Citizen Health

healthcare

StaffPlatformEngineer

San Francisco, California, United States FULL TIME
The Brief

“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.

healthcare
Problems you'll solve

Identify scaling walls before they become a crisis; Rearchitect systems to address scaling issues; Automate the toil

Eligibility Requirements

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

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