Senior Engineer, DevOps & InfrastructureAxle Health is building AI scheduling and workforce management software that powers in-home healthcare delivery for some of the largest providers in the country. As we scale our platform to support hundreds of thousands of patients and expand our enterprise customer base, the reliability, security, and performance of our infrastructure becomes mission-critical; not just technically, but for the patients whose care depends on it.We're looking for a Senior Engineer, DevOps & Infrastructure to own the foundation that everything else runs on. This is a high-ownership, high-impact role for someone who takes deep pride in the craft of building secure, observable, and scalable cloud infrastructure.
You'll be the primary driver of our DevOps maturity, security posture, and HIPAA compliance at the infrastructure layer: working closely with our backend engineers to make sure every system we ship is reliable, hardened, and production-ready. Our ideal candidate is a seasoned infrastructure practitioner who thrives in fast-moving startup environments, brings strong security instincts, and can operate with significant autonomy while staying closely connected to the engineering team's day-to-day work.What You'll DoOwn and evolve Axle's cloud infrastructure on AWS, driving architectural decisions that balance security, scalability, cost, and developer velocityDesign and maintain CI/CD pipelines with integrated security controls including code scanning, secret detection, and dependency vulnerability checksLead infrastructure-as-code initiatives using Terraform or equivalent tools, maintaining clean, audited, and well-documented configurations across all environmentsImplement and enforce HIPAA-compliant security practices at the infrastructure layer — including PHI encryption, audit logging, BAA management, and access controlsManage container orchestration (Docker/Kubernetes), including image hardening, pod security policies, and least-privilege configurationsBuild and maintain centralized logging, monitoring, and alerting systems (e.g., Datadog) to enable proactive detection of anomalous activity and rapid incident responseImplement and maintain secrets management using tools like AWS Secrets Manager or HashiCorp Vault, eliminating hardcoded credentials across servicesConfigure and maintain network security controls including WAFs, DDoS protection, TLS certificate management, and network segmentation across environmentsPartner with engineering teams to enforce environment parity and prevent configuration drift across development, staging, and productionCoordinate and support penetration testing engagements, remediation tracking, and patch management across servers, containers, and dependenciesSupport disaster recovery planning, backup validation, and risk assessment processes aligned with HIPAA contingency plan requirementsRequirementsBachelor's degree7+ years of hands-on experience in DevOps, infrastructure engineering, or site reliability engineering, ideally at a growth-stage companyDeep expertise with AWS including: IAM, VPC, ECS or EKS, RDS, S3, CloudWatch, and related HIPAA-eligible servicesStrong infrastructure-as-code experience with Terraform or CloudFormation, including security auditing of templates and managing state across environmentsProven track record implementing security controls in CI/CD pipelines (code scanning, secret detection, SAST/DAST tooling)Hands-on experience with container security: Docker and Kubernetes hardening, image scanning, and runtime policy enforcementWorking knowledge of HIPAA technical safeguards, including PHI encryption at rest and in transit, audit log requirements, and Business Associate AgreementsStrong operational instincts: you write runbooks, you care about on-call hygiene, and you close the loop on incidents with structured postmortemsNice to HavesExperience at a healthcare technology company or in another compliance-heavy industry (SOC 2, FedRAMP, PCI DSS)Familiarity with Datadog or similar observability platforms for log management, APM, and alertingExposure to penetration testing coordination or red team/blue team exercisesExperience building or maintaining secrets management systems using HashiCorp Vault or AWS Secrets Manager at scaleContributions to security culture beyond your immediate role such as documentation, internal security training, or championing secure-by-default engineering practices across the teamTools You Will UseAWSTerraformDjango + Python 3Node + TypescriptGraphQLPostgresSQLDatadog for monitoring and observabilityGit / Github / GraphiteClaude Code and CursorWhat We OfferIn addition to offering a competitive salary and equity, we want to ensure every team member has the tools they need to work to the best of their ability. To that end…We are committed to your Ownership:We cultivate an environment where team members feel ownership over the work they do.
Everyone in an organization has big ideas and we want to hear them and implement them.All of our employees have equity compensation. We want you to benefit from all the hard work you do in helping patients and catalyzing this shift in healthcare.We are committed to your Wellness:Medical, Dental, Vision401k planFlexible PTO and sick daysCommuter benefitsSanta Monica HQ with 180 degree beach views and daily catered lunchesWe are committed to your Growth:Fast paced work environment geared towards professional growthGet the chance to move roles within the organization to learn new skills and continue to make an impactWe are committed to building Community:Monthly team events, dinners, & happy hoursSpecial team outings - some past events have included: yacht cruises, visits to Universal Studios, Magic Castle, and Vegas