Lead Service Reliability Engineer

Prescryptive Health, Inc.

1d

About The Position

The Lead Service Reliability Engineer at Prescryptive is responsible for the reliability, scalability, security, and performance of our cloud-based platforms across pre‑production and production environments. This role blends hands‑on technical leadership with people leadership, guiding and mentoring a small team of Service Reliability / DevOps Engineers while remaining deeply involved in design, deployment, and operations. As a healthcare technology company, Prescryptive not only meets HIPAA requirements, but strives to exceed them through proactive infrastructure design, automation, monitoring, and operational excellence. The ideal candidate is a strong technical expert who also enjoys leading engineers, influencing teams, and raising the bar for reliability and security.

Requirements

• Bachelor’s degree in Computer Science, Computer Engineering, Information Security, or equivalent practical experience
• 5+ years of experience in SRE or DevOps roles
• Prior experience leading engineers, either formally or as a technical/team lead
• Strong experience managing cloud-based infrastructure, preferably in Azure
• Demonstrated expertise with Kubernetes, including: Cluster setup, networking, access control, and authorization
• Deployments, services, config maps, secrets, and cronjobs
• Designing, deploying, and maintaining service mesh infrastructure
• Strong experience with GitHub Actions
• Experience supporting production environments and high‑availability services
• Familiarity with Agile methodologies (Scrum, sprints, backlogs)
• Experience managing certificates, secrets, and monitoring systems
• Strong collaboration skills within a large, evolving engineering organization
• Bias toward action with a focus on continuous improvement
• Cloud Infrastructure: Load balancers, VNets, DNS, network firewalls
• API Management
• Service Bus
• Storage accounts
• Automation functions
• Virtual Machines, scale sets, and Azure Virtual Desktops
• Active Directory and domain services
• Monitoring and alerting systems
• Secret and key management
• Platform & Data: Kubernetes clusters and container registries
• kubectl and container operations
• Redis
• SQL, PostgreSQL, and MongoDB

Nice To Haves

• Experience leading SRE, DevOps, or Platform teams
• Experience in healthcare or HIPAA-regulated environments
• Experience guiding on‑call rotations and incident response practices
• Track record of improving reliability, performance, or operational maturity
• Strong communication and stakeholder‑management skills
• Demonstrated ability to mentor and grow engineers
• Curiosity and willingness to learn and adopt new technologies

Responsibilities

• Own and define build and deployment pipelines for secure, reliable production releases
• Lead the operation of pre‑production and production cloud infrastructure to ensure high availability, performance, and security
• Partner with Engineering and Product teams to manage release flow from development to test and production
• Define and implement monitoring, alerting, and incident response practices
• Lead troubleshooting, root cause analysis, and post‑incident improvements
• Evaluate, recommend, and implement new infrastructure technologies and services
• Ensure platforms meet or exceed healthcare security and compliance standards
• Act as the technical and people lead for a team of Service Reliability / DevOps Engineers (minimum of 2)
• Provide day‑to‑day guidance, technical direction, and mentorship for team members
• Conduct regular 1:1s, provide feedback, and support career development
• Help prioritize work, balance operational needs, and remove blockers for the team
• Support onboarding and ongoing skill development
• Help establish best practices, standards, and operational runbooks
• Foster a culture of ownership, accountability, reliability, and continuous improvement

Benefits

• The opportunity to grow alongside an early-stage company shaking up a big, old-fashioned industry
• Flexible time off, including 12 paid holidays
• 401k match plus 100% employer paid medical, dental, and vision premiums
• Company contribution to Health Savings Account
• Stock options
• Prescryptive is committed to fair pay practices. The projected annual salary for this position is $125k to $195k.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior