Expert Site Reliability Engineer

MediSolution; Town of Florida (NY); On-site; USD 90,000 - 135,000; Full time

Job summary

Altera Digital Health seeks an Expert Site Reliability Engineer to lead technical delivery for hosted clients. You will mentor SREs, design robust architectures, and ensure secure, high-performance operations across complex healthcare IT projects.

You will collaborate with hosting, development, and TAMs to translate requirements into scalable solutions, document designs, and mitigate risks, while maintaining strong client satisfaction and service quality.

Qualifications

• 7+ years of overall work experience in a related field.
• 2-3 years of expert-level systems engineering in an assigned product.
• Bachelor's Degree preferred.

Responsibilities

• Provide continuous technical guidance to Hosted clients and teams.
• Collaborate with internal teams to implement and integrate solutions.
• Translate business requirements into robust architectural designs.
• Create and maintain comprehensive architecture documents and diagrams.
• Identify risks and develop mitigation strategies.
• Mentor other SREs and contribute to internal process improvements.
• Maintain high levels of client satisfaction and quality.

Skills

Systems engineering

Technical architecture

Designing system integrations

Security & performance

Mentorship & leadership

Technical documentation

Client-facing guidance

Education

Bachelor's degree

Job description

Job Title: Expert Site Reliability Engineer Location: Remote U.S. Role Employment Type: Full-time

About Altera

Altera, a member of the N. Harris Computer Corporation family, delivers health IT solutions that support caregivers around the world. These include the Sunrise™, Paragon Daneli, TouchWorks EHR, Altera Opal, Ventus, HealthQuest™ and dbMotion™ solutions. At the intersection of technology and the human experience, Altera Digital Health is driving a new era of healthcare, in which innovation and expertise can elevate care delivery and inspire healthier communities across the globe. A new age in healthcare technology has just begun.

Position Summary

As an Expert Site Reliability Engineer at Altera, you will be a pivotal technical leader, providing strategic guidance and deep technical expertise to Hosted clients. This role is crucial for ensuring the successful implementation and ongoing operations of complex projects, serving as the primary technical liaison between hosting, development, and client teams. An ideal candidate will possess extensive experience in systems engineering, a strong architectural mindset, and a passion for mentoring, driving quality, and delivering exceptional client satisfaction within a dynamic healthcare IT environment.

Key Responsibilities

• Provide continuous technical guidance and support to clients, ensuring their ongoing success.
• Collaborate closely with internal technical teams to facilitate the successful implementation and integration of proposed solutions.
• Partner with business stakeholders and Technical Account Managers (TAMs) to translate business requirements into robust, industry-standard, and Altera-aligned solutions.
• Develop and document comprehensive technical architectures for clients, encompassing infrastructure, data flow, integration points, domain trust, security, and performance.
• Design and document the integration of diverse systems, components, and third-party services to create detailed application environments.
• Create clear architectural diagrams and documentation to effectively communicate designs to the account team.
• Identify potential technical risks and proactively develop and implement mitigation strategies.
• Address challenges related to project deliverables and client environments, ensuring smooth execution.
• Conduct weekly reviews of control systems for assigned clients and take appropriate actions to mitigate issues.
• Contribute to the development and refinement of internal processes and best practices within the SRE team.
• Maintain high levels of quality and client satisfaction for assigned accounts.
• Collaborate with the Project Management Organization (PMO) for resource allocation and provide technical input during project status meetings, resolving technical roadblocks.
• Oversee architecture and technical delivery to enhance the hosting experience for clients.
• Work in coordination with, or under the mentorship of, a Site Reliability Architect or Principal Site Reliability Engineer, while also providing mentorship, education, and leadership to other SREs.
• Maintain comprehensive technical documentation for clients, including architecture design documents, configuration guides, and release notes.

Role Requirements

• Total Years of Experience: 7+ years of overall work experience.
• Relevant Experience: 2-3 years of expert-level experience providing systems engineering in an assigned product.
• Education: Bachelor's Degree (Preferred).
• Preferred Experience: 7+ years of experience with healthcare products in a Support, Development, or Consultancy environment.
• Mandatory Skills Deep expertise in systems engineering and technical architecture.
• Proficiency in designing and documenting complex system integrations, data flows, and infrastructure components.
• Strong understanding of security considerations and performance requirements in hosted environments.
• Proven ability to identify and mitigate technical risks.
• Experience with control systems and proactive issue resolution.
• Excellent technical documentation skills (architecture design documents, configuration guides).
• Strong problem-solving and analytical capabilities.
• Ability to provide technical guidance and support to clients and internal teams.
• Leadership & Soft Skills (Mastered/Advanced Proficiency): Exceptional Client Service (internal and external)
• Strong Quality Focus Results-Oriented mindset
• High level of Accountability
• Excellent Communication (verbal and written)
• Effective Collaboration across teams and organizational boundaries
• Mentorship and leadership capabilities for other SREs.
• Working Arrangements: May require after-hours, on-call support, and/or holidays.
• On-call and after-hours work during peak times (end of month/quarter/year) may limit PTO.
• Travel: Up to 25% travel may be required.
• Salary range: $90,000–$135,000.
• The salary range reflects the anticipated base salary for this position at the time of posting.
• Final compensation may vary based on factors including experience, skills, education

A global healthcare IT innovator, Altera Digital Health develops and elevates technology to connect and inspire healthier communities. Our platform approach to our solutions is changing the way healthcare is delivered. By keeping the human user at the center of our design methodology, we are supporting caregivers and helping patients meet and exceed their wellness goals. Together, with our clients, we’re driving a new era of healthcare.

Altera is an Equal Opportunity/Affirmative Action Employer. We consider applicants without regard to race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other group protected by local law.

If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at: [e-mail] To learn more, visit www.alterahealth.com.

As part of our recruitment process, we use artificial intelligence (AI) tools during the initial screening phase to help identify candidates whose qualifications most closely align with the requirements of the role. This technology supports efficiency and consistency in the early stages, but it never replaces human judgement. All subsequent evaluations and final hiring decisions are made by our recruitment professionals. AI does not make final hiring decisions.