Senior DevOps Engineer

Were . Were building Americas national imaging network: the infrastructure that connects patients providers and payers to faster better-value diagnostic imaging. Thousands of patients move through our platform every day and each is a real person waiting for an answer to a healthcare concern. We exist to get them that answer faster.

We manage the medical imaging pathway end-to-end. Providers order through a single point of entry and from there we run the entire medical diagnostic pathway. Managing the full pathway rather than brokering pieces of it is what lets us deliver imaging faster at higher quality and at a lower cost than the fragmented status quo.

Were looking for a Senior DevOps Engineer at an exciting time. Weve raised over $200m in funding to date reached profitability and are growing 100% year on year.

Millions of people wait too long for a diagnosis. Come help us fix that.

infrastructure is the layer on which everything else depends. Our marketplace integrations data warehouse and clinical workflows all run on a cloud environment that must be reliable observable secure and compliant with the frameworks governing healthcare technology. As we scale that layer needs to scale with us and the engineering practices around it need to mature at the same pace.

We are seeking a Senior DevOps Engineer to join our Infrastructure team as we expand the DevOps function. This is a hands-on senior role that combines deep technical execution with the kind of engineering judgment that shapes how a growing infrastructure team operates. You will report into our Infrastructure leadership and work closely with Engineering Security and Compliance across a HIPAA-regulated environment.

As a scale-up business you can expect your role to develop over time. Here are some of the types of things you could be getting involved in:

• Provide hands-on DevOps work across the network servers and cloud platforms operating as a senior technical contributor from day one

• Ensure DevOps and Engineering processes align with security best practices and help embed those practices deeper into how the broader engineering org works

• Implement monitoring logging and observability solutions using CloudWatch DataDog and other tooling to ensure system health and performance are visible and actionable

• Automate security scanning vulnerability assessments and compliance checks within CI/CD pipelines closing the gap between we run scans and we act on what they find

• Ensure all infrastructure is managed via IaC (Terraform) so that reproducibility and version control are properties of the system rather than aspirations

• Architect and implement deployment strategies including blue-green deployments canary releases and automated rollbacks with the goal of making production changes safe by default

• Advance software supply chain security across dependency risk artifact integrity and code signing and guide implementation patterns that other engineering teams can adopt

• Leverage AI-powered tools to analyze risks identify consolidation opportunities across our estate and generate assessment summaries that would otherwise require significant manual effort

1. Deep infrastructure command. In your first 90 days we would expect you to build a comprehensive understanding of our cloud environment: the services we run how they are configured where the risk concentrations are and where the highest-leverage improvements sit. You are the person the team looks to for confident answers about how our infrastructure actually works.

2. IaC coverage and reliability. By the end of your first year our Terraform footprint has meaningfully expanded drift has been reduced and the infrastructure that matters most is managed in code without exceptions. New environments and services are provisioned reproducibly rather than by hand.

3. A stronger security and compliance posture. You have materially contributed to how we implement HIPAA SOC 2 and ISO controls in our cloud environment. Compliance is not a periodic scramble but a set of automated checks and repeatable patterns that hold up under audit and under real-world pressure.

4. Deployment maturity. Blue-green deployments canary releases and automated rollbacks are in production for the services where they matter most. The teams default expectation for a production change is that it can be made safely and reverted quickly.

5. An AI-native infrastructure team. You have raised the bar for how the Infrastructure function uses AI both in your own work and in your coaching of the team. Configuration scripting troubleshooting and risk analysis are all being accelerated by AI in ways that are measurable safe and repeatable.

You dont need to tick all the boxes to apply for this role. Whether its your first role or your fifth we believe everyone can add value learn and grow. However these might be some of the ways you are currently adding value:

• Six or more years of experience in DevOps Infrastructure and Cloud Engineering with a track record of operating at a senior technical level in production environments

• Deep understanding of HIPAA SOC-2 and ISO compliance frameworks and their technical implementation. You have translated compliance requirements into infrastructure controls

• Expertise in AWS including EKS RDS Security Hub Identity Center and Control Tower. You are fluent in the AWS security and account management primitives not just the compute and storage ones

• Strong working knowledge of Postgres or other relational databases including operational responsibilities such as performance tuning backups and failover

• Strong expertise in CI/CD pipelines particularly GitHub Actions & ArgoCD and a clear point of view on how to structure pipelines that are fast safe and observable

• Solid grasp of security best practices in CI/CD pipelines and cloud infrastructure with the practical experience to know where the common failure modes are

• Hands-on experience with containerization (Docker Kubernetes) and Infrastructure as Code (Terraform) including building and managing declarative GitOps deployment patterns via ArgoCD to handle application lifecycle management at scale

• Genuine AI fluency in your daily infrastructure practice. You use AI tools daily to accelerate IaC scripting and troubleshooting. Rather than relying on AI as an occasional aid you understand how to structure configurations so AI agents can reliably consume them and you actively evaluate the security and quality of AI-generated code. Candidates who treat AI as a novelty rather than a core part of how they work will not be competitive for this role

• Advanced knowledge of Cloudflare and its role in edge security and performance architectures

• Excellent problem-solving skills and the ability to troubleshoot complex deployment issues under production pressure without losing composure or accuracy

At AI isnt a side project; its how we work. We expect everyone to use AI to think faster remove drudgery and multiply their output. What we care about is judgment: knowing when AI makes you sharper when it doesnt and how to use it responsibly around patient data. Well assess this in the way that matters for this role using the tier below. You dont need to be an engineer. You need to be someone who reaches for the best tool and gets more done as a result.

• Tier 1 For this role the expectation is that you are an AI-Native. You build with AI directly shipping automating or prototyping real work with LLMs and agents and have clear judgment on where humans must stay in the loop. (this is typically aligned to engineering data product ops automation RevOps)

  • You build with AI not just alongside it. Youve shipped automated or prototyped something real using LLMs agents or AI tooling.

  • You can explain a workflow you redesigned so that a machine does the boring 80%.

  • You have a view on where agentic systems help and where a human must stay in the loop especially in regulated PHI-adjacent work.

  • Assessment: a practical exercise where you use AI tools live or in a take-home.

Were building something that matters. Every scan we speed up is a real person waiting on an answer and that urgency runs through everything we do. We move fast we own outcomes and take pride in our output. If you like ambiguity working with ambitious people and want your work to visibly move the needle youll feel at home here. To be successful at you must embody our values.

Always Play Offense

If were not growing were dying. Everyone needs a bias for action. Speed and momentum combined with quality execution propel our business forward.

• You dont quit on hard problems. Fail fast dust off go again.

• You celebrate wins then seek the next opportunity.

• You see it you fix it. No task is beneath you at any level.

Build with the Best

The company we build is the team we build. If we dont have the right people in the right seats doing the right things we will fail.

• Talent recognizes talent. You actively bring quality hires into the business.

• You trust your colleagues to deliver.

• You open-source your knowledge. Youre never a single point of failure.

Care Deeply Challenge Directly

Care enough to have the hard conversations and dont dwell on them. Dont go up the chain to communicate. Go straight to the person.

• Strong opinions weakly held. You welcome challenge and feedback.

• You get to the point: direct challenge plus an alternative solution.

• You ask why. Before calling something bad understand why it exists.

Embrace Growth Be Curious

Push the limits of your understanding and potential and you will be supported to get better.

• You proactively seek feedback whatever your level.

• You invest in understanding our business: teams customers processes.

• You invest in your own growth and are willing to unlearn.

Were a high-performing team with low ego. We hire people who are brilliant and kind who give it straight back it up with evidence and change their mind when the facts change. Well give you real ownership early the tools to do your best work and colleagues who raise your return we ask for high standards genuine care for patients and each other and the drive to leave things better than you found them. If that sounds like you lets talk!

We keep our interview process short and sweet and were a nimble team that can progress at pace. Here are the stages you can expect but we might switch up the order of each step depending on team availability:

1. Introductory call/interview with our Senior Talent Partner. The call is via telephone and will last around 30 minutes.

2. Should it feel like there is an initial fit for all we will invite you to a video call with the hiring manager for around 45 minutes. This is a more structured interview that will deep-dive into the role and technical needs.

3. Scan Standard interview where our panel screens for values alignment and the success factors that matter at . You will also be assessed on your AI fluency at the stage and depth relevant to your role (see AI Requirements above).

4. Meet the founders and/or other team members. Again length varies depending on how many people and whether in person or via video call.

5. Offer!

We go beyond the basics with our benefits package. We believe great work starts with supporting our people. Heres what you can expect from us:

• Salary range of $165000 - $185000

• Flexible remote or hybrid work options

• Dedicated personal development budget

• Medical vision and dental coverage

• 28 days of paid time off across PTO and wellbeing days so you can show up at your best

• Paid parental leave

• 401k retirement plan

• All the equipment you need to do your best work

• Inclusive people-first policies designed by our team for our team

is committed to eliminating discrimination and encouraging diversity within our team. We strive to provide equality and fairness for all job applicants and employees and never discriminate on the basis of gender marital status age race ethnicity religion or physical differences.

We are opposed to all forms of unlawful treatment and discrimination.

Our ambition is for our team to be representative of societys diversity and for every employee to feel respected and able to bring their best selves to work.

If you need an accommodation to apply or interview contact us at .

We look forward to receiving your application!

Required Experience:

Senior IC