Senior Software Engineer, Infrastructure

Senior Software Engineer, Infrastructure AcuityMD is a software and data platform that accelerates access to medical technologies. We help MedTech companies understand how their products are used, why customers vary, and identify opportunities for physicians to better serve their patients. Each year, the FDA approves ~6,000 new medical devices. Our solution helps MedTech companies get these products to physicians more effectively so they can improve patient care with the latest technology. We're backed by Benchmark, Redpoint, ICONIQ Growth, and Ajax Health. We're a high-growth AI and Data company scaling rapidly. We are a team of agentic builders who rely heavily on AI development practices to accelerate our ability to deliver value to our customers. We believe in extreme ownership and agency, where every engineer takes responsibility for working throughout the organization to land impact with customers. We're a close-knit team that enables high levels of autonomy by constantly communicating our intentions, sharing problems and learnings, and helping each other learn and grow. As an Infrastructure Engineer, you’ll be directly interacting with other teams across Engineering and production. Through collaboration, you’ll help design, build, and operate the platform primitives—compute, networking, storage, CI/CD, and developer tooling—that power our applications end-to-end. You’ll drive reliability, security, and efficiency while enabling a great developer experience. You’ll also contribute to our strategic goals as we evolve our infrastructure and our practices to maximize our internal and customer impact. Hiring for two roles: Mid level and Senior level Team Mission Our Platform Team is the backbone that keeps product teams shipping quickly and safely. We deliver direct customer value through our cloud capabilities and security. We impact internal success through partnerships with application teams and enabling a great development experience. Responsibilities Steward core platform services: Implement container orchestration, service mesh, ingress, and secrets management at scale. Cross-functional partnership: Collaborate with Product, Engineering, Data, and Security to deliver external and internal value. Harden reliability: Improve observability (logging, metrics, tracing), and automated remediation to increase availability and latency. Automate everything: Use infrastructure-as-code and configuration management to make systems and processes repeatable, auditable, and secure. Scale cost-effectively: Optimize cluster utilization, autoscaling, and storage/networking to balance performance, reliability, and spend. Level-up developer experience: Build internal tooling, templates, and golden paths that reduce cognitive load and time-to-first-deploy for product teams. On-call & incident response: Participate in a sustainable on-call rotation, drive post-mortems, eliminate toil, and reduce MTTR via automation. Enable fast, safe delivery: Evolve CI/CD pipelines (build/test/release), and environment strategies (dev/stage/prod). AI: You instinctively build using agentic tools (Claude Code, Codex, etc) and are invested in pushing the boundaries of what is possible with agentic development Your Profile 5+ years of experience in software engineering with a focus on infrastructure, DevOps, and/or platform engineering Team focused mindset, with solid collaboration and communication skills, with a focus on enabling others. Pragmatic problem-solver who communicates clearly, documents well, and thrives in fast-moving, high-ownership environments. Experience working with cloud infrastructure, specifically Kubernetes. Understanding of observability: metrics, logs, traces, and building actionable alerts/SLOs. Familiarity with infrastructure-as-code tools. Some programming experience in at least one modern programming language. Awareness of security fundamentals: IAM, workload identity, network policies, encryption, and secrets management. Nice to Haves Open source contributions Experience with Company transitioning from startup to high-growth Google Cloud Platform Terraform Python, Go, and/or JavaScript (TypeScript) Building and managing CI/CD systems and developer tooling You must have an eligible work permit in the USA or Canada to be considered for this position. AcuityMD is committed to providing highly competitive cash compensation, equity, and benefits. The compensation offered for this role will be based on multiple factors such as location, the role’s scope and complexity, and the candidate’s experience and expertise, market data and may vary from the range provided. Base Salary Range: $185,000 to $230,000 We Offer: Ground floor opportunity: Join a high-growth startup, backed by world-class investors across Enterprise SaaS and Medical Devices (Benchmark, Redpoint Ventures, and Ajax Health). Learning Budget: Reimbursements for relevant learning and up-skilling opportunities. Remote work: AcuityMD is committed to supporting full-remote flexibility for employees in the US. We provide a work-from-home stipend for all employees. Flexible PTO: Generous time off and flexible hours give you the freedom to do your best work. Paid Health, Dental, and Vision Plans: We offer 100% paid health, dental, and vision plans for all employees and 75% paid for our employees' dependents. Home Office Stipend: $1,000 to invest in remote office equipment and WiFi reimbursement. Optional Team Retreats: We meet in-person multiple times per year for co-working and social gatherings. Parental Leave: 8-16 weeks of fully-paid, flexible parental leave. Who We Are: The Company: We are builders, who are inspired by our mission to expand patient access to cutting-edge medical technologies. We value working collaboratively to solve hard problems for our customers with simple, innovative solutions. We push ourselves to learn with empathy. We foster an active culture of mentorship and inclusion, and we welcome new team members that share our values. We're backed by Benchmark, Redpoint Ventures, Ajax Health, and several other leading software and medical device investors. Since Acuity launched in 2020, we've brought on customers ranging from publicly traded Fortune 500 companies to innovative growth-stage companies and regional medical device distributors. The Product: AcuityMD uses data and software to help teams collaborate around the complex relationships they have with the users of medical technologies: doctors. Our platform empowers medical technology companies to see how their products are used, understand why outcomes vary, and identify opportunities where physicians or sites of care can better serve their patients. AcuityMD is an Equal Opportunity Employer AcuityMD is seeking to create a diverse work environment because all teams are stronger with different perspectives and life experiences. We strongly encourage people of all backgrounds to apply. We do not discriminate on the basis of race, gender, religion, color, national origin, sexual orientation, age, marital status, veteran status, or disability status. All employees and contractors of AcuityMD are responsible for maintaining a work culture free from discrimination and harassment by treating others with kindness and respect.