Lead Service Reliability Engineer
Prescryptive Health
United States · Colorado, USA · Maryland, USA · California, USA · Massachusetts, USA · Pennsylvania, USA · Virginia, USA · Illinois, USA · Texas, USA · Oregon, USA · Florida, USA · Michigan, USA · Washington, USA · Indiana, USA · North Carolina, USA · Georgia, USA · Delaware, USA · Tennessee, USA · Arkansas, USA · New Jersey, USA · Connecticut, USA · Vermont, USA · Louisiana, USA · New Hampshire, USA · South Carolina, USA · Wisconsin, USA · Missouri, USA · Ohio, USA · Wyoming, USA · Kansas, USA · Arizona, USA · North Dakota, USA · Hawaii, USA · Nevada, USA · Iowa, USA · Oklahoma, USA · Mississippi, USA · West Virginia, USA · Nebraska, USA · Minnesota, USA · Alabama, USA · Idaho, USA · South Dakota, USA · New Mexico, USA · Utah, USA · Maine, USA · Rhode Island, USA · Alaska, USA · Montana, USA · Porto, Portugal · New York, NY, USA · Washington, DC, USA · Remote
USD 125k-195k / year + Equity
Who is Prescryptive?
Prescryptive Health is a healthcare technology company delivering solutions that empower consumers. Prescryptive’s secure, mobile-first products connect consumers, pharmacists, and employers, ultimately providing people with the information they need to make informed decisions and take control of their health. To learn more about Prescryptive Health, visit Prescryptive.com.
About the Role
The Lead Service Reliability Engineer at Prescryptive is responsible for the reliability, scalability, security, and performance of our cloud-based platforms across pre‑production and production environments. This role blends hands‑on technical leadership with people leadership, guiding and mentoring a small team of Service Reliability / DevOps Engineers while remaining deeply involved in design, deployment, and operations.
As a healthcare technology company, Prescryptive not only meets HIPAA requirements, but strives to exceed them through proactive infrastructure design, automation, monitoring, and operational excellence. The ideal candidate is a strong technical expert who also enjoys leading engineers, influencing teams, and raising the bar for reliability and security.
What You Will Do
Technical Leadership & Reliability
Own and define build and deployment pipelines for secure, reliable production releases
Lead the operation of pre‑production and production cloud infrastructure to ensure high availability, performance, and security
Partner with Engineering and Product teams to manage release flow from development to test and production
Define and implement monitoring, alerting, and incident response practices
Lead troubleshooting, root cause analysis, and post‑incident improvements
Evaluate, recommend, and implement new infrastructure technologies and services
Ensure platforms meet or exceed healthcare security and compliance standards
Team Leadership & Enablement
Act as the technical and people lead for a team of Service Reliability / DevOps Engineers (minimum of 2)
Provide day‑to‑day guidance, technical direction, and mentorship for team members
Conduct regular 1:1s, provide feedback, and support career development
Help prioritize work, balance operational needs, and remove blockers for the team
Support onboarding and ongoing skill development
Help establish best practices, standards, and operational runbooks
Foster a culture of ownership, accountability, reliability, and continuous improvement
What You Will Bring
Required Qualifications
Bachelor’s degree in Computer Science, Computer Engineering, Information Security, or equivalent practical experience
5+ years of experience in SRE or DevOps roles
Prior experience leading engineers, either formally or as a technical/team lead
Strong experience managing cloud-based infrastructure, preferably in Azure
Demonstrated expertise with Kubernetes, including:
Cluster setup, networking, access control, and authorization
Deployments, services, config maps, secrets, and cronjobs
Designing, deploying, and maintaining service mesh infrastructure
Strong experience with GitHub Actions
Experience supporting production environments and high‑availability services
Familiarity with Agile methodologies (Scrum, sprints, backlogs)
Experience managing certificates, secrets, and monitoring systems
Strong collaboration skills within a large, evolving engineering organization
Bias toward action with a focus on continuous improvement
Technical Experience Areas
Cloud Infrastructure
Load balancers, VNets, DNS, network firewalls
API Management
Service Bus
Storage accounts
Automation functions
Virtual Machines, scale sets, and Azure Virtual Desktops
Active Directory and domain services
Monitoring and alerting systems
Secret and key management
Platform & Data
Kubernetes clusters and container registries
kubectl and container operations
Redis
SQL, PostgreSQL, and MongoDB
Preferred Qualifications
Experience leading SRE, DevOps, or Platform teams
Experience in healthcare or HIPAA-regulated environments
Experience guiding on‑call rotations and incident response practices
Track record of improving reliability, performance, or operational maturity
Strong communication and stakeholder‑management skills
Demonstrated ability to mentor and grow engineers
Curiosity and willingness to learn and adopt new technologies
What we have to offer
The opportunity to grow alongside an early-stage company shaking up a big, old-fashioned industry
Flexible time off, including 12 paid holidays
401k match plus 100% employer paid medical, dental, and vision premiums
Company contribution to Health Savings Account
Stock options
Prescryptive is committed to fair pay practices. The projected annual salary for this position is $125k to $195k. When preparing an offer, we consider the candidates resume, experience, interview feedback, internal equity, and location.
Prescryptive is an Equal Opportunity Employer. Prescryptive does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.