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 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
  
  

Requirements

• 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
  
  

Preferred Qualifications

• 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

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 equity
• Commuter benefits
• 401K
• Full Medical, Dental and Vision
• Unlimited PTO