DexCare logo

Senior Site Reliability Engineer

Posted 9 days ago

RemoteRemoteSE125k - 165k USD
Who is DexCare?
DexCare optimizes time in healthcare, streamlining patient access, reducing waits, and enhancing overall experiences. Guided by our mission – Nobody waits for care – DexCare addresses tech gaps by aligning supply and demand to modernize healthcare infrastructures for an inclusive ecosystem. We are equally committed to our DEIB mission: Creating an inclusive workplace where diversity drives innovation, equity ensures fairness, and belonging strengthens collaboration, enabling everyone to thrive. 
 
What is DexCare?
DexCare, a digital care orchestration platform, streamlines care delivery logistics. It empowers healthcare systems to predict constraints and precisely schedule services, optimizecapacity, and cuts operational costs. Currently serving 57 million patients, including Kaiser Permanente and Providence, DexCare ushers in a new era of digital-care access, ensuring health systems can efficiently track and deliver every hour of capacity for consumer ease. 

For more information, visit www.dexcare.com or follow us on LinkedIn

About the Role

We're looking for a Senior Site Reliability Engineer who genuinely enjoys the craft. Someone who takes pride in a clean Terraform module, cares about observability because they've felt the pain of flying blind, and believes good documentation is an act of kindness for your teammates. You'll be hands-on with our AWS infrastructure, especially EKS, IAM, and RBAC, building things that are secure by default, not as an afterthought. You'll own our CI/CD pipelines in GitHub Actions, set up guardrails that let engineers ship quickly and confidently, and keep Datadog tuned so we know what's happening in our systems before our customers do. On any given week you might be writing Terragrunt modules, building a Python script to eliminate a tedious manual process, writing a runbook that'll save someone's 2am, or digging through a postmortem with the team with a focus on learning, not blame. 

We work in an Agile environment with an on-call rotation. We approach our processes with thoughtfulness and the intent to constantly iterate and make it better. You don't need to have all the answers; you just need curiosity, clear communication, and a willingness to own your slice of the system while keeping it accessible and scalable, enabling us to build together.  

### What You’ll Do
  • Design, scale, and operate resilient, cloud-native infrastructure in AWS with a strong emphasis on EKS, IAM, RBAC, and modern security-first practices.  
  • Build and optimize CI/CD pipelines with GitHub Actions and GitHub Advanced Security, enabling velocity without compromising safety.  
  • Own observability across the stack using Datadog (metrics, logging, alerting, and tracing).  
  • Write and maintain Terragrunt, Terraform modules, and infrastructure-as-code (IaC) automation. 
  • Develop internal tools and scripts in Python to automate operational workflows and reduce manual overhead.  
  • Document everything from runbooks to standards so teams stay aligned and systems stay stable.  
  • Actively contribute to Agile workflows using Jira, with clear tracking of work, priorities, and progress.  
  • Participate in on-call rotations, postmortems, and continuous improvement efforts — always with a blameless, team-first mindset. 
  • ### What You’ll Bring
  • 4+ years in a Senior SRE or DevOps role supporting production cloud infrastructure at scale, preferably in SaaS, PaaS, high-growth, or fast-paced environment. 
  • Deep experience with AWS (IAM, EKS, VPC, EC2, Secrets Manager, Serverless) and RBAC. 
  • Knowledge of compliance standards like HIPAA, HITRUST, or SOC 2. 
  • Hands-on proficiency with Terraform, Terragrunt, Helm, and container orchestration. 
  • Proven experience building and maintaining GitHub Actions for CI/CD, including GitHub Advanced Security features like secret scanning and code policy enforcement. 
  • Strong Datadog experience building dashboards, tuning alerts, setting up monitors, and interpreting telemetry. 
  • Solid Python scripting experience for automation and internal tools. 
  • You value clear, accurate documentation as a core part of engineering, not an afterthought. 
  • Comfortable working in Agile/Scrum environments with well-tracked Jira workflows. 
  • Practical experience with resource analysis and infrastructure optimization. 

  • Preferred Experience

  • AWS DevOps Engineer Professional Certification 
  • Familiarity with Lambda, Fargate, and serverless infrastructure. 
  • Experience with multitenant platforms or customer-isolated deployments. 
  • Experience with Azure or moving from Azure to AWS 
  • DexCare is an Equal Opportunity Employer
     
    All qualified applicants will receive consideration for employment without regard to age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations, and ordinances. DexCare does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. DexCare provides reasonable accommodation to all applicants who require such accommodation to apply for the position or to perform the essential functions of the job. 
    Job details
    Workplace
    Remote
    Location
    Remote
    Experience
    SE
    Salary
    125k - 165k USD
    per year

    DexCare is infrastructure for patient navigation and scheduling to grow patient volume without adding clinical resources. The platform connects data across EMRs, workflows, and access points so health systems route patients to available care, regardless of where they enter or what modality they need. The problem? Capacity exists but systems can't see it. Results: 40% more patients treated and 5-day reduction in wait times. DexCare serves 57M+ patients across 50 states, including Providence, Kaiser Permanente, and Piedmont.

    Employees
    135
    Industry
    Software Development
    Headquarters
    Seattle, WA
    Founded
    2021
    Company location
    Seattle, WA, US
    Specialties
    Healthcare Technology, Enterprise Cloud SaaS, patient acquisition, appointment scheduling, Navigation to best care, patient retention, virtual care, health system digital transformation, patient access, health system capacity optimization, patient engagement, Digital Health Platform, telehealth, patient-provider matching, and patient experience

    Key team members

    Julie Vaughan Murchinson

    Julie Vaughan Murchinson

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