Senior Software Engineer, Counsel Health
Infrastructure / Platform
$160-225k
+ Equity Options
Physician-led, AI-enhanced medical advice
Be an early applicant
Physician-led, AI-enhanced medical advice
1-20 employees
Be an early applicant
$160-225k
+ Equity Options
1-20 employees
Company mission
To provide patients unlimited access to personalized, high-quality medical advice from real clinicians.
Role
Who you are
- 5+ years building production software, with 2+ years deploying production systems in a cloud environment
- Proven experience building infrastructure that handles millions of requests with strict uptime and latency requirements
- Proficiency with Terraform or similar tools for automated infrastructure management
- Proven experience with:
- Secure container deployment and Kubernetes best practices on AWS EKS
- Large-scale SQL databases (e.g. PostgreSQL, MySQL)
- Real-time queue systems (e.g. Kafka, SQS, Temporal)
- Opinionated about improving developer experience through tooling, automation, and workflows that accelerate and up-level the engineering team around you
- You have experience with our tech stack: AWS, Terraform, TypeScript, Redis, Node, Postgres
- You consider yourself a swiss army knife engineer who can flex into infrastructure problems related to backend services, data pipelines, and web products
- You care deeply about performance and feel immense satisfaction driving latency of critical services down
- You bring an SRE’s toolkit of experience, with strong opinions on how to invest in on-call and incident management practices to ensure system reliability
- You have hands-on experience scaling early systems from 1 → 10 in a fast-paced, high-growth environment
- You thrive on working alongside exceptional teammates and derive energy from collaborative environments
What the job involves
- We are seeking a talented, driven, and experienced Senior Infrastructure Engineer to join us in defining the future of AI + human healthcare
- This role is fully remote
- You will have significant responsibility and ownership over our infrastructure, along with the opportunity to shape the future of our engineering/infra organization
- This role is central to ensuring our platform can scale seamlessly—meeting the demands of large healthcare clients while reliably serving hundreds of thousands of patients
- Our culture is fast-paced and ambitious, and we aim for every team member to be exceptional
- Scale our infrastructure and deployments, meet the demands of hundreds of thousands patients maintaining fast response time and 99.99% uptime
- Plan and lead key infrastructure investments, ensuring we can scale while balancing short-term delivery with long-term maintainability
- Drive development of core data infrastructure, including our data transformation and warehouse systems, integrations with health information networks, and data ingestion pipelines with enterprise clients
- Improve developer experience and engineering velocity, building the tooling, CI/CD pipelines, and observability systems that let teams move faster with confidence
- Champion operational and security excellence, including reliability, monitoring, on-call practices, and infrastructure security aligned with healthcare standards (HIPAA, SOC2)
- Optimize our Kubernetes clusters and services to meet the demands of our scaling services
- Plan and lead a migration of our critical queue workflows in SQS onto Temporal
- Re-imagining our release operations workflows to streamline QA tested changes directly into production
- Design and lead our multi-tenant isolation and row-level encryption strategy for sensitive enterprise client data
Our take
Counsel Health is a virtual healthcare platform offering an AI-enabled, asynchronous care platform connecting patients with real clinicians via 24/7 messaging.
While the digital health space is competitive, with companies offering similar text-based services, Counsel stands out by providing personalized care from real physicians. The platform combines the efficiency of AI technology with high-quality care from senior medical professionals from top institutions like Harvard and Stanford.
Launched in 2023, Counsel is off to a strong start, backed by early financial support and a clear growth roadmap. With plans to expand its coverage to additional states, the company is ready for rapid scaling. This promising start sets Counsel on track to help reshape the virtual healthcare landscape.
Kirsty
Company Specialist at Welcome to the Jungle
Company
Funding (1 round)
Oct 2024
$11m
SEED
Total funding: $11m
Company HQ
Canton, MA
Leadership
Muthu Alagappan
(Founder & CEO)Prior to Counsel, they were a Medical Doctor and Chief Medical Officer at Notable. They were also an Attending Physician at Beth Israel Deaconess Medical Center, UCSF Medical Center and Massachusetts General Hospital.
Salary benchmarks
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