Sr. DevOps Engineer

Job DescriptionJob DescriptionAbout UsAt Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.Senior DevOps EngineerAlteva RCM | Technology | Full-Time | Queens, NYAbout Alteva RCM Alteva RCM is a healthcare revenue cycle management company that partners with medical practices and surgical centers nationwide. We help providers operate more efficiently, strengthen revenue cycle operations, and navigate the complexity of today's healthcare environment.We serve a wide range of specialties and operate at scale, with technology playing a central role in how we support clients and internal operations.About the Role This is Alteva's first dedicated DevOps hire. Today, infrastructure is run by a managed service provider, and DevOps work is handled piecemeal across IT, vendors and developers. The engineering team is growing quickly, and we need one person who owns how code gets from a developer's machine to production, safely and repeatably.You will own our environments, deployment pipelines and infrastructure standards, and serve as the technical authority directing our managed service provider on production. You will set and hold the balance between developer productivity and security in a HIPAA-regulated environment as the team scales.This is a hands-on role. You will build things yourself, not only write policy.What You'll OwnEnvironments & Infrastructure Own development, test and staging environments end to end: provisioning, configuration, access and costDefine the target architecture and standards for production, and direct the managed service provider's work against themManage infrastructure as code across Azure, plus a smaller AWS footprintIsolate environments so production data stays in production, and provide realistic masked or synthetic data for development and testingCI/CD & Release Build and maintain CI/CD pipelines for .NET applications and supporting servicesOwn release mechanics: deployment automation, rollback readiness and environment promotionBecome the single intake point for infrastructure and environment requests from the development teamsSecurity & Compliance Implement least-privilege access, secrets management and audit logging that meet HIPAA requirementsWork with IT and security on endpoint and network controls so developers can work effectively without weakening protectionKeep infrastructure and access documentation current enough to pass an auditReliability & Support Set up monitoring, alerting and logging so issues are caught early and routed to the right peopleWrite the runbooks, escalation paths and setup documentation the managed service provider uses to support systems after hours, on weekends and on holidaysLead incident response and post-incident review for platform issuesWhat We're Looking ForRequired 5+ years in DevOps, platform engineering or SRE, including ownership of production environmentsDeep hands-on Azure experience: networking, identity (Entra ID), compute and app hosting, Key Vault, Azure MonitorInfrastructure as code with Terraform or BicepCI/CD with Azure DevOps or GitHub Actions, ideally for .NET workloadsContainers: Docker required, Kubernetes or AKS a strong plusScripting in PowerShell plus Bash or PythonExperience securing environments that handle sensitive or regulated dataExperience directing or working closely with an external infrastructure providerClear written documentation habits; your runbooks will be used by people you are not in the room withPreferred HIPAA, SOC 2 or HITRUST experienceAWS experienceSalesforce deployment pipelines or other enterprise SaaS release managementTest data masking or synthetic data generationSupporting AI or LLM-based workloads, and using AI-assisted tooling in your own workBackground in healthcare, RCM, fintech or another high-volume operational environmentWhat This Isn't This is not a 24/7 on-call role. Part of the job is building the documentation and monitoring that let our managed service provider handle off-hours support, so the company does not depend on one person being reachable at all hours.It is also not a ticket-taking role. You will be expected to set direction, say no when something is unsafe, and shape how the team ships as it grows.Your First 90 Days Learn the current environments, pipelines and pain points directly from the developers and the managed service providerAudit what moves between production and non-production, and close the gapsPublish a target picture and the first set of standards before the next wave of hiring landsWhy Join Be the first DevOps hire, with the mandate to build the function properly from the startDirect impact as the engineering team scales several times overWork on live healthcare systems where reliability and security matter to real outcomesAlteva RCM | Technology Pay Range $160,000—$200,000 USD BenefitsAlteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.