Job Details

Role Title: Senior Infrastructure Engineer

Location: Remote (US)

Company Stage: Series A Venture-Backed Startup

Office Type: Fully Remote (Option to work from NYC or Boston offices)

Salary: $160,000 – $225,000 USD + Competitive Equity

Company Description

Our client is a fast-growing, physician-founded healthtech startup on a mission to reinvent how healthcare is delivered in the United States. With over $35 million in Series A funding from top-tier investors including leading venture firms in AI and digital health, they're building an AI-first medical practice that integrates human expertise with intelligent automation.

Their platform enables clinicians to deliver near-instant, personalized, and high-quality care at scale — combining human judgment and cutting-edge AI systems to make healthcare more accessible and efficient for millions.

This is an opportunity to join an ambitious, mission-driven team of clinical and technical leaders from institutions like Harvard Medical School, MIT Media Lab, and top-tier technology companies.

What You Will Do

As a Senior Infrastructure Engineer, you will play a pivotal role in scaling and optimizing the company's infrastructure to meet the demands of rapid growth and enterprise-grade reliability. You'll work on complex and high-impact problems that sit at the intersection of healthcare, AI, and distributed systems.

• Scale infrastructure and deployments to handle hundreds of thousands of patients with high reliability and low latency.
• Lead strategic infrastructure investments balancing scalability, maintainability, and speed of delivery.
• Design and implement core data systems — including data transformation, warehousing, and integration with external health information networks.
• Improve developer velocity by building tools, CI/CD pipelines, and observability frameworks.
• Drive reliability, monitoring, and on-call excellence while maintaining healthcare-grade security standards (HIPAA, SOC2).

Example projects might include:

• Optimizing Kubernetes clusters for large-scale workloads.
• Migrating queue-based systems (e.g., SQS) to Temporal.
• Reimagining release and QA workflows to accelerate production deployments.
• Designing multi-tenant isolation and row-level encryption strategies for enterprise clients.

Ideal Candidate Background

• 5+ years of experience in infrastructure or platform engineering within high-growth environments (startups or scale-ups preferred).
• Proven track record of scaling production systems and owning mission-critical infrastructure.
• Deep technical expertise with Kubernetes, Terraform, and AWS (GCP also acceptable).
• Hands-on experience with Postgres, Redis, Node.js, and SQL is a strong plus.
• Strong computer science fundamentals — ideally with a degree in Computer Science or related field from a top university.
• Highly collaborative, low-ego, and mission-driven.
• Excellent communication skills; able to articulate technical tradeoffs and architectural decisions clearly.

Preferred

• Prior experience in healthcare technology, especially with HIPAA-compliant systems.
• Open-source contributions or strong technical community engagement.
• Experience as a primary infrastructure owner in a fast-scaling environment.

Compensation, Benefits, and Other Details

• Base Salary: $160,000 – $225,000 USD
• Equity: Competitive stock option package
• Work Setup: 100% remote within the U.S., with optional offices in New York City or Boston
• Visa: H-1B transfers possible; other visas considered case-by-case for exceptional candidates
• Benefits:
  • Comprehensive health, dental, and vision coverage
  • Flexible PTO
  • Fast-paced, mission-driven culture with high ownership and impact

Why This Opportunity Is Exciting

• Shape the future of AI + human healthcare at an early stage of growth.
• Join a top-tier team backed by world-class investors.
• Work on real-world infrastructure challenges with direct impact on millions of patients.
• Be part of one of the fastest-growing companies in digital health, scaling 5x in revenue over the past year.