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Cadence is a clinical AI company automating chronic disease treatment. The Total Rewards Manager will lead day-to-day execution and evolution of compensation and benefits programs across the organization, combining analytical depth with hands-on operational ownership to deliver competitive, equitable, and financially sustainable rewards.
Key responsibilities span four areas:
**Benefits Strategy & Vendor Management:** Own the benefits broker relationship, set priorities, review service delivery, and coordinate renewals. Coordinate across medical and disability carriers, benefits administration platforms, and other providers. Evaluate benefit costs, utilization, and employee feedback to develop recommendations and budgets in partnership with Finance and People leadership. Coordinate plan documentation, required notices, reporting, and compliance activities.
**Benefits Operations & Employee Support:** Own the benefits service model including employee inquiries, escalations, knowledge resources, and vendor handoffs. Serve as the designated reviewer for system workflows and benefit requests (qualifying life events, dependent changes, enrollment corrections, COBRA handoffs), validating documentation and eligibility. Partner with Payroll and Finance to reconcile elections, deductions, and invoices. Lead annual open enrollment from renewal planning through post-enrollment issue resolution. Partner with Talent Acquisition, onboarding, and leave administration teams.
**Benefits Transition & Systems:** Lead benefits workstreams for the transition from a professional employer organization to direct administration. Partner with People systems owners and vendors on plan configuration, eligibility rules, approval workflows, and payroll deductions. Own benefits acceptance testing, data reconciliation, employee communications, and readiness checks. Maintain documented procedures, access controls, and escalation paths.
**Compensation Programs & Market Intelligence:** Lead two compensation cycles annually, coordinating timelines, budgets, eligibility, planning data, manager guidance, approvals, payroll handoffs, and communications. Maintain ongoing market intelligence and refresh salary ranges as roles and hiring markets evolve. Build and maintain scalable job levels, salary structures, and compensation guidelines. Analyze internal equity and pay positioning. Partner with Talent Acquisition on offer pricing and leveling. Support incentive program design and administration.
**Equity & Executive Compensation:** Coordinate with stock administration on compensation-cycle equity inputs, new-hire grants, and employee communications. Support executive compensation benchmarking and analysis. Prepare materials for executive and Board/compensation committee review.
The role is fully remote and reports into People leadership at a growing healthtech company serving over 100,000 patients across 20+ health systems.
**Requirements:**
- 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 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 comparable compensation or benefits credential
