About You
Axle Health is building AI scheduling and workforce management software that powers in-home healthcare delivery for some of the largest providers in the country. As we scale our platform to support hundreds of thousands of patients and expand our enterprise customer base, the reliability, security, and performance of our infrastructure becomes mission-critical; not just technically, but for the patients whose care depends on it.
We're looking for a Senior Engineer, DevOps & Infrastructure to own the foundation that everything else runs on. This is a high-ownership, high-impact role for someone who takes deep pride in the craft of building secure, observable, and scalable cloud infrastructure. You'll be the primary driver of our DevOps maturity, security posture, and HIPAA compliance at the infrastructure layer: working closely with our backend engineers to make sure every system we ship is reliable, hardened, and production-ready.
Our ideal candidate is a seasoned infrastructure practitioner who thrives in fast-moving startup environments, brings strong security instincts, and can operate with significant autonomy while staying closely connected to the engineering team's day-to-day work.
We do not monitor YC applications, please apply directly on our website to be considered for this position: https://www.axlehealth.com/careers
Requirements
- Bachelor's degree
- 7+ years of hands-on experience in DevOps, infrastructure engineering, or site reliability engineering, ideally at a growth-stage company
- Deep expertise with AWS including: IAM, VPC, ECS or EKS, RDS, S3, CloudWatch, and related HIPAA-eligible services
- Strong infrastructure-as-code experience with Terraform or CloudFormation, including security auditing of templates and managing state across environments
- Proven track record implementing security controls in CI/CD pipelines (code scanning, secret detection, SAST/DAST tooling)
- Hands-on experience with container security: Docker and Kubernetes hardening, image scanning, and runtime policy enforcement
- Working knowledge of HIPAA technical safeguards, including PHI encryption at rest and in transit, audit log requirements, and Business Associate Agreements
- Strong operational instincts: you write runbooks, you care about on-call hygiene, and you close the loop on incidents with structured postmortems