Senior or Staff Software Engineer, Infrastructure

Senior or Staff Software Engineer, Infrastructure AcuityMD is the AI platform for MedTech trusted by over 500 MedTech companies – including 16 of the top 20. Commercial leaders use AcuityMD to identify target markets, surface top opportunities, and grow their business. By combining real-world healthcare data with AI-powered insights, AcuityMD enables companies from pre-commercial to enterprise to understand where and how to sell faster to accelerate the adoption of medical technology. AcuityMD ranked No. 316 on the 2026 Inc. 5000 list of the fastest-growing private companies in America and was named to Forbes’ 2025 “Next Billion-Dollar Startups” list – an elite group of 25 venture-backed U.S. companies identified as most likely to reach a $1 billion valuation.‍ AcuityMD is backed by Stepstone Group, Benchmark, Redpoint Ventures, ICONIQ, and Atreides Management. 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. 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 Bachelor’s degree in Computer Science, Engineering, or a related field, or equivalent practical experience. We believe great talent comes from many paths. We consider a combination of education, training and relevant professional experience when evaluating candidates. 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 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: Senior Engineer $155,000 to $225,000, Staff Engineer $200,000 to $280,000 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