Senior Software Engineer, DevOps and Infrastructure

Axle Health builds AI scheduling and workforce management software to empower in-home healthcare providers to deliver exceptional, personalized care right where patients feel most comfortable—at home.

Some of the biggest providers in the country use our software (like Cityblock Health and U Penn Health System) to improve the utilization of their field teams by 17%+, and automate the operational burden of scheduling and dispatching.

Our platform includes proprietary logistics algorithms to optimize scheduling, a mobile app for field staff, an operations dashboard for office teams, engagement and booking tools for patients, and a wide range of integrations and external APIs for modular access.

We’re a team of top-tier engineers and operators, backed by $14m from top investors such as Y Combinator, Pear VC, and F-Prime, applying our intellect and logistics experience to upend how home healthcare is delivered.

Axle Health is building AI scheduling and workforce management software that powers in-home healthcare delivery for some of the largest providers in the country. As we scale our platform to support hundreds of thousands of patients and expand our enterprise customer base, the reliability, security, and performance of our infrastructure becomes mission-critical; not just technically, but for the patients whose care depends on it.

We're looking for a Senior Engineer, DevOps & Infrastructure to own the foundation that everything else runs on. This is a high-ownership, high-impact role for someone who takes deep pride in the craft of building secure, observable, and scalable cloud infrastructure. You'll be the primary driver of our DevOps maturity, security posture, and HIPAA compliance at the infrastructure layer: working closely with our backend engineers to make sure every system we ship is reliable, hardened, and production-ready. Our ideal candidate is a seasoned infrastructure practitioner who thrives in fast-moving startup environments, brings strong security instincts, and can operate with significant autonomy while staying closely connected to the engineering team's day-to-day work.

Own and evolve Axle's cloud infrastructure on AWS, driving architectural decisions that balance security, scalability, cost, and developer velocity

Design and maintain CI/CD pipelines with integrated security controls including code scanning, secret detection, and dependency vulnerability checks

Lead infrastructure-as-code initiatives using Terraform or equivalent tools, maintaining clean, audited, and well-documented configurations across all environments

Implement and enforce HIPAA-compliant security practices at the infrastructure layer — including PHI encryption, audit logging, BAA management, and access controls

Manage container orchestration (Docker/Kubernetes), including image hardening, pod security policies, and least-privilege configurations

Build and maintain centralized logging, monitoring, and alerting systems (e.g., Datadog) to enable proactive detection of anomalous activity and rapid incident response

Implement and maintain secrets management using tools like AWS Secrets Manager or HashiCorp Vault, eliminating hardcoded credentials across services

Configure and maintain network security controls including WAFs, DDoS protection, TLS certificate management, and network segmentation across environments

Partner with engineering teams to enforce environment parity and prevent configuration drift across development, staging, and production

Coordinate and support penetration testing engagements, remediation tracking, and patch management across servers, containers, and dependencies

Support disaster recovery planning, backup validation, and risk assessment processes aligned with HIPAA contingency plan requirements

Experience at a healthcare technology company or in another compliance-heavy industry (SOC 2, FedRAMP, PCI DSS)

Familiarity with Datadog or similar observability platforms for log management, APM, and alerting

Exposure to penetration testing coordination or red team/blue team exercises

Experience building or maintaining secrets management systems using HashiCorp Vault or AWS Secrets Manager at scale

Contributions to security culture beyond your immediate role such as documentation, internal security training, or championing secure-by-default engineering practices across the team

AWS

Terraform

Django + Python 3

Node + Typescript

GraphQL

PostgresSQL

Datadog for monitoring and observability

Git / Github / Graphite

Claude Code and Cursor

We cultivate an environment where team members feel ownership over the work they do. Everyone in an organization has big ideas and we want to hear them and implement them.

All of our employees have equity compensation. We want you to benefit from all the hard work you do in helping patients and catalyzing this shift in healthcare.

Medical, Dental, Vision

401k plan

Flexible PTO and sick days

Commuter benefits

Santa Monica HQ with 180 degree beach views and daily catered lunches

Fast paced work environment geared towards professional growth

Get the chance to move roles within the organization to learn new skills and continue to make an impact

Monthly team events, dinners, & happy hours

Special team outings - some past events have included: yacht cruises, visits to Universal Studios, Magic Castle, and Vegas