Infrastructure Engineer (Backend)
Posted on April 23, 2026 (about 1 month ago)
About the role
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.
What You'll Do
- Contribute to Our Infrastructure-as-Code: develop and maintain our cloud infrastructure using Terraform.
- 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.
- Backend Engineering: Write production backend services and contribute to core server-side systems. You're comfortable writing application code, not just orchestrating it.
- Build Core Archetypes: Write production grade archetypes for new deployments, jobs, consumers, and workers.
- Developer Experience: Improve local dev workflows, reduce build times, eliminate flaky infrastructure, and build internal tooling that the team actually wants to use.
- 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.
Who You Are
- You're equally comfortable in an IDE writing application code and in a terminal managing cloud infrastructure.
- If you do something manually twice, you're already writing the script to automate it the third time.
- 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.
- You pick the right tool for the job and prioritize shipping practical solutions.
- You 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 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.
Bonus Points For
- 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.).
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
NYC - hybrid, Boston - hybrid, East Coast - remote
What we offer
- Impact: Contribute to AI-driven healthcare experiences and interface with execs at leading tech and healthcare organizations.
- Growth: Significant opportunities for broad ownership and professional development within a rapidly scaling startup.
- Compensation: Competitive salary + equity.
- Benefits: Comprehensive healthcare, vision and dental, 401(k), unlimited PTO, parental leave.
Our Values
- Patients come first. We are clinicians first, technologists second and act with patient trust and safety at the center of every decision.
- Innovate with optimism. Challenge the status quo when needed.
- Right answer wins. Debate openly and pick the strongest path for the company.
- Simplicity over complexity. Choose clear, elegant solutions and avoid unnecessary complexity.
- Do fewer things, well. Focus and hold to a high bar of excellence.
About Counsel
Counsel’s mission is to multiply the world's healthcare capacity. We are building a fully-vertical, AI-native medical group using custom AI tools to make in-house physicians faster and smarter. Since our founding in 2023, we have formed partnerships with leading healthcare organizations and have raised over $35M from top-tier VC firms.
Our team combines deep expertise in medicine and technology — and we’re looking for exceptional people to join us as we scale. Join us as we build the future of AI in healthcare!
Recruitment Fraud Notice
Counsel Health only communicates with candidates using official @counselhealth.com email addresses. We will never ask for payment or financial information during the interview process. If you receive suspicious outreach claiming to be from Counsel Health, please contact [email protected].
Compensation Range: $180K - $225K
How to Apply
Please apply using the "Apply for this Job" button on this page (the application form linked to this posting).
Submit the requested information and resume through the online application to be considered.
Security Notice
Counsel Health only communicates with candidates using official @counselhealth.com email addresses. We will never ask for payment or financial information during the interview process. If you receive suspicious outreach claiming to be from Counsel Health, please contact [email protected].