Senior Software Engineer, DevOps and Infrastructure

Axle Health

$120K — $160K *
Information Technology
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in a relevant field
  • 7+ years of hands-on experience in DevOps, infrastructure engineering, or site reliability engineering, ideally at a growth-stage company
  • Deep expertise with AWS services and HIPAA-eligible offerings
  • Strong infrastructure-as-code experience with Terraform or CloudFormation
  • Proven track record of implementing security controls in CI/CD pipelines
  • Hands-on experience with container security practices for Docker and Kubernetes
  • Working knowledge of HIPAA technical safeguards and compliance requirements.

Responsibilities

  • Own and evolve Axle's cloud infrastructure on AWS, balancing security, scalability, cost, and developer velocity
  • Design and maintain CI/CD pipelines with integrated security controls
  • Lead infrastructure-as-code initiatives using Terraform, maintaining logged configurations
  • Implement and enforce HIPAA-compliant security practices
  • Manage container orchestration including Docker and Kubernetes
  • Build and maintain centralized logging, monitoring, and alerting systems
  • Support disaster recovery planning and risk assessment processes.

Benefits

  • Flexible work environment that supports remote or hybrid arrangements
  • Opportunity for career growth in a rapidly scaling company
  • Collaborative team culture that emphasizes continuous learning and innovation
  • Comprehensive health benefits including medical, dental, and vision care
  • Generous paid time off policy and holidays
  • Support for professional development and training opportunities.
Full Job Description
What You'll Do
  • Own and evolve Axle's cloud infrastructure on AWS, driving architectural decisions that balance security, scalability, cost, and developer velocity
  • Design and maintain CI/CD pipelines with integrated security controls including code scanning, secret detection, and dependency vulnerability checks
  • Lead infrastructure-as-code initiatives using Terraform or equivalent tools, maintaining clean, audited, and well-documented configurations across all environments
  • Implement and enforce HIPAA-compliant security practices at the infrastructure layer - including PHI encryption, audit logging, BAA management, and access controls
  • Manage container orchestration (Docker/Kubernetes), including image hardening, pod security policies, and least-privilege configurations
  • Build and maintain centralized logging, monitoring, and alerting systems (e.g., Datadog) to enable proactive detection of anomalous activity and rapid incident response
  • Implement and maintain secrets management using tools like AWS Secrets Manager or HashiCorp Vault, eliminating hardcoded credentials across services
  • Configure and maintain network security controls including WAFs, DDoS protection, TLS certificate management, and network segmentation across environments
  • Partner with engineering teams to enforce environment parity and prevent configuration drift across development, staging, and production
  • Coordinate and support penetration testing engagements, remediation tracking, and patch management across servers, containers, and dependencies
  • Support disaster recovery planning, backup validation, and risk assessment processes aligned with HIPAA contingency plan requirements
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
Nice to Haves
  • Experience at a healthcare technology company or in another compliance-heavy industry (SOC 2, FedRAMP, PCI DSS)
  • Familiarity with Datadog or similar observability platforms for log management, APM, and alerting
  • Exposure to penetration testing coordination or red team/blue team exercises
  • Experience building or maintaining secrets management systems using HashiCorp Vault or AWS Secrets Manager at scale
  • Contributions to security culture beyond your immediate role such as documentation, internal security training, or championing secure-by-default engineering practices across the team
Tools You Will Use
  • AWS
  • Terraform
  • Django + Python 3
  • Node + Typescript
  • GraphQL
  • PostgresSQL
  • Datadog for monitoring and observability
  • Git / Github / Graphite
  • Claude Code and Cursor

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