Infrastructure Engineer
New York City, NY - USA
Job Summary
Infrastructure Engineer (AWS / Terraform / ECS / Data Platforms)
Location: New York NY (Onsite 35 days/week)
Compensation: $180000 - $235000 equity
About Our Client
Our client is building AI-native infrastructure to automate the administrative backbone of healthcarestarting with home health. Their platform helps agencies reduce overhead accelerate payments and spend more time on care (not paperwork). The product integrates directly into provider operations and automates complex workflows like insurance verification prior authorization and billing using agentic AI.
Backed by top-tier investors the team blends deep expertise across healthcare operations applied AI and workflow automation.
The Role
Our client is hiring their first Infrastructure Engineer to build and scale the foundational systems powering their AI automation platform. You will own critical infrastructure supporting production workloads across intake clinical documentation and revenue cycle managementensuring reliability security performance and compliance as the company scales from one client to dozens.
This is a systems-oriented role with broad scope. Youll work across container orchestration data systems deployment automation and observability. Over time youll help set the technical vision for the infrastructure layer and define operational best practices that allow engineering to ship faster and more reliably.
What Youll Do
- Design build and maintain scalable cloud infrastructure on AWS including ECS Postgres Redshift and supporting data pipelines for production workloads
- Own CI/CD pipelines and deployment automation to enable fast safe releases (testing rollbacks zero-downtime deployments)
- Implement and manage infrastructure-as-code using Terraform ensuring consistency and version control across environments
- Build robust observability (metrics/logs/traces/alerting) using tools like Datadog including cost and performance monitoring
- Scale and optimize Postgres/Redshift to handle growing data volumes while maintaining performance and data integrity
- Drive security and compliance at the infrastructure layer: IAM policies network controls audit logging and HIPAA-compliant data handling
- Partner closely with product and engineering teams to translate requirements into reliable infrastructure solutions
What Our Client Is Looking For
Required Qualifications
- 4 years of infrastructure platform or SRE-adjacent engineering experience building and scaling production systems
- Strong hands-on experience with AWS and Terraform (or comparable IaC)
- Experience with AWS primitives including ECS RDS/Postgres Redshift IAM VPC and related services
- Strong experience building and maintaining CI/CD pipelines automated testing and deployment automation
- Hands-on experience with observability tools (especially Datadog) including monitoring strategy and alerting discipline
- Strong collaboration and communication skillsable to work cross-functionally and operate with high ownership
Preferred Qualifications
- Familiarity with Redshift or modern warehousing patterns for analytics/reporting workloads
- Experience in healthcare or other regulated industries requiring strict security privacy and compliance
- Familiarity with data pipeline orchestration tools and ETL/ELT patterns
- Background in SRE practices: incident response post-mortems reliability engineering
Why This Role
- First infrastructure hire with real ownership and architectural influence
- High-impact mission: reduce administrative burden so providers can focus on patient care
- Work at the intersection of cloud infrastructure data systems AI-driven workflow automation
- Build compliant resilient infrastructure that scales with real healthcare operators
Required Experience:
IC
About Company
Nxt Level is a recruiting agency specializing in high-level technical recruiting in engineering, video games, and executive search.