Medical Systems Engineering Tech I

About Hightouch Hightouch is an Agentic Marketing Platform powered by the industry-leading Composable CDP. With complete brand context, customer data, and performance history in one place, every marketer finally has the power to build and ship end-to-end campaigns themselves. Teams move faster, stay on brand, and get AI marketing that actually works. Founded in 2019 and headquartered in San Francisco, Hightouch enables marketing teams to analyze performance, brainstorm ideas, and generate creative at a speed and quality that wasn't previously possible. Named a Leader in the 2026 Gartner® Magic Quadrant™ for Customer Data Platforms, Hightouch is trusted by leading enterprises like Domino's, Spotify, Aritzia, Cars.At Hightouch, our mission is to help our customers leverage data and AI to grow their businesses. If you're energized by velocity, obsessed with raising the bar, and want to build alongside people who care deeply about each other and our customers, we'd love to meet you. We're hiring a Senior GTM Systems Engineer to help build the systems and infrastructure behind Hightouch's go-to-market organization. This is a broad, hands-on role spanning Salesforce, quote-to-cash, GTM tooling, data, integrations, and internal applications. You'll own meaningful systems problems from design through implementation and work directly with Sales, Marketing, CS, Finance, and RevOps to dramatically improve the way we operate. We're looking for someone who gets excited by that, and will help lead AI transformations within the team. Own major GTM systems projects end to end, from understanding the business problem through architecture, implementation, rollout, and iteration. Lead a major evolution of our quote-to-cash infrastructure across CPQ, pricing and packaging, approvals, contracting, and billing handoffs. Build systems that can support increasingly complex enterprise deals, including usage-based pricing, multi products, ramp structures, amendments, and custom terms. Use AI as part of how you work, whether that's writing and testing automation, building internal applications, analyzing systems, migrating data, documenting architecture, or automating operational workflows. Bring strong engineering practices to GTM systems, including testing, version control, sandbox discipline, monitoring, and thoughtful system design. You've spent 3-5 years building and owning systems for a modern GTM organization. You're deeply fluent in Salesforce and understand data models, automation, permissions, integrations, and how systems start to break as companies scale. You have meaningful quote-to-cash experience and have worked with CPQ. You can move between technical implementation and conversations with Sales, Finance, or Operations without needing someone else to translate. Hightouch's on-target earnings range for this position is $190,000 - $240,000 USD per year. We also offer meaningful equity compensation in the form of ISO options and offer early exercise and a 10-year post-termination exercise window. E-Verify Notice E-Verify Notice (Spanish) Right to Work Notice Right to Work Notice (Spanish)