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About the Role

We are seeking an experienced infrastructure engineer to own the Onos platform's infrastructure. This role involves managing availability, disaster recovery, security controls (SOC 2, HIPAA), and CI/CD pipelines. You will leverage AI coding agents and set patterns for future platform engineers. This is a unique opportunity to join a category-defining healthcare AI company and shape its infrastructure from the ground up.

Responsibilities

Own availability, disaster recovery, and backup commitments to enterprise clients, including multi-region failover architecture and recovery exercises.
Establish production monitoring, alerting, SLOs, and manage the on-call rotation and incident response process.
Manage technical controls for SOC 2 and HIPAA compliance, including cloud security posture, vulnerability remediation, and audit evidence.
Build CI/CD pipelines, Terraform/IaC foundations, preview environments, and test infrastructure.
Develop guardrails for AI coding agents, including policy-as-code, deploy verification, and agent-operated operations tooling.
Define the strategy and operating rhythm for platform work, including priorities, status, and deferred items.

Requirements

Deep AWS experience, including end-to-end ownership of production cloud infrastructure (IAM, networking, KMS, containers, managed databases).
Strong Terraform/IaC and CI/CD expertise.
Experience guiding a company through at least one SOC 2 (or HITRUST/ISO 27001) audit cycle, managing technical controls.
SRE fundamentals (SLOs, incident management, DR design) with the ability to right-size reliability for a startup.
Prior experience leading engineering teams as a tech lead or engineering manager.
Customer-obsessed and motivated to make an impact in the healthcare space.
Significant experience in healthcare or another regulated industry, with HIPAA fluency (bonus points).
Policy-as-code or compliance automation experience (bonus points).
Experience as the first infrastructure hire, or helping found/lead a platform team (bonus points).
Experience building internal tooling or infrastructure for LLM/agent systems (bonus points).

Skills

AWS
Terraform
IaC
CI/CD
SRE
SLOs
Incident Management
Disaster Recovery
Policy-as-code
HIPAA

Location

San Francisco

Work Type

Hybrid

Experience Level

Experienced
Tech Lead
Engineering Manager

Benefits

Hybrid arrangement: 3 days/week at San Francisco office
Unlimited vacation policy
Paid parental leave
Medical, dental, and vision insurance
Pre-tax commuter benefits
401(k)
Significant equity as an early employee
Direct mentorship from experienced founders
Ground-floor opportunity to help build a team and culture
Regular team events and offsites
Company-provided equipment and home office setup

About the Company

Onos Health's mission is to ensure every healthcare dollar goes toward delivering the highest quality care by building the largest AI-driven healthcare data platform.
Our models enable payers to make faster, more accurate decisions across their populations.
We are well-funded by top healthcare investors and work with the nation's largest health plans.
Join a category-defining company and help reimagine healthcare.

Equal Opportunity

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.