Citizen Health
healthcare
StaffPlatformEngineer
Neural analysis suggests this role is
optimal for Lead candidates.
“Staff Platform Engineer at Citizen Health. Skills: Platform Engineering, Infrastructure Strategy, Cloud Architecture, Reliability Engineering, CI/CD, Security, Compliance, AI/ML Infrastructure Support. Build and own the infrastructure that powers Citizen Health. Set the technical direction for our agentic platform”
What You'll Achieve.
Keep platform performant, secure, and compliant; Ship AI-driven features safely at speed; Keep uptime boringly high; Make on-call sustainable; Ensure teams can ship to production dozens of times a day with confidence; Make sure our unit economics work as we scale; Protect patient data without slowing teams down; Contain the blast radius of agent tool-use pipelines
Industry & Context.
Identify scaling walls before they become a crisis; Rearchitect systems to address scaling issues; Automate the toil
On-call responsibilities
What They're Looking For.
Must Have
8+ years of software / infrastructure engineering, 4+ years in a senior IC or technical leadership role on a Platform, SRE, or DevOps team, Deep expertise running production systems on a major cloud provider (AWS, GCP, or Azure), Hands-on with Kubernetes, infrastructure-as-code (Terraform, Pulumi, or similar), and modern CI/CD tooling (GitHub Actions, ArgoCD, Spinnaker, etc.), Programming skills in at least one of Go, Python, or TypeScript, Demonstrated experience scaling infrastructure through a significant growth inflection (10x users, new product surface, architectural migration) in a production environment, Proven track record designing for high availability, zero-downtime releases, and graceful degradation in regulated or data-intensive environments, Security fundamentals: IAM, secrets management, network segmentation, vulnerability management, supply-chain security, Experience at an early-stage or high-growth startup where you owned infrastructure broadly, not just a narrow slice, Excellent written and verbal communication
Nice to Have
Experience supporting AI/ML workloads in production — model serving, inference optimization, GPU infrastructure, vector databases, or large-scale data pipelines, Familiarity with agentic AI systems, multi-agent orchestration, or long-running autonomous workflows, Experience with messaging infrastructure at scale — message queues, webhook reliability, delivery guarantees, rate limiting (WhatsApp, SMS, or similar), Background in healthtech, life sciences, fintech, or other regulated domains (HIPAA, SOC 2, HITRUST, FedRAMP), Familiarity with FHIR / HL7 or other healthcare data standards, Experience growing a Platform or SRE function from a small group of generalists into a specialized team
What You'll Do.
Build and own the infrastructure that powers Citizen Health
Set the technical direction for our agentic platform
Design architectures for long-running AI agent sessions
and autonomous tool execution within HIPAA boundaries
build the observability stack
drive incident response
Own the deployment pipeline end-to-end
Optimize model serving
manage GPU and compute capacity
Implement controls to protect patient data and secure agent tool-use pipelines
Translate platform needs into roadmap
Set direction for platform engineering
Raise the bar for production operations
Build the platform engineering function from the ground up
Own everything from Terraform to on-call until the team grows
How You'll Work.
Team & Collaboration
Partner with teams across AI, web, mobile, and data engineering; Partner with security and legal; Work closely with Product, AI/ML, Data, and Security; Unblock teams; Mentor engineers across the org
Communication Scope
Excellent written and verbal communication; Effective in post-mortems, roadmap discussions, and Slack threads
Process & Methodology
Managing infrastructure through growth inflection, Architectural migration planning and execution
Full Job Description
THE PROBLEM We run an agentic AI platform that acts as a personal advocate for rare disease patients. Our AI agent lives in your text messages, makes phone calls, automates browser sessions, maintains persistent memory across months of patient interactions, and coordinates multiple sub-agents to handle everything from appointment preparation to insurance navigation. The infrastructure challenge is unlike anything in traditional SaaS: long-running autonomous agent sessions with unpredictable compute patterns, real-time messaging at scale, tool-use pipelines that touch the open web on behalf of patients, and healthcare-grade compliance requirements across all of it. We need someone to own this platform end-to-end. THE ROLE We're hiring a Staff Platform Engineer to build and own the infrastructure that powers Citizen Health — the cloud platform, deployment systems, and reliability practices that let our teams ship AI-driven features safely at speed. You'll partner with teams across AI, web, mobile, and data engineering to keep our platform performant, secure, and compliant with healthcare standards (HIPAA, SOC 2, and adjacent frameworks). This is a hands-on technical leadership role. You'll write code, set the direction for platform engineering, and raise the bar for how the entire org runs in production. You will likely be the first dedicated infrastructure hire and will build the platform engineering function from the ground up — owning everything from Terraform to on-call until you grow the team. You'll report to the Director of Engineering. WHAT YOU'LL DRIVE Platform & infrastructure strategy — Set the technical direction for our agentic platform. Design architectures that handle long-running AI agent sessions, real-time WhatsApp message delivery, and autonomous tool execution (browser, phone, API calls) — all within HIPAA boundaries. Make the right build-vs-buy calls and keep infrastructure cost-efficient as we scale from hundreds to tens of thousands of active pa
Applying for this Staff Platform Engineer role?
Most applicants get filtered before a human reads their resume. See if yours makes the cut.
How to Apply on Ashby
- Ashby is a fast modern ATS — most applications take under 3 minutes.
- The resume parser is strong; verify parsed experience dates and job titles.
- Custom screening questions are often scored algorithmically — answer completely.
- Location field affects geo-based screening; use your actual metro area.
ANONYMOUS · UNFILTERED
What do employees actually say about Citizen Health?
Real rants from real employees. Read before you apply.