Senior Software Engineer, DevOps

Eko builds AI and digital tools to enable every healthcare provider to more accurately detect heart and lung disease – the leading causes of death globally. Our FDA cleared, industry leading products are used by hundreds of thousands of clinicians on millions of patients around the world. With Eko, clinicians can detect cardiac and pulmonary disease with higher accuracy, diagnose with more confidence, manage treatment effectively, and ultimately give their patients the best care possible.

We have strong venture capital backing from investors like Artis Ventures, Questa Capital, Highland Capital, and Mayo Clinic Ventures.

Recognized by TIME magazine in 2025 as one of the world’s top healthcare technology companies, Eko is one of the fastest growing digital health companies with products used around the world at some of the most prestigious health systems.

We have more than 8 FDA clearances including novel AI algorithms, and we invest heavily in quality clinical research and R&D to build and validate exceptional products for patients we care deeply about.

We’ve built a mission driven, high performing, talented, and diverse team of engineers, physicians, PhD’s, creatives, and technologists. We are committed to investing in each other and our mission to ensure all patients have access to high quality care.

We are headquartered in Emeryville, California and privately-held with world class investors and partners.

Eko Health is hiring a Senior DevOps Engineer to maintain and evolve the infrastructure, CI/CD, and deployment systems that support our cloud services and mobile applications. The role also carries meaningful SRE and SecOps responsibilities.

Today, AWS infrastructure and CI/CD pipelines are handled by the engineering team itself. You would become the person the team turns to for deployments and for keeping servers running. You will help define processes, build security and reliability into our AWS infrastructure and delivery pipelines, and act as one of the first lines of defense when critical events and issues arise.

The work centers on backend infrastructure and DevOps, mostly with Terraform, alongside a C#. You will stay closely connected to backend application development, databases, and APIs. That work supports Eko's hardware, software, and AI products in human and veterinary health.

• Mature and upgrade the deployment pipeline.

• Make sure cloud infrastructure goes through the appropriate security processes.

• Because the team has shared infrastructure work until now, a likely early step is turning that shared knowledge into documented, codified practices, including runbooks and system design decisions.

You will join a team of 5 engineers that report to a team lead. The others on the team are full stack engineers, with some focusing on backend and others in frontend engineering. The team has shared AWS, CI, and CD responsibilities. This hire will take on that ownership and work with the engineers who currently handle it.

• Design, build, and maintain cloud infrastructure, container orchestration, cloud security posture, and observability monitors/alerts using infrastructure-as-code frameworks and best practices

• Create and maintain CI/CD pipelines to build, test, artifact and deploy continuously merged code

• Build self-service tooling and paved paths to enable downstream engineers to ship without infrastructure expertise

• Upgrade security and vulnerability scanning into our CI/CD layer and help coordinate the triaging of deficiencies

• Help harden the software supply chain with artifact signing, SBOM generation, and properly configured build runners

• Partner with security/compliance on audits and evidence collection for SOC2/HIPAA/ISO 27001 as applicable

• Participate in incident responses that lead to blameless postmortems with tracked follow-ups

• Mentor engineers on operational and secure-development practices

• Contribute to architecture views with a reliability, operability, and security perspective

• Help document runbooks, playbooks, threat-model notes, and system design decisions

• Other duties as assigned

Note: Job duties may change at any time with or without notice.

• 7 + years in DevOps, platform, or infrastructure engineering, including ownership of customer-facing systems

• Deep experience with at least one major cloud provider and IaC practices in a team setting

• Strong proficiency in a scripting/programming language (Python, Go, Bash)

• Hands-on experience with container orchestration and CI/CD systems

• Working knowledge of cloud IAM and network security fundamentals

• Practical SRE experience

• Experience with Linux internals, networking, and debugging distributed systems under pressure

• Strong communication, organizational, and problem-solving skills

• Experience in a startup or high-growth environment, preferably in a regulated environment

• Experience supporting audit cycles

• Threat modeling or offensive-security exposure (CTFs, pentest collaboration, bug bounty triage)

• Database operations experience

• Experience with service mesh, progressive delivery, and chaos engineering