Xealth

Senior Systems Engineer

Xealth$145K — $160K *
Information Technology
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5-8 years in systems/platform engineering
  • Deep Kubernetes expertise
  • Experience with AWS EKS in production
  • Strong Linux fundamentals
  • Proficient with Terraform
  • Hands-on with ArgoCD or Flux
  • Experience with Prometheus/Grafana
  • Knowledge of OpenTelemetry
  • Programming skills in Python, Typescript, Bash
  • Regulated environment experience (HIPAA, SOC 2)

Responsibilities

  • Own day-to-day operations of EKS cluster platform
  • Manage GitOps delivery pipeline using ArgoCD
  • Build and maintain Prometheus/Grafana observability platform
  • Manage and extend Terraform codebases for AWS infrastructure
  • Lead OpenTelemetry adoption for distributed tracing
  • Oversee Linux systems health and performance
  • Enforce security and compliance posture in a regulated environment

Benefits

  • Paid parental leave
  • Comprehensive medical, dental, and vision policies with 100% premium coverage
  • Home office stipend and provided laptop
  • Generous learning and development opportunities
  • 401k match up to 5%
  • Flexible time off plus 10 standardized holidays
  • $500 yearly fitness stipend
Full Job Description
The Role

We're looking for a Senior Systems Engineer to take full ownership of our AWS EKS Kubernetes platform and the open source ecosystem that powers it. This is a hands-on, high-ownership role - you'll be the go-to expert for cluster reliability, observability, GitOps automation, and infrastructure-as-code. You'll work closely with our engineering teams to ensure our platform is resilient, secure, and continuously improving.

This isn't a ticket-queue operations role. We want someone who thinks architecturally, automates relentlessly, and raises the bar for how we build and run infrastructure.

*Must be open to working a hybrid schedule; in our office is in Seattle.*
What You'll Own
  • EKS cluster platform - day-to-day operations, version lifecycle management, node group strategy, cluster upgrades, and capacity planning across environments
  • GitOps delivery pipeline - own and evolve our ArgoCD-based deployment workflows, enforce GitOps patterns across teams, and drive consistency in how services reach production
  • Observability stack - build and maintain our Prometheus/Grafana observability platform; define SLOs, alerting standards, and dashboards that give engineering teams actionable signal
  • Infrastructure-as-code - manage and extend Terraform codebases for AWS infrastructure; enforce IaC standards and participate in code review
  • OpenTelemetry instrumentation - lead the adoption and standardization of OTel across services for distributed tracing, metrics, and log correlation
  • Linux systems health - own OS-level configuration, hardening, patching, and performance tuning across our compute fleet
  • Security & compliance posture - partner with engineering and security to enforce least-privilege IAM, secrets management, network policies, and audit readiness in a HIPAA-regulated environment
What We're Looking For

Required
  • 5-8 years of hands-on systems/platform engineering experience
  • Deep Kubernetes expertise - you can reason about scheduling, networking, storage, RBAC, and cluster internals without reaching for the docs
  • Production experience running workloads on AWS EKS
  • Strong Linux fundamentals - systemd, networking, kernel tuning, troubleshooting under pressure
  • Proficiency with Terraform for AWS infrastructure management
  • Hands-on experience with ArgoCD or Flux in a production GitOps workflow
  • Experience building and operating Prometheus/Grafana observability stacks
  • Working knowledge of OpenTelemetry - collectors, instrumentation libraries, pipeline configuration
  • Programming and scripting experience with Python,Typescript, Bash
  • Comfort operating in a regulated environment (HIPAA, SOC 2, or similar)

Nice to Have
  • Experience with service mesh (Linkerd, Istio, or similar)
  • Familiarity with Kafka in a Kubernetes context
  • Secrets management experience (AWS Secrets Manager, or External Secrets Operator)
  • Prior work at a healthcare or health-tech company
  • Contributions to open source projects
How We Work
  • Hybrid in Seattle - we value in-person collaboration and flexibility in equal measure
  • Infrastructure managed as code - if it's not in Git, it doesn't exist
  • On-call expectations are reasonable and shared across the team
  • You'll have real autonomy over architectural decisions, not just implementation work
Compensation & Benefits:

Xealth offers a multi-tiered approach when constructing a highly competitive compensation package. The compensation package would include a base salary, bonus, and a comprehensive suite of benefits. The base salary compensation range for this position is $145,000 - $160,000, depending on geographic market.

Paid parental leave.
Comprehensive medical, dental, and vision policies. Xealth covers 100% of employee premiums. We also provide Employee Assistance Programs.
Xealth provides your laptop and offers a home office stipend.
Generous learning & development opportunities for you to grow your skills and career.
401k Match: Xealth offers a dollar-for-dollar match up to 5%.
Flexible time off & 10 standardized holidays.
$500 yearly fitness stipend to spend on staying active.

About Xealth

Xealth is a digital health platform that enables clinicians to prescribe and monitor digital health tools for patients. The platform integrates with electronic health records and offers a range of digital health solutions, including remote patient monitoring, telehealth, and patient engagement tools. Xealth aims to improve patient outcomes and reduce healthcare costs by making it easier for clinicians to prescribe and monitor digital health tools.
Learn more about Xealth
Size
50 employees
Industry
Founded
2015

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