Infrastructure Engineer

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About the role

At Counsel, we've built a product that patients and physicians love, on a fast-moving stack. As we scale, the line between "application code" and "infrastructure" keeps blurring and we need someone who lives right at that intersection.

We're looking for a Backend Infrastructure Engineer who's 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 own the 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 moving.

What You'll Do

• Shape our infrastructure-as-code. Develop and maintain our cloud infrastructure using Terraform.

• Build and improve CI/CD. Own our build, test, and deployment pipelines end to end. Your goal is to make deploying to production boring; fast, reliable, automatic.

• Write real backend code. Contribute production backend services and core server-side systems. You write application code, rather than simply orchestrating it.

• Build our core archetypes. Create production-grade patterns for new deployments, jobs, consumers, and workers. Think: an abstract base stream consumer or cron executor built for reuse across the team.

• Make other engineers faster. Improve local dev workflows, cut build times, kill flaky infrastructure, and build the internal tools people actually want to use.

• Strengthen security and 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.

Who You Are

• Just as comfortable in an IDE writing application code as in a terminal managing cloud infrastructure, because backend and infra aren't separate disciplines to you.

• Already scripting the fix by the third time you'd otherwise have to do something manually.

• Understands how a request travels from a user's browser through a load balancer, into a container, to a database, and back, and can debug any layer along the way.

• Reaches for the right tool over the trendy one and would rather ship something working today than architect something perfect next quarter.

• Can explain infrastructure decisions to product engineers and translate product requirements into infrastructure changes.

   

What You'll Bring

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

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

• Experience with AWS, GCP, or Azure cloud services.

• Familiarity with containerized environments and Docker.

Bonus Points For

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

• A 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.).

Our Tech Stack

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.

Location for this role:

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

What we offer

• Impact: Be at the forefront and contribute to groundbreaking, AI-driven healthcare experiences, directly interface with execs at the world's leading tech & healthcare orgs

• Growth: Significant opportunities for broad ownership and professional development within our rapidly scaling startup

• Compensation: Competitive salary + equity

• Benefits: Comprehensive healthcare, vision + dental, 401K, Unlimited PTO, Parental Leave

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Our Values

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

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

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