USD per year
Senior Software Engineer, DevOps and Infrastructure
Location
Santa Monica HQ
Employment Type
Full time
Location Type
On-site
Department
Engineering
Compensation
- $170K – $200K • Offers Equity
About Us
Axle Health builds AI scheduling and workforce management software to empower in-home healthcare providers to deliver exceptional, personalized care right where patients feel most comfortable—at home. Some of the biggest providers in the country use our software (like Cityblock Health and U Penn Health System) to improve the utilization of their field teams by 17%+, and automate the operational burden of scheduling and dispatching. Our platform includes proprietary logistics algorithms to optimize scheduling, a mobile app for field staff, an operations dashboard for office teams, engagement and booking tools for patients, and a wide range of integrations and external APIs for modular access. We’re a team of top-tier engineers and operators, backed by $14m from top investors such as Y Combinator, Pear VC, and F-Prime, applying our intellect and logistics experience to upend how home healthcare is delivered.
About You
Axle 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 Do
- Own and evolve Axle's cloud infrastructure on AWS, driving architectural decisions that balance security, scalability, cost, and developer velocity
- Design and maintain CI/CD pipelines with integrated security controls including code scanning, secret detection, and dependency vulnerability checks
- Lead infrastructure-as-code initiatives using Terraform or equivalent tools, maintaining clean, audited,and well-documented configurations across all environments
- Implement and enforce HIPAA-compliant security practices at the infrastructure layer — including PHI encryption,audit logging,B A A management,and access controls
- Manage container orchestration (Docker/Kubernetes), including image hardening,pod security policies,and least-privilege configurations
- Buildand maintain centralized logging monitoring,and alerting systems (e.g.,Datadog)to enable proactive detection of anomalous activityand rapid incident response
- Implementand maintain secrets management using tools like AWS Secrets Manager or HashiCorp Vault eliminating hardcoded credentials across services
- Configureand maintain network security controls including WAFs,DDoS protection,TLS certificate management,and network segmentation across environments
- Partnerwith engineering teams to enforce environment parityand prevent configuration drift across development staging,and production
- Coordinateand support penetration testing engagements remediation tracking,and patch management across servers containers,and dependencies
- Supportdisaster recovery planning backup validation,and risk assessment processes aligned with HIPAA contingency plan requirements
Requirements
- Bachelor's degree
- 7+ years of hands-on experience in DevOps infrastructure engineering or site reliability engineering ideally at a growth-stage company
- Deep expertise with AWS including IAM VPC ECS or EKS RDS S3 CloudWatchand related HIPAA eligible services
- Strong infrastructure-as-code experience with Terraform or CloudFormation including security auditing of templatesand managing state across environments
- Proven track record implementing security controls in CI/CD pipelines code scanning secret detection SAST/DAST tooling
- Hands-on experience with container security Dockerand Kubernetes hardening image scanningand runtime policy enforcement
- Working knowledge of HIPAA technical safeguards includng PHI encryption at restand in transit audit log requirementsand Business Associate Agreements
- Strong operational instincts you write runbooks you care about on-call hygieneand you close the loop on incidents with structured postmortems
Nice to Haves
- Experience 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 APMand alerting
- Exposure to penetration testing coordination or red team/blue team exercises
- Experience building or maintaining secrets management systems using HashiCorp Vault or AWS Secrets Manager at scale
- Contributions to security culture beyond your immediate role such as documentation internal security training or championing secure-by-default engineering practices across the team
Tools You Will Use
- AWS
- Terraform
- Django + Python 3
- Node + Typescript
- GraphQL
- PostgresSQL
- Datadog for monitoringand observability
-Git / Github / Graphite -Claude Codeand Cursor
What We Offer
In addition to offering a competitive salaryand equity we wantto ensure every team member has the tools they needto workto the bestof their ability To that end… We are committed to your Ownership:
- We cultivate an environment where team members feel ownership overthe work they do Everyone inan organization has big ideasand we wantto hear themand implement them.
- Allof ouremployees have equity compensation We wantyou to benefit from allthe hard work you doin helping patientsand catalyzing this shiftin healthcare.
We are committedto your Wellness:
- Medical Dental Vision
- 401k plan
- Flexible PTOandsick days
- Commuter benefits
- Santa Monica HQwith 180 degree beach viewsand daily catered lunches
We are committedto your Growth:
- Fast paced work environment geared towards professional growth
- Getthe chance tomove roles within the organizationto learn new skillsand continue tomake an impact
We are committedto building Community:
- Monthly team events dinners & happy hours
- Special team outings - some past events have included yacht cruises visits to Universal Studios Magic Castleand Vegas
Axle Health is on a mission to empower home healthcare providers with innovative technology that drives operational excellence. The company values ownership, growth, wellness, and community. Every team member receives equity. Offers top-tier medical, dental, and vision coverage, 401k, flexible PTO, and daily lunch at their Santa Monica HQ. Invests in bonding experiences like team lunches and offsites (Magic Castle and Vegas). Core values include seeking the truth, winning by working together, loving what they do, building fast with impact, and delivering for everyone with empathy.
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