Infrastructure Engineer (Backend)

## About the role At Counsel Health, we've built a product that patients and physicians love on a fast-moving stack. As we scale, the surface area between "application code" and "infrastructure" is growing — and we need someone who lives at that intersection. We are looking for a Backend Infrastructure Engineer who is equal parts software engineer and infrastructure engineer. You won't be sitting in a silo writing Terraform all day, and you won't be shipping product features in React. You'll operate on the critical layer in between: the CI/CD pipelines, the IaC that provisions our AWS environment, the backend services that glue our systems together, and the developer tooling that keeps a fast-growing engineering team productive. ## What You'll Do - Contribute to Our Infrastructure-as-Code: develop and maintain our cloud infrastructure using Terraform. - Build & Improve CI/CD: Own our build, test, and deployment pipelines end-to-end. Your goal is to make deploying to production boring — fast, reliable, and automatic. - Backend Engineering: Write production backend services and contribute to core server-side systems. You're comfortable writing application code, not just orchestrating it. - Build Core Archetypes: Write production grade archetypes for new deployments, jobs, consumers, and workers. You're comfortable building out an abstract base stream consumer or cron executor for widespread use. - Developer Experience: Be the engineer who makes other engineers faster. Improve local dev workflows, reduce build times, eliminate flaky infrastructure, and build internal tooling that the team actually wants to use. - Security & Compliance: Work closely with our security and compliance team to harden our infrastructure posture — secrets management, IAM policies, network isolation, and audit logging in a HIPAA-regulated environment. ## Who You Are - A Bridge Builder: You're equally comfortable in an IDE writing application code and in a terminal managing cloud infrastructure. You don't see "backend" and "infra" as separate disciplines. - An Automation Leader: If you do something manually twice, you're already writing the script to automate it the third time. - Systems Thinker: You understand how a request flows from a user's browser through a load balancer, into a container, hits a database, and comes back — and you can debug any layer of that stack. - Pragmatic & Shipping-Oriented: You pick the right tool for the job, not the trendy one. You'd rather ship a working solution today than architect a perfect one next quarter. - A Strong Communicator: You can explain infrastructure decisions to product engineers and translate product requirements into infrastructure changes. ## What You'll Bring - 3-5 years of professional experience in backend engineering, infrastructure engineering, or a hybrid of both. - Strong proficiency in at least one strongly-typed or compiled language (Go, Rust, Java, Typed Python, TypeScript, etc.). - Experience with AWS/GCP/Azure cloud services. - Familiarity with containerized environments and Docker. ## Bonus Points For - Hands-on experience writing and maintaining Terraform (or equivalent IaC tooling). - Proven track record building and maintaining CI/CD pipelines (GitHub Actions, CircleCI, or similar). - Kubernetes experience - Experience with TypeScript/Node.js. - Experience working in a regulated environment (HIPAA, SOC 2, etc.) -- strong plus! ## Our Tech Stack Our backend platform is built to support large-scale AI-driven clinical systems and enterprise integrations. - Languages: TypeScript, Node.js - Infrastructure: SQS, Temporal, AWS, GCP, Docker, Kubernetes - Data: PostgreSQL, Redis, time-series and vector storage with GCP We value strong engineering fundamentals over familiarity with any specific tool. If you've built robust distributed systems and high-quality APIs before, you'll ramp quickly in our stack. ## Location for this role - NYC - hybrid - Boston - hybrid - East Coast - remote ## What we offer - Impact: Be at the forefront and contribute to groundbreaking, AI-driven healthcare experiences, directly interface with execs at the world's leading tech & healthcare orgs - Growth: Significant opportunities for broad ownership and professional development within our rapidly scaling startup - Compensation: Competitive salary + equity - Benefits: Comprehensive healthcare, vision + dental, 401K, Unlimited PTO, Parental Leave ## Our Values - Patients come first. - We are clinicians 1st, technologists 2nd. We act with patient trust/safety at the center of every decision. - Innovate with optimism. - We are optimistic as we build the future of care delivery from first principles. Challenge the status quo when needed, no sacred cows. - Right answer wins. - Debate openly and pick the strongest path. We optimize for the company, not functions. We win and lose as a team. - Simplicity over complexity. - We choose clear, elegant solutions and avoid adding complexity that does not serve patients or the team. - Do fewer things, well. - We focus, and hold ourselves to the highest bar and pursue