Senior 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 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.

What You Have:

At Synapse Health, we’ve intentionally built a culture rooted in kindness, collaboration, and creativity, qualities we consider essential for every team member. Additional requirements include:

• 5+ years of experience in Site Reliability Engineering, DevOps, or Infrastructure Engineering
• Hands-on experience working in cloud environments (Azure preferred, AWS or GCP acceptable)
• Strong experience with Kubernetes in production environments
• Experience deploying and managing applications on Kubernetes using Helm
• Proficiency with Infrastructure-as-Code tools such as Terraform
• Strong scripting skills (Python, Bash, or similar) used to automate and solve infrastructure challenges
• Experience with observability, monitoring, and incident response in production environments
• Experience building or supporting CI/CD pipelines (GitHub Actions and/or GitLab CI/CD; experience with CI/CD migrations is a plus)
• Solid understanding of networking fundamentals, system design, and cloud infrastructure components
• Familiarity with Azure Entra ID, app registrations, federated identity credentials, and workload identity
• Proven ability to take loosely defined problems and drive them to practical, scalable solutions
• Strong communication skills and ability to collaborate across engineering and non-technical stakeholders
• Comfort operating in fast-paced environments with evolving priorities
• Understanding of PHI handling requirements, access control patterns, and audit controls in a healthcare environment.

What Sets You Apart:

• Experience working on platform or architectural transformations (e.g., monolith to microservices, functions to containers)
• Familiarity with .NET / C# application environments
• Deeper networking expertise (firewalls, gateways, and low-level infrastructure components)
• Builder’s mindset with a focus on automation, scalability, and long-term system design
• Ability to balance speed and pragmatism with long-term reliability and maintainability
• Curiosity around emerging technologies, including AI/ML as applied to infrastructure and engineering workflows

Compensation:

The base salary range for this position is $133,600-$183,700 annually. This range reflects the anticipated compensation at the time of posting. Final compensation will be based on factors such as relevant experience, demonstrated skills, internal equity, and prevailing market conditions. Compensation discussions are encouraged throughout the hiring process.

What Sets Us Apart:

Work is a part of life, but at Synapse Health, we believe it should be meaningful and enjoyable. We’re committed to helping our team members thrive personally and professionally, which is why our benefits include:

• Professional growth opportunities with compelling career paths
• Healthy work-life balance supported by flexible paid time off (PTO)
• Comprehensive benefits package, including medical, dental, vision, STD & LTD insurance for full-time team members
• 401(k) savings plan with employer matching contributions

Synapse Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

Synapse Health, Inc will never request personal or sensitive information during the recruitment process. Please see our Careers Page for more information to protect yourself from scammers and to learn more about our recruitment process.