Senior, Site Reliability Engineer (SRE)

ABOUT SPRINTER HEALTH At Sprinter Health, our mission is reimagining how people access care by bringing it directly to their homes. Nearly 30% of patients in the U.S. skip preventive or chronic care simply because they can’t get to a doctor’s office. For many, the ER becomes their first touchpoint with the healthcare system, driving over $300B in avoidable costs every year. By using the same technologies that power leading marketplace and last-mile platforms, we deliver care where people are, especially those who need it most. So far, we’ve supported more than 2 million patients across 22 states, completed 130,000+ in-home visits, and maintained a 92 NPS. Our team of clinicians, technologists, and operators has raised over $125M from investors like a16z, General Catalyst, GV, and Accel and enjoys multi-year runway. ABOUT THE ROLE We’re looking for a Senior Site Reliability Engineer who wants to build the reliability, infrastructure, and security foundations that power last-mile healthcare delivery at scale. At Sprinter, you’ll work on the operational backbone behind products that blend logistics, patient experience, safety, and medical operations. Our systems help determine whether patients get access to care, whether clinicians are routed efficiently, whether internal teams can operate effectively, and whether our platform can scale securely and reliably as the business grows. This role is ideal for someone who wants broad ownership across reliability, cloud infrastructure, security, observability, automation, and platform design. You’ll help raise the operational bar across engineering, reduce toil through infrastructure as code and scripting, strengthen our security posture, and guide architectural decisions that make our systems more resilient over time. If you want to make meaningful technical decisions, work across engineering and operations, and help shape the foundation of how a high-growth healthcare company scales, this is that role. OFFICE LOCATION We are a hybrid company based in the Bay Area with offices in both San Francisco and Menlo Park. For this requisition, we are open to remote candidates but will prioritize candidates who are local. We care about work-life balance and understand that there will be times where flexibility is needed. WHAT YOU WILL DO - Design, build, and improve the infrastructure that powers Sprinter’s patient care, clinician operations, internal tooling, and partner-facing systems - Improve reliability across distributed systems, cloud infrastructure, CI/CD, observability, and incident response - Raise the security baseline across cloud infrastructure, access controls, secrets management, identity, and operational workflows - Build and maintain infrastructure as code using Terraform and related tooling - Automate manual infrastructure and operational processes through scripting, tooling, and platform improvements - Partner with engineering teams to improve system architecture, deployment practices, monitoring, logging, and alerting - Troubleshoot complex issues across infrastructure, application, data, and operational boundaries - Help define reliability, security, and infrastructure standards that allow Sprinter to scale without creating brittle systems - Support incident response practices, postmortems, operational readiness, and continuous improvement across engineering - Make pragmatic tradeoffs between reliability, security, speed, and simplicity in a fast-moving startup environment WHAT YOU HAVE DONE - Spent 8+ years in site reliability engineering, platform engineering, infrastructure engineering, security engineering, or related technical roles - Led high-impact infrastructure, reliability, platform, or security projects end to end with minimal oversight - Built and operated production systems in cloud environments, ideally AWS and/or GCP - Worked deeply with infrastructure as code, ideally Terraform - Improved observability, monitoring, logging, alerting, and incident response pra