Salesforce System Engineer (CRM & Health Cloud)

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. 

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. 

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). 

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. 

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. 

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. 

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.

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 our benefits package is designed to support you from day one. You’ll be automatically enrolled in our 401k plan, featuring a 6% company match and 100% immediate vesting. We’re committed to your well-being and understand the unique needs of employees and families living with diabetes, so we offer capped out-of-pocket insulin costs and GLP-1 coverage across all plans. You’ll have access to a variety of Meritain health insurance plans to suit your needs and can also take advantage of Flexible Spending Accounts (FSAs) or Health Savings Account (HSA). Our comprehensive benefits package includes vision and dental coverage, plus voluntary options such as long-term disability, accident, critical illness, hospital indemnity, and even discounts for pet care. In addition, we provide employer-paid short-term disability and life insurance for extra peace of mind.

We know the importance of taking time to rest and recharge. That’s why Sequel offers flexible PTO, generous paid holidays, and Flex Time options to help you balance work and life when you need it most. Our team enjoys a culture built on hard work, fun, and genuine support. At Sequel, you’re not just starting a job, you’re building a rewarding career and a brighter future. Join us, and let’s thrive 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