Senior or Staff Software Engineer, Infrastructure

AcuityMD; Boston (MA); Remote; USD 178,000 - 280,000; Full time

Benefits offered by this job

Remote work

Home office stipend

Health, dental, vision plans

Generous PTO

Parental leave

Job summary

AcuityMD is hiring an Infrastructure Engineer focused on building and operating platform primitives—compute, networking, storage, CI/CD, and developer tooling. You will drive reliability, security, and efficiency while enabling a great developer experience.

You’ll collaborate with cross-functional teams across Engineering, Data, Product, and Security to deliver scalable, secure infrastructure for our AI-powered MedTech platform. Remote-first within the US, with periodic on-sites as needed.

Qualifications

• 5+ years in software eng with infra focus.
• Degree or equivalent practical experience.
• Team-focused with strong communication.
• Hands-on cloud infra, Kubernetes experience.
• Strong observability, metrics, logs, traces, alerts.

Responsibilities

• Steward core platform services at scale.
• Collaborate with Product, Engineering, Data, Security.
• Harden reliability through observability and automation.
• Automate via IaC and configuration management.
• Optimize cost, scaling, and performance.
• Improve developer experience with internal tooling.
• Participate in on-call rotations and incident response.
• Evolve CI/CD pipelines and environments.

Skills

Kubernetes

Cloud infrastructure

Observability

Infrastructure-as-code

CI/CD tooling

Go, Python, or TypeScript

Security fundamentals

Education

Bachelor's in CS/Engineering or equivalent

Tools

Terraform

Kubernetes

Google Cloud Platform

Job description

Senior or Staff Software Engineer, Infrastructure

AcuityMD is the AI platform for MedTech trusted by over 500 MedTech companies – including 16 of the top 20. Commercial leaders use AcuityMD to identify target markets, surface top opportunities, and grow their business. By combining real-world healthcare data with AI-powered insights, AcuityMD enables companies from pre-commercial to enterprise to understand where and how to sell faster to accelerate the adoption of medical technology. AcuityMD ranked No. 316 on the 2026 Inc. 5000 list of the fastest-growing private companies in America and was named to Forbes’ 2025 “Next Billion-Dollar Startups” list – an elite group of 25 venture-backed U.S. companies identified as most likely to reach a $1 billion valuation. AcuityMD is backed by Stepstone Group, Benchmark, Redpoint Ventures, ICONIQ, and Atreides Management.

We are a team of agentic builders who rely heavily on AI development practices to accelerate our ability to deliver value to our customers. We believe in extreme ownership and agency, where every engineer takes responsibility for working throughout the organization to land impact with customers. We're a close-knit team that enables high levels of autonomy by constantly communicating our intentions, sharing problems and learnings, and helping each other learn and grow.

As an Infrastructure Engineer, you’ll be directly interacting with other teams across Engineering and production. Through collaboration, you’ll help design, build, and operate the platform primitives—compute, networking, storage, CI/CD, and developer tooling—that power our applications end-to-end. You’ll drive reliability, security, and efficiency while enabling a great developer experience. You’ll also contribute to our strategic goals as we evolve our infrastructure and our practices to maximize our internal and customer impact.

Team Mission

Our Platform Team is the backbone that keeps product teams shipping quickly and safely. We deliver direct customer value through our cloud capabilities and security. We impact internal success through partnerships with application teams and enabling a great development experience.

Responsibilities

• Steward core platform services: Implement container orchestration, service mesh, ingress, and secrets management at scale.
• Cross-functional partnership: Collaborate with Product, Engineering, Data, and Security to deliver external and internal value.
• Harden reliability: Improve observability (logging, metrics, tracing), and automated remediation to increase availability and latency.
• Automate everything: Use infrastructure-as-code and configuration management to make systems and processes repeatable, auditable, and secure.
• Scale cost-effectively: Optimize cluster utilization, autoscaling, and storage/networking to balance performance, reliability, and spend.
• Level-up developer experience: Build internal tooling, templates, and golden paths that reduce cognitive load and time-to-first-deploy for product teams.
• On-call & incident response: Participate in a sustainable on-call rotation, drive post-mortems, eliminate toil, and reduce MTTR via automation.
• Enable fast, safe delivery: Evolve CI/CD pipelines (build/test/release), and environment strategies (dev/stage/prod).
• AI: You instinctively build using agentic tools (Claude Code, Codex, etc) and are invested in pushing the boundaries of what is possible with agentic development

Your Profile

• 5+ years of experience in software engineering with a focus on infrastructure, DevOps, and/or platform engineering
• Bachelor’s degree in Computer Science, Engineering, or a related field, or equivalent practical experience. We believe great talent comes from many paths. We consider a combination of education, training and relevant professional experience when evaluating candidates.
• Team focused mindset, with solid collaboration and communication skills, with a focus on enabling others.
• Pragmatic problem-solver who communicates clearly, documents well, and thrives in fast-moving, high-ownership environments.
• Experience working with cloud infrastructure, specifically Kubernetes.
• Understanding of observability: metrics, logs, traces, and building actionable alerts/SLOs.
• Familiarity with infrastructure-as-code tools.
• Some programming experience in at least one modern programming language.
• Awareness of security fundamentals: IAM, workload identity, network policies, encryption, and secrets management.

Nice to Haves

• Open source contributions
• Experience with
  • Company transitioning from startup to high-growth
  • Google Cloud Platform
  • Terraform
  • Python, Go, and/or JavaScript (TypeScript)
  • Building and managing CI/CD systems and developer tooling

You must have an eligible work permit in the USA to be considered for this position.

AcuityMD is committed to providing highly competitive cash compensation, equity, and benefits. The compensation offered for this role will be based on multiple factors such as location, the role’s scope and complexity, and the candidate’s experience and expertise, market data and may vary from the range provided. Base Salary Range: Senior Engineer $178,000 to $250,000, Staff Engineer $230,000 to $280,000

We Offer:

• Ground floor opportunity: Join a high-growth startup, backed by world-class investors across Enterprise SaaS and Medical Devices (Benchmark, Redpoint Ventures, and Ajax Health).
• Learning Budget: Reimbursements for relevant learning and up-skilling opportunities.
• Remote work: AcuityMD is committed to supporting full-remote flexibility for employees in the US. We provide a work-from-home stipend for all employees.
• Flexible PTO: Generous time off and flexible hours give you the freedom to do your best work.
• Paid Health, Dental, and Vision Plans: We offer 100% paid health, dental, and vision plans for all employees and 75% paid for our employees' dependents.
• Home Office Stipend: $1,000 to invest in remote office equipment and WiFi reimbursement.
• Optional Team Retreats: We meet in-person multiple times per year for co-working and social gatherings.
• Parental Leave: 8-16 weeks of fully-paid, flexible parental leave.

Who We Are:

The Company: We are builders, who are inspired by our mission to expand patient access to cutting-edge medical technologies. We value working collaboratively to solve hard problems for our customers with simple, innovative solutions. We push ourselves to learn with empathy. We foster an active culture of mentorship and inclusion, and we welcome new team members that share our values.

We're backed by Benchmark, Redpoint Ventures, Ajax Health, ICONIQ Growth and several other leading software and medical device investors. Since Acuity launched in 2020, we've brought on customers ranging from publicly traded Fortune 500 companies to innovative growth-stage companies and regional medical device distributors.

The Product: AcuityMD uses data and software to help teams collaborate around the complex relationships they have with the users of medical technologies: doctors. Our platform empowers medical technology companies to see how their products are used, understand why outcomes vary, and identify opportunities where physicians or sites of care can better serve their patients.

How We Work:

AcuityMD is a remote-first company. We believe the best talent isn't confined to one zip code, so our team works from wherever they do their best work, across the U.S.

We also believe some of our best work happens face-to-face. Critical projects move faster, our products get better, and our community gets stronger when we're in the same room, so we bring the team together throughout the year for company-wide and team on-sites built around that work.

In practice: expect 4-5 in-person opportunities a year through company/team on-sites and in-person collaboration for critical projects. If you're based near our Boston hub, there's no set requirement for how often you come into the office, that's your call, based on what works best for you and your team.

AcuityMD is an Equal Opportunity Employer

AcuityMD is seeking to create a diverse work environment because all teams are stronger with different perspectives and life experiences. We strongly encourage people of all backgrounds to apply. We do not discriminate on the basis of race, gender, religion, color, national origin, sexual orientation, age, marital status, veteran status, or disability status. All employees and contractors of AcuityMD are responsible for maintaining a work culture free from discrimination and harassment by treating others with kindness and respect.