Site Reliability Engineer

Synapse Health; United States; Remote; USD 134,000 - 184,000; Full time

Benefits offered by this job

401(k) matching

Medical, dental, vision

Flexible PTO

Career growth opportunities

Job summary

Synapse Health is seeking a Senior Site Reliability Engineer to drive platform evolution from legacy Azure toward a Kubernetes-based, microservices-driven architecture. You will lead reliability, scalability, and automation efforts across cloud-native infrastructure.

You will collaborate with engineering and data teams to implement observability, incident response, and cost-management practices, shaping the platform for fast growth in healthcare tech.

Qualifications

• 5+ years in Site Reliability Engineering/DevOps/Infrastructure Engineering
• Cloud environments experience (Azure preferred, AWS or GCP acceptable)
• Strong Kubernetes production experience
• Experience deploying/managing apps on Kubernetes using Helm
• Proficiency with Infrastructure-as-Code tools such as Terraform
• Strong scripting skills (Python, Bash) for automation
• Observability/monitoring and incident response in production
• Experience building or supporting CI/CD pipelines (GitHub Actions and/or GitLab CI/CD)

Responsibilities

• Platform & Infrastructure Evolution: migrate from legacy Azure to containerized, microservices-based systems
• Design, build, and scale Kubernetes-based infrastructure and tooling
• Collaborate with engineering to ensure reliability and scalability from day one
• Drive standardization across infrastructure to reduce silos and enable ownership
• Cost optimization: monitor cloud usage, identify inefficiencies, implement cost strategies
• Networking: design and manage secure networking, endpoints, VPNs, and inter-environment connectivity
• Design resilient, cloud-native systems with high availability and observability
• Lead incident response and root cause analysis for long-term improvements
• Build and optimize CI/CD pipelines and IaC automation
• Document systems and share knowledge to improve reliability

Job description

Who We Are:

At Synapse Health,we’restreamlining the durable medical equipment (DME) process.We manage intake, documentation, routing, claims, billing, and patient support. Our model reshapes how DME is delivered andexperienced.

Since2016,with decades of industry and leadership experience,we’vedelivered tech-based solutions that help our partners to modernize operations, improve coordination, and reduce administrative burdens. By taking on operational and financial complexity,we’reredefining how DME works for providers, prescribers, and patients.We are proud to offer work that matters, on a mission thatmatters****.

Learnmore at_SynapseHealth.comand onSynapse Health’s LinkedIn._

What We Need:

We’reat a pivotal moment in both ourcompanygrowth and platform evolution. As we scale, we are actively transforming our infrastructure to support a more modern, containerized, and highly scalable architecture.

We’reseeking a Sr. Site Reliability Engineer (SRE) to help lead that transformation. This role will play a critical part in evolving our platform from legacy Azure-based services toward a Kubernetes-driven, microservices-oriented environment.

As a senior member of the team, you will take ownership of complex, ambiguous infrastructure challenges and drive them through to practical, scalable solutions.You’llpartner closely with engineering and data teams to ensure reliability, performance, and scalability are built into our systems from the ground up.

This is an ideal opportunity for an engineer who thrives in fast-paced environments, enjoys solving real infrastructure problems, and wants to have a direct impact on the technical direction of a growing healthcare platform.

What You Will Do:

Platform & Infrastructure Evolution

• Contribute to the migration from legacy Azure services and function-based architectures to containerized, microservices-based systems
• Help design, build, and scale Kubernetes-based infrastructure and supporting tooling
• Partner with engineering teams to ensure new systems are designed for reliability, scalability, and operational efficiency from day one
• Drive standardization across infrastructure to reduce silos and enable broader team ownership
• Cost Optimization:Monitorcloud usage and spending,identify inefficiencies, and recommend and implement cost optimization strategies
• Networking & Connectivity: Design, deploy, and manage secure networking, including public and private endpoints, environment segmentation, site-to-site and point-to-site VPNs, and inter-environment connectivity.

Reliability & Observability

• Design andmaintainhighly available, resilient systems in a cloud-native environment
• Implement and evolve observability practices including monitoring, alerting, and logging (e.g., Datadog, Prometheus, Grafana)
• Define and manage SLIs, SLOs, and SLAs aligned to system performance and user experience
• Lead incident response efforts and drive root cause analysis and long-term improvements

Automation & Developer Enablement

• Build andoptimizeCI/CD pipelines to support fast, safe, and repeatable deployments
• Champion Infrastructure-as-Code practices using tools such as Terraform toeliminatemanual processes
• Leverage scripting (Python, Bash, or similar) to solve problems, automate workflows, and reduce operational toil

Performance, Scalability & Strategy

• Drive capacity planning, performance tuning, and infrastructure improvements to support rapid growth
• Proactivelyidentifysystem risks and scalability bottlenecks before theyimpactcustomers
• Contribute to infrastructure strategy and help shape how the platform evolves as the business scales

Knowledge Sharing & Team Enablement

• Document systems, processes, and best practices to improve team-wide reliability and reduce single points of failure
• Contribute to cross-training efforts as the team moves toward broader ownership and standardization
• Share knowledge and elevate the team through mentorship and collaboration

Note: These responsibilities reflect the general nature and scope of the role but are not exhaustive. Responsibilities may evolve to meet changing business needs.

**What You Have:**

At Synapse Health,we’veintentionally built a culture rooted in kindness, collaboration, and creativity, qualities we consider essential for every team member.Additionalrequirements include:

• 5+ years of experience in Site Reliability Engineering, DevOps, or Infrastructure Engineering
• Hands-on experience working in cloud environments (Azure preferred, AWS or GCP acceptable)
• Strong experience with Kubernetes in production environments
• Experience deploying and managing applications on Kubernetes using Helm
• Proficiencywith Infrastructure-as-Code tools such as Terraform
• Strong scripting skills (Python, Bash, or similar) used to automate and solve infrastructure challenges
• Experience with observability, monitoring, and incident response in production environments
• Experience building or supporting CI/CD pipelines (GitHub Actions and/or GitLab CI/CD; experience with CI/CD migrations is a plus)
• Solid understanding of networking fundamentals, system design, and cloud infrastructure components
• Familiarity with Azure Entra ID, app registrations, federated identity credentials, and workload identity
• Proven ability to take loosely defined problems and drive them to practical, scalable solutions
• Strong communicationskills and ability to collaborate across engineering and non-technical stakeholders
• Comfortoperatingin fast-paced environments with evolving priorities
• Understanding ofPHI handling requirements, access control patterns, and audit controls in a healthcare environment.

What Sets You Apart:

• Experience working on platform or architectural transformations (e.g., monolith to microservices, functions to containers)
• Familiarity with .NET / C# application environments
• Deeper networkingexpertise(firewalls, gateways, and low-level infrastructure components)
• Builder’s mindset with a focus on automation, scalability, and long-term system design
• Ability to balance speed and pragmatism with long-term reliability and maintainability
• Curiosity around emerging technologies, including AI/ML as applied to infrastructure and engineering workflows

Compensation:

The base salary range for this position is$133,600-$183,700annually. This range reflects theanticipatedcompensation at the time of posting. Final compensation will be based on factors such as relevant experience,demonstratedskills, internal equity, and prevailing market conditions. Compensation discussions are encouraged throughout the hiring process.

**What Sets Us Apart:**

Work is a part of life,but at Synapse Health, we believe it should be meaningful and enjoyable.We’recommitted to helping our team members thrive personally and professionally, which is why our benefits include:

• Professional growth opportunitieswith compelling career paths
• Healthy work-life balance supported by flexible paid time off (PTO)
• Comprehensive benefits package, including medical, dental, vision, STD&LTD insurance for full-time team members
• 401(k) savings planwith employer matching contributions

Synapse Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

Synapse Health, Inc will never request personal or sensitive information during the recruitment process. Please see our Careers Page for more information to protect yourself from scammers and to learn more about our recruitment process.

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