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Senior Infrastructure Engineer
New York City, NY
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Senior Infrastructure Engineer


Full-time | Remote (US)


About the Role


We’re looking for a Senior Infrastructure Engineer to help define and scale the backbone of an AI-driven healthcare platform that serves hundreds of thousands of patients.


This is a high-impact role with broad ownership over infrastructure design, scalability, reliability, and developer experience.


You’ll play a key part in ensuring systems remain fast, secure, and highly available as the company grows.


Ideal candidates thrive in fast-moving, high-ownership environments and have a strong track record of building reliable systems that scale under real-world demand.


What You’ll Do


  • Scale and Optimize Infrastructure: Design, deploy, and maintain systems that support large-scale healthcare operations with 99.99% uptime.


  • Lead Core Infrastructure Investments: Balance immediate delivery with long-term architecture, ensuring scalability and maintainability.


  • Build Data Systems: Drive development of robust data infrastructure — from ingestion pipelines and transformation layers to warehouse systems and client integrations.


  • Enhance Developer Velocity: Improve CI/CD pipelines, observability, and tooling to help engineering teams move faster with confidence.


  • Champion Reliability and Security: Implement monitoring, on-call best practices, and infrastructure security aligned with HIPAA and SOC 2 standards.


Example Projects


  • Optimize Kubernetes clusters and services for rapidly scaling workloads.


  • Lead the migration of SQS-based workflows to Temporal.


  • Reimagine release operations to streamline QA-tested code deployments.


  • Design and implement multi-tenant isolation and row-level encryption for sensitive client data.


Who You Are


  • 5+ years of experience building and managing large-scale infrastructure systems.


  • Deep knowledge of AWS, Kubernetes, and Terraform.


  • Strong background in distributed systems, observability, and infrastructure automation.


  • Familiarity with Postgres, Redis, and Node.js environments.


  • Passionate about operational excellence, developer productivity, and secure system design.


  • Comfortable owning projects end-to-end in fast-paced, early-stage environments.


Tech Stack


AWS, Kubernetes, Terraform, Postgres, Node.js, Redis, SQL


Work Environment


  • Location: Fully remote across the U.S.


  • Optional In-Person: Offices available in New York.


  • Culture: Fast-paced, ambitious, and mission-driven — combining world-class engineering with a focus on impact and patient outcomes.


Compensation & Benefits


  • Salary: $160K–$225K


  • Equity: Competitive


  • Visa Sponsorship: H-1B transfers accepted; other cases considered individually


  • Benefits: Comprehensive medical, dental, and vision coverage, plus additional perks for remote and hybrid employees


Ready to take the next step?


Apply now or email Jenn at Recruiter@CareDynamicsFL.com to learn more.



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