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  matter s .     Learn   more at   SynapseHealth.com   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 Y