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Salesforce System Engineer (CRM & Health Cloud)

About Sequel 

Sequel, headquartered in Manchester, New Hampshire, is a company developing the next generation of transformative drug-delivery advancements starting with diabetes. Sequel’s approach is to look at diabetes management holistically to advance systems that make living with diabetes simpler and easier for all. Sequel’s flagship product, the twiist Automated Insulin Delivery (AID) System, launched in July 2025 for people with type 1 diabetes providing them with personalized diabetes management.  

 


We are seeking a Salesforce System Engineer to serve as the technical lead and solution architect for our CRM platforms. This individual will own the system design, configuration standards, and technical implementation of Salesforce Health Cloud, Sales Cloud, and related solutions. As a key technical partner to the Salesforce Product Manager, you will translate business requirements into scalable, secure, and future-ready solutions. 

 

You’ll collaborate with cross-functional teams (Commercial, Clinical Ops, Customer Support, Data/Integration, and IT Security), ensure platform performance, guide platform enhancements, and lead the technical delivery of a HIPAA-compliant CRM that supports our rapid growth. 

 

This role blends architectural thinking, configuration expertise, integration design, and hands-on build. 


Job Responsibilities and Essential Duties
  • Platform Architecture & Design 
Lead the system architecture and technical design of Salesforce Health Cloud and Sales Cloud solutions. 
Define data models, object relationships, sharing rules, and platform integration patterns. 
Ensure alignment between business goals, product roadmaps, and scalable system architecture. 

  • Configuration & Technical Implementation 
Translate functional requirements into robust technical designs and declarative solutions. 
Implement and optimize Flows, Process Builder, Custom Objects, Page Layouts, Validation Rules, and Permissions. 
Review and guide Apex code and Lightning component development (via internal or external developers). 

  • Integration & Data Engineering Support 
Partner with data and integration teams on APIs, ETL pipelines, and external data connections (e.g., Snowflake, S3, MuleSoft). 
Design secure, scalable, and performant integration architectures between Salesforce and adjacent systems. 

  • Release Management & Change Control 
Coordinate with the Product Manager to plan and execute platform releases, enhancements, and testing cycles. 
Support change control processes including sandbox management, deployment automation, and documentation. 
Identify and resolve deployment risks and cross-environment dependencies. 

  • Compliance, Security & Governance 
Ensure the Salesforce environment adheres to HIPAA, FDA, and internal security and data retention requirements. 
Partner with IT Security and Compliance to implement appropriate encryption, access controls, and audit logging. 

  • Documentation & Support 
Create technical documentation for configurations, data models, and integrations. 
Mentor admins or junior engineers, and support troubleshooting as a Tier 3 resource for Salesforce issues.


Minimum Requirements
  • Bachelor’s degree (4-year) in Computer Science, Engineering, Information Systems, or related technical discipline preferred, or equivalent combination of education and experience.  
  • 5+ years of experience as a Salesforce System Engineer, Technical Consultant, or Solution Architect. 
  • 3+ years working directly with Salesforce Health Cloud and/or Sales Cloud in regulated environments. 
  • Active Salesforce certifications (e.g., Platform App Builder, Advanced Administrator, Data Architect, or Integration Architect) are strongly preferred. 


Required Knowledge, Skills and Abilities
  • Deep understanding of Salesforce declarative tools (Flows, Permissions, Object Model, Profiles, Sharing Settings). 
  • Experience integrating Salesforce with external platforms using REST/SOAP APIs, middleware, or file-based data loads. 
  • Knowledge of Apex, SOQL, Lightning Web Components (LWC), and deployment tools (Change Sets, VS Code, DevOps Center, or CI/CD pipelines). 
  • Familiarity with Salesforce Connect, External Objects, data sync strategies, and error handling. 
  • Experience in designing and optimizing data models for both B2B and B2C use cases. 
  • Strong working knowledge of HIPAA and data privacy standards. 
  • Experience supporting technology in med-tech, healthcare, or other FDA-regulated domains preferred. 
  • Strong systems thinking, documentation skills, and the ability to break down complex requirements. 
  • Ability to collaborate effectively with business users, architects, and technical partners. 
  • Comfortable in fast-paced environments where flexibility and initiative are key. 
  • Proven track record managing cross-functional projects and facilitating workshops or requirement sessions. 
  • Comfortable working in Agile environments and using tools like Jira or Aha! for backlog and roadmap management. 


Sequel Med Tech provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. 

 

At Sequel, we believe that when you thrive, we thrive. That’s why we’ve designed a benefits package that’s as thoughtful as it is generous. From day one, you’re automatically enrolled in our 401k plan—no waiting, no worries—with a 6% company match and 100% immediate vesting. We prioritize your well-being, especially for our employees and their families living with diabetes, with capped out-of-pocket insulin costs and GLP-1 coverage across all plans. With multiple medical plans through Aetna, including a 100% company-paid high deductible plan paired with employer HSA contributions, you can select what suits your needs. Additional benefits include vision and dental plans, employer-paid short-term disability, and voluntary options like accident and pet insurance.  

 

Need time to relax and recharge? You’ll enjoy flexible PTO and generous paid holidays, all while being part of a culture that values hard work, fun, and support. We don’t just offer jobs—we offer careers that build futures. Join us, and let’s grow together!  

 

Environmental/Safety/Physical Work Conditions 

Ensures environmental consciousness and safe practices are exhibited in decisions 

Use of computer and telephone equipment and other related office accessories/devices to complete assignments 

May work extended hours during peak business cycles 

Physical requirements such as lifting specific weights 

Some travelling is expected 

Average salary estimate

$150000 / YEARLY (est.)
min
max
$130000K
$170000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

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Founded in 2023 and headquartered in Manchester, N.H., Sequel Med Tech is a company developing the next generation of transformative drug-delivery advancements. Sequel’s approach is to look at disease management holistically to advance systems tha...

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Full-time, hybrid
DATE POSTED
October 23, 2025
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