Senior Infrastructure Engineer

Senior Infrastructure Engineer

Full-time Remote (US)

About the Role

Were looking for a Senior Infrastructure Engineer to help define and scale the backbone of an AI-driven healthcare platform that serves hundreds of thousands of patients.

This is a high-impact role with broad ownership over infrastructure design scalability reliability and developer experience.

Youll play a key part in ensuring systems remain fast secure and highly available as the company grows.

Ideal candidates thrive in fast-moving high-ownership environments and have a strong track record of building reliable systems that scale under real-world demand.

What Youll Do

• Scale and Optimize Infrastructure: Design deploy and maintain systems that support large-scale healthcare operations with 99.99% uptime.

• Lead Core Infrastructure Investments: Balance immediate delivery with long-term architecture ensuring scalability and maintainability.

• Build Data Systems: Drive development of robust data infrastructure from ingestion pipelines and transformation layers to warehouse systems and client integrations.

• Enhance Developer Velocity: Improve CI/CD pipelines observability and tooling to help engineering teams move faster with confidence.

• Champion Reliability and Security: Implement monitoring on-call best practices and infrastructure security aligned with HIPAA and SOC 2 standards.

Example Projects

• Optimize Kubernetes clusters and services for rapidly scaling workloads.

• Lead the migration of SQS-based workflows to Temporal.

• Reimagine release operations to streamline QA-tested code deployments.

• Design and implement multi-tenant isolation and row-level encryption for sensitive client data.

Who You Are

• 5 years of experience building and managing large-scale infrastructure systems.

• Deep knowledge of AWS Kubernetes and Terraform.

• Strong background in distributed systems observability and infrastructure automation.

• Familiarity with Postgres Redis and environments.

• Passionate about operational excellence developer productivity and secure system design.

• Comfortable owning projects end-to-end in fast-paced early-stage environments.

Tech Stack

AWS Kubernetes Terraform Postgres Redis SQL

Work Environment

• Location: Fully remote across the U.S.

• Optional In-Person: Offices available in New York.

• Culture: Fast-paced ambitious and mission-driven combining world-class engineering with a focus on impact and patient outcomes.

Compensation & Benefits

• Salary: $160K$225K

• Equity: Competitive

• Visa Sponsorship: H-1B transfers accepted; other cases considered individually

• Benefits: Comprehensive medical dental and vision coverage plus additional perks for remote and hybrid employees

Ready to take the next step

Apply now or email Jenn at to learn more.