Lead DevOps Engineer

Remote, San Francisco, CA, United States • $110k - $180k • 0.2% - 0.5%


Role Locations

  • Remote
  • San Francisco, CA, United States


  • $110k - $180k
  • 0.2% - 0.5%


11 - 25 people


301 Howard St Ste 950
San Francisco, CA, 94105-6668, US

Tech Stack

  • Node.js
  • React
  • PostgreSQL
  • MongoDB
  • Elastic Search
  • Redis
  • AWS
  • AWS Lambda

Role Description


At AgileMD, we are building the most advanced real-time predictive analytics and clinical algorithms platform for hospitals. Our cloud-based engine helps thousands of doctors and nurses around the country make medical decisions, so that every patient receives the highest quality and value of care based on the latest medical knowledge and data. We make a meaningful, measurable impact on patient outcomes every day.

We are hiring a DevOps Lead fluent in AWS and cloud technologies to join our Engineering team - the team responsible for ensuring that AgileMD has high availability, low latency, and tight security. We routinely square off to the biggest challenges in healthcare and engineering while building a reliable, scalable platform for medical recommendations based on high-volume patient data in real-time.

In this role you will be responsible for the infrastructure behind AgileMD. You will build automated processes to deploy code faster, safer, and more securely. You will build and expand a highly resilient and scalable architecture spanning multiple regions and many AWS services. You will be fluent in the requirements for keeping health data safe and proactive in guarding against malevolent actors. The person who fills this role will fundamentally influence the future infrastructure of the company. You must be excited and prepared for this responsibility. We are looking for big-thinkers who get things done, know security standards from back to front, and revel in seemingly insurmountable challenges.

Tech Stack

  • AWS (EKS, VPC, S3, Kinesis, SQS, ElasticSearch Service, ELB/NLB etc) managed by Terraform
  • EC2 Linux (primarily CentOS and Ubuntu)
  • RDS Aurora PostgreSQL
  • Kubernetes + Docker + Helm
  • Github Actions
  • Prometheus + Grafana + AlertManager + PagerDuty


You will: - Build and expand infrastructure in a code-driven, automated fashion (Terraform, AWS) - Improve and build out CI/CD pipelines (GitHub Actions) - Debug production issues across multiple services and levels of the stack. - Use container orchestration and monitoring tools to automatically scale out services that are secure and observable (Docker, Kubernetes, Grafana, Prometheus) - Debug hard to trace networking issues using a deep knowledge of Unix tooling. - Work with our engineering and data teams in provisioning and managing the AWS infrastructure and Kubernetes deployments they need. - Manage ambiguity and seek out the information you need to make informed decisions - Proactively work to secure every bit of our infrastructure in a way we can observe and prove. - Work with firewalls, VPNs, routing, load balancing, DNS to ensure traffic gets where it should go, securely. - A thorough understanding of HIPAA with AWS is a plus, the ability to gain this understanding is a must

Who you are - You are an experienced DevOps engineer who cares deeply about code quality, understandability, maintainability, and scalability. - You have at least 2 years of work experience in a Linux-based DevOps role - You are excited about providing services that deeply affect and influence healthcare - You are a self-starter. You actively seek out problems to solve. - You have AWS cloud management experience - You are security minded, and know the security implications of every decision you make - You are extremely proficient with the Unix command line, shell scripting, and configuring systems monitoring tools - You have a deep knowledge of all things networking: TCP / IP, ICMP, SSH, DNS, HTTP, SSL / TLS - You have a strong desire and ability to learn quickly - You could give a presentation on the importance of database reliability and how to achieve it, as well as strengths and weaknesses of different databases - You have fought fires at scale, wrestled with lost instances on AWS, and can troubleshoot processes and servers gone awry with your eyes closed - You know at least one language well, and enjoy writing code - You have a deep knowledge of the container ecosystem


  • Work with a team that you can rely on, that constantly challenges you and that gives the tools to succeed and the responsibility to prove that you can.
  • $110,000 - $180,000, 0.2% - 0.5% equity (depending on experience and existing skills)
  • Health, dental, and vision insurance for you and your family
  • Paid time off (6 holidays plus as much vacation as you need; most people take three or four weeks per year)
  • Maternity/paternity leave (10 weeks at 100% salary, 10 weeks at 50% salary)
  • $500 per quarter for self-directed personal development (books, conference tickets, etc.)

About AgileMD

The AgileMD cloud-based software platform integrates with hospitals, receives real-time data feeds about every patient and makes predictions and clinical recommendations that helps thousands of doctors and nurses around the country make medical decisions. Our platform helps every patient receive the highest quality and value of care based on the latest medical knowledge and data.

Company Culture

We care deeply about solving hard problems that directly impact people's lives and we use technology and user experience as our tools. We focus on the needs of our customers (hospitals) and their challenges in caring for their patients. Our software affects the way doctors think about caring for their patients, and after all, we are all patients.

Within our engineering team specifically, we care about code quality, maintainability, and the end product. We take a thoughtful approach to decision-making, knowing when to move fast and when to do things right. We look for teammates that work at all levels of the stack, and take ownership and responsibility for building, shipping and maintaining core features, end to end.

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