Senior, Site Reliability Engineer (SRE)

At Sprinter Health, our mission is reimagining how people access care by bringing it directly to their homes. Nearly 30% of patients in the U.S. skip preventive or chronic care simply because they can’t get to a doctor’s office. For many, the ER becomes their first touchpoint with the healthcare system, driving over $300B in avoidable costs every year.

By using the same technologies that power leading marketplace and last-mile platforms, we deliver care where people are, especially those who need it most. So far, we’ve supported more than 2 million patients across 22 states, completed 130,000+ in-home visits, and maintained a 92 NPS. Our team of clinicians, technologists, and operators has raised over $125M from investors like a16z, General Catalyst, GV, and Accel and enjoys multi-year runway.

We’re looking for a Senior Site Reliability Engineer who wants to build the reliability, infrastructure, and security foundations that power last-mile healthcare delivery at scale.

At Sprinter, you’ll work on the operational backbone behind products that blend logistics, patient experience, safety, and medical operations. Our systems help determine whether patients get access to care, whether clinicians are routed efficiently, whether internal teams can operate effectively, and whether our platform can scale securely and reliably as the business grows.

This role is ideal for someone who wants broad ownership across reliability, cloud infrastructure, security, observability, automation, and platform design. You’ll help raise the operational bar across engineering, reduce toil through infrastructure as code and scripting, strengthen our security posture, and guide architectural decisions that make our systems more resilient over time.

If you want to make meaningful technical decisions, work across engineering and operations, and help shape the foundation of how a high-growth healthcare company scales, this is that role.

We are a hybrid company based in the Bay Area with offices in both San Francisco and Menlo Park. For this requisition, we are open to remote candidates but will prioritize candidates who are local. We care about work-life balance and understand that there will be times where flexibility is needed.

• Design, build, and improve the infrastructure that powers Sprinter’s patient care, clinician operations, internal tooling, and partner-facing systems

• Improve reliability across distributed systems, cloud infrastructure, CI/CD, observability, and incident response

• Raise the security baseline across cloud infrastructure, access controls, secrets management, identity, and operational workflows

• Build and maintain infrastructure as code using Terraform and related tooling

• Automate manual infrastructure and operational processes through scripting, tooling, and platform improvements

• Partner with engineering teams to improve system architecture, deployment practices, monitoring, logging, and alerting

• Troubleshoot complex issues across infrastructure, application, data, and operational boundaries

• Help define reliability, security, and infrastructure standards that allow Sprinter to scale without creating brittle systems

• Support incident response practices, postmortems, operational readiness, and continuous improvement across engineering

• Make pragmatic tradeoffs between reliability, security, speed, and simplicity in a fast-moving startup environment

• Spent 8+ years in site reliability engineering, platform engineering, infrastructure engineering, security engineering, or related technical roles

• Led high-impact infrastructure, reliability, platform, or security projects end to end with minimal oversight

• Built and operated production systems in cloud environments, ideally AWS and/or GCP

• Worked deeply with infrastructure as code, ideally Terraform

• Improved observability, monitoring, logging, alerting, and incident response practices across engineering teams

• Automated infrastructure, deployment, or operational workflows using scripting languages such as Python, Bash, or TypeScript

• Improved cloud security, access management, secrets management, networking, or operational controls

• Troubleshot production issues across application, infrastructure, networking, and deployment layers

• Worked in environments where reliability, security, ambiguity, and speed all matter

• Made technical decisions that balanced immediate business needs with long-term scalability, reliability, and maintainability

• You’ve built or scaled infrastructure in health tech, logistics, marketplace, fintech, or other operationally complex environments

• You’ve worked in mid- or growth-stage startups where speed, ambiguity, and pragmatic decision-making were required

• You have experience improving security posture in a practical, engineering-friendly way

• You’ve helped establish reliability standards, incident response practices, or platform patterns across an engineering org

• You’re comfortable working directly with product engineers, data teams, operations, security stakeholders, and technical leadership

• You have experience mentoring engineers and raising the operational bar across a broader engineering team

• You’ve worked in regulated environments and understand the importance of privacy, security, and compliance best practices

• You have people management experience or interest in growing into broader technical leadership over time

We aim to complete the interview process within 2–3 weeks. It will usually consist of:

• Recruiter Screen: Background fit, motivation, and compensation alignment

• Hiring Manager Interview: Experience and technical depth

• Technical Interview: SRE fundamentals, observability, incident response, and disaster recovery

• Soft Skills Interview: Collaboration style and compatibility with the teams this person will support

• Reference Checks: Validation of performance and working style

• Meaningful pre-IPO equity

• Medical, dental, and vision plans 100% paid for you and your dependents

• Flexible PTO + 10 paid holidays per year

• 401(k) with match

• 16-week parental leave policy for birthing parent, 8 weeks for all other parents

• HSA + FSA contributions

• Life insurance, plus short and long-term disability coverage

• Free daily lunch in-office

• Annual learning stipend

• Relocation assistance

• Terraform and infrastructure-as-code tooling

• AWS

• GCP

• TypeScript

• Python

• Bash

• CI/CD systems

• Monitoring, logging, and observability platforms

• Identity, access, and secrets management systems

• Cloud networking and infrastructure tooling

• Container and deployment systems

• Serverless AWS, including AppSync, DynamoDB, Lambda, Amplify, CloudFormation, and Node

• GraphQL

• React Native and React Native for Web

Sprinter Health is an equal opportunity employer. We value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or other protected classes.

Beware of recruitment fraud and scams that involve fictitious job descriptions followed by false job offers.

If you are applying for a job, you can confirm the legitimacy of a job posting by viewing current open roles on our official Sprinter Health Careers website. All legitimate job postings will require an application to be made directly on our official Sprinter Health Careers website. Job-related communications will only be sent from email addresses ending in @sprinterhealth.com. Please ensure that you’re only replying to emails that end with @sprinterhealth.com.