Site Reliability Engineer

Who We Are:

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

Since 2016, with decades of industry and leadership experience, we've delivered tech-based solutions that help our partners to modernize operations, improve coordination, and reduce administrative burdens. By taking on operational and financial complexity, we're redefining how DME works for providers, prescribers, and patients. We are proud to offer work that matters, on a mission that matters.

Learn more at SynapseHealth.com and on Synapse Health’s LinkedIn.

What We Need:

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

We’re seeking 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’ll partner 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: Monitor cloud 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 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

Automation & Developer Enablement

• 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

Performance, Scalability & Strategy

• 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

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.