Senior DevOps Engineer

Adia Health is a health tech startup building an agentic AI platform for clinical care coordination and revenue cycle management. The Senior DevOps Engineer will own CI/CD pipelines, AWS infrastructure, and Terraform-based infrastructure-as-code while embedding compliance, security, observability, reliability, and scalability into systems handling sensitive clinical and financial data.

Responsibilities:

• Own and evolve our CI/CD pipelines in GitHub Actions across the services powering our agentic AI platform, so releases ship fast without sacrificing safety
• Design, build, and operate our AWS infrastructure, balancing reliability and cost as production traffic and clinical/RCM workloads scale
• Author and maintain Terraform modules as the single source of truth for every environment — no manual, undocumented infra changes
• Build compliance directly into the infrastructure: audit logging, encryption in transit and at rest, access controls, and change management that hold up under SOC2, HIPAA, and HITRUST audits
• Partner with security, compliance, and engineering leadership on audit prep, control evidence, and remediation
• Harden secrets management, network segmentation, and least-privilege IAM across environments handling PHI
• Build and maintain observability (metrics, logging, alerting) so incidents involving patient-facing or RCM systems are caught and resolved fast
• Support the reliability and scalability of integrations with clinical systems (EHR, HL7, FHIR) as adoption grows
• Participate in on-call, and drive capacity planning and disaster recovery / business continuity practices
• Mentor other engineers on infrastructure and DevOps best practices

Requirements:

• • 5+ years in DevOps, SRE, or infrastructure engineering, including 2+ years owning production AWS environments
• • Deep, hands-on Terraform experience — you've built and maintained IaC as the source of truth in a real production environment, not just used it
• • Strong CI/CD experience with GitHub Actions (or directly transferable experience from a comparable platform)
• • Experience operating in a regulated or compliance-heavy environment (SOC2 Type II, HIPAA, HITRUST, or similar); healthcare or health-tech experience strongly preferred
• • Solid command of core AWS services: VPC, EKS/ECS, IAM, RDS, Lambda, KMS, CloudWatch
• • Experience with containerization and orchestration (Docker, Kubernetes)
• • Strong scripting and automation skills (Python and/or Bash)
• • Experience building and maintaining observability stacks (e.g., Datadog, Prometheus/Grafana, CloudWatch)
• • Comfortable working cross-functionally with engineering, security/compliance, and leadership in a fast-moving startup environment
• • Prior experience at a health tech or health IT company handling PHI in production
• • Familiarity with HL7/FHIR-based systems or EHR integrations (e.g., Epic)
• • Experience supporting infrastructure for AI/LLM workloads (model inference, vector databases, GPU infrastructure)
• • Direct experience achieving or maintaining a HITRUST CSF certification or SOC2 Type II audit from the infrastructure side
• • Prior experience at an early-stage (Series A/B) startup