecosystem to accelerate innovation in the space. We make it easier for everybody to build in healthcare, and ultimately empower ordinary people with access to more modern, efficient and affordable healthcare solutions.

Founded: 2017

Headquarters: San Francisco, CA

Funding: $177M through Series C

Employees: 190

Website: https://www.nexhealth.com/

About The Role

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.

Responsibilities

Systems Engineering and Automation

Build and maintain automations and workflows across GTM platforms including Salesforce, HubSpot, Intercom, Stripe, and ChargebeeDevelop and maintain API-based integrations between third-party systems and internal applicationsImplement 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 designsEvaluate change requests from go-to-market teams, balancing business agility with system integrityManage approval flows, lead routing, lifecycle definitions, and data ownership rulesBuild relationships and serve as a trusted partner to both sales leadership and engineering teams

Requirements

5+ years of experience in engineering or technical systems roles, including experience with GTM or RevOps toolingStrong knowledge of Salesforce or HubSpot configuration and customizationProficiency in at least one programming language (e.g., Ruby, Python, JavaScript)Experience with APIs, custom integrations, and middleware servicesFamiliarity with lead and deal lifecycle management, territory assignment, and quoting workflowsExcellent communication and judgment when working with sales representatives and leadership

Preferred Qualifications

Experience with Stripe, Chargebee, Revenue.io (RingDNA), Chili PiperHands-on experience with reporting tools such as Sigma or DBTBackground in data warehousing environments (e.g., Snowflake)Experience in a fast-paced, SaaS company environment

NexHealth Principles

As Nexers, we are strong owners and first principle thinkers who can execute and deliver fast, hungry for learning and personal growth, and we make sure the company succeeds above all else.

As such, our culture is shaped with the following principles:

Strong ownership: Knows what needs to be done, and gets it done with little or no oversight.Bias for action: Outcome oriented. Delivers results fast.Acts with first principles: Describes the ideal end state with first principles, and helps us get there fast.Growth mindset. Hungry for learning and personal growth.Company first: Does whatever is right for the company and our customers.

Benefits

Competitive salary plus equityCommuter benefits401KFull Medical, Dental and VisionUnlimited PTO