Note: The job is a remote job and is open to candidates in USA. Synapse Health is streamlining the durable medical equipment (DME) process through innovative tech-based solutions. They are seeking a Senior Site Reliability Engineer to lead the transformation of their infrastructure towards a modern, containerized, and scalable architecture, working closely with engineering and data teams to ensure system reliability and performance.
Responsibilities
- 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
- Monitor cloud usage and spending, identify inefficiencies, and recommend and implement cost optimization strategies
- 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
- Design and maintain highly 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
- Build and optimize CI/CD pipelines to support fast, safe, and repeatable deployments
- Champion Infrastructure-as-Code practices using tools such as Terraform to eliminate manual processes
- Leverage scripting (Python, Bash, or similar) to solve problems, automate workflows, and reduce operational toil
- Drive capacity planning, performance tuning, and infrastructure improvements to support rapid growth
- Proactively identify system risks and scalability bottlenecks before they impact customers
- Contribute to infrastructure strategy and help shape how the platform evolves as the business scales
- 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
Skills
- 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
- Proficiency with 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 communication skills and ability to collaborate across engineering and non-technical stakeholders
- Comfort operating in fast-paced environments with evolving priorities
- Understanding of PHI handling requirements, access control patterns, and audit controls in a healthcare environment
- Experience working on platform or architectural transformations (e.g., monolith to microservices, functions to containers)
- Familiarity with .NET / C# application environments
- Deeper networking expertise (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
Benefits
- Professional growth opportunities with compelling career paths
- Flexible paid time off (PTO)
- Comprehensive benefits package, including medical, dental, vision, STD & LTD insurance for full-time team members
- 401(k) savings plan with employer matching contributions
Company Overview