Lead Site Reliability Engineer

Lead Site Reliability Engineer

We're changing the way hospitals operate by combining proprietary hardware, AI-powered intelligence, and deep integrations with the systems hospitals already rely on. We're creating a real-time understanding of hospital operations that software alone can't deliver. This intelligence powers the execution layer hospitals have been missing – helping care teams make smarter decisions and deliver better patient care.

If you're excited to solve hard problems, work with a team of builders, and help hospitals deliver better care every day, we'd love to meet you!

What You'll Do

• Ensure 99.99% uptime across our cloud platform, meeting strict SLAs for healthcare customers.

• Design and implement self-healing, fault-tolerant systems to prevent failures before they happen.

• Define SLIs, SLOs, and SLAs, ensuring proactive performance monitoring and incident resolution.

• Architect and manage scalable cloud infrastructure (AWS) for massive real-time data processing.

• Optimize containerized environments (Kubernetes, Docker) to support multi-region deployments.

• Lead the adoption of infrastructure as code (Terraform) to fully automate infrastructure management.

• Build and refine a world-class monitoring, alerting, and logging system using Prometheus, Grafana, OpenTelemetry, and Datadog.

• Lead incident response and on-call operations, reducing mean time to detection (MTTD) and mean time to resolution (MTTR).

• Conduct blameless postmortems and continuously improve system resilience.

• Reduce manual intervention through automated deployment, scaling, and failover mechanisms.

• Partner with Security & Compliance teams to ensure infrastructure meets HIPAA and SOC 2 standards.

• Lead disaster recovery and business continuity planning to ensure critical healthcare services are always available.

• Drive technical strategy and roadmap for scalability, monitoring, and reliability engineering.

• Collaborate with Product, Engineering, and Infrastructure teams to align SRE initiatives with business priorities.

What You Have

• 10+ years of experience in Site Reliability Engineering or Cloud Infrastructure.

• Proven success scaling high-traffic, mission-critical platforms in SaaS, IoT, or healthcare.

• Deep expertise in cloud platforms (AWS), Kubernetes, and distributed systems.

• Strong background in monitoring, logging, and observability with Prometheus, OpenTelemetry, or similar tools.

• Hands-on experience with incident management, postmortems, and building resilient systems.

• Deep knowledge of CI/CD automation, GitOps, and infrastructure as code (Terraform, etc.).

• A mature leadership approach, with the ability to drive technical strategy while growing and mentoring a high-performance SRE team.

• Strong understanding of network security, access management, and compliance frameworks (HIPAA, SOC 2).

Bonus Points If You Have:

• Experience with healthcare IT, including EHR data, FHIR, and HL7 interoperability.

• Expertise in real-time distributed systems, event-driven architectures, or large-scale data pipelines.

• Prior experience leading on-call rotations and major incident management processes.

Logistics, Perks & Benefits

• Built for collaboration - our team a hybrid schedule of 3 days/week minimum from our New York City office

• Equity in a high-growth company scaling toward $400M+ ARR and backed by leading investors

• Full health, dental, and vision coverage, a 401k, paid time off, paid parental leave and all the tools you need to do your best work

• Autonomy to solve meaningful problems with work that ships quickly and makes a difference