Infrastructure Engineer (Backend)

At Counsel Health, we've built a product that patients and physicians love on a fast-moving stack. As we scale, the surface area between "application code" and "infrastructure" is growing — and we need someone who lives at that intersection.

We are looking for a Backend Infrastructure Engineer who is equal parts software engineer and infrastructure engineer. You won't be sitting in a silo writing Terraform all day, and you won't be shipping product features in React. You'll operate on the critical layer in between: the CI/CD pipelines, the IaC that provisions our AWS environment, the backend services that glue our systems together, and the developer tooling that keeps a fast-growing engineering team productive.

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  Contribute to Our Infrastructure-as-Code: develop and maintain our cloud infrastructure using Terraform.

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  Build & Improve CI/CD: Own our build, test, and deployment pipelines end-to-end. Your goal is to make deploying to production boring — fast, reliable, and automatic.

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  Backend Engineering: Write production backend services and contribute to core server-side systems. You're comfortable writing application code, not just orchestrating it.

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  Build Core Archetypes: Write production grade archetypes for new deployments, jobs, consumers, and workers. You’re comfortable building out an abstract base stream consumer or cron executor for widespread use.

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  Developer Experience: Be the engineer who makes other engineers faster. Improve local dev workflows, reduce build times, eliminate flaky infrastructure, and build internal tooling that the team actually wants to use.

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  Security & Compliance: Work closely with our security and compliance team to harden our infrastructure posture — secrets management, IAM policies, network isolation, and audit logging in a HIPAA-regulated environment.

• A Bridge Builder: You're equally comfortable in an IDE writing application code and in a terminal managing cloud infrastructure. You don't see "backend" and "infra" as separate disciplines.

• An Automation Leader: If you do something manually twice, you're already writing the script to automate it the third time.

• Systems Thinker: You understand how a request flows from a user's browser through a load balancer, into a container, hits a database, and comes back — and you can debug any layer of that stack.

• Pragmatic & Shipping-Oriented: You pick the right tool for the job, not the trendy one. You'd rather ship a working solution today than architect a perfect one next quarter.

• A Strong Communicator: You can explain infrastructure decisions to product engineers and translate product requirements into infrastructure changes.

• 3-5 years of professional experience in backend engineering, infrastructure engineering, or a hybrid of both.

• Strong proficiency in at least one strongly-typed or compiled language (Go, Rust, Java, Typed Python, TypeScript, etc.).

• Experience with AWS/GCP/Azure cloud services.

• Familiarity with containerized environments and Docker.

• Hands-on experience writing and maintaining Terraform (or equivalent IaC tooling).

• Proven track record building and maintaining CI/CD pipelines (GitHub Actions, CircleCI, or similar).

• Kubernetes experience

• Experience with TypeScript/Node.js.

• Experience working in a regulated environment (HIPAA, SOC 2, etc.) -- strong plus!

Our backend platform is built to support large-scale AI-driven clinical systems and enterprise integrations.

• Languages: TypeScript, Node.js

• Infrastructure: SQS, Temporal, AWS, GCP, Docker, Kubernetes

• Data: PostgreSQL, Redis, time-series and vector storage with GCP

We value strong engineering fundamentals over familiarity with any specific tool. If you’ve built robust distributed systems and high-quality APIs before, you’ll ramp quickly in our stack.

NYC - hybrid, Boston - hybrid, East Coast - remote

• Patients come first.
  We are clinicians 1st, technologists 2nd. We act with patient trust/safety at the center of every decision.

• Innovate with optimism.
  We are optimistic as we build the future of care delivery from first principles. Challenge the status quo when needed, no sacred cows.

• Right answer wins.
  Debate openly and pick the strongest path. We optimize for the company, not functions. We win and lose as a team.

• Simplicity over complexity.
  We choose clear, elegant solutions and avoid adding complexity that does not serve patients or the team.

• Do fewer things, well.
  We focus, and hold ourselves to the highest bar and pursue excellence in those areas.

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