{"id":825250,"url":"https://alion.io/job/onoshealth-lead-infrastructure-engineer","title":"Lead Infrastructure Engineer","company":{"id":679758,"name":"Onos Health","domain":"onoshealth.com","url":"https://alion.io/company/onoshealth","size_band":"51-200","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":{"grade":"B","score":75,"open_postings":3,"ghost_share":0,"stale_share":1,"repost_share":0,"time_to_fill_p50_days":null,"computed_at":"2026-10-20T05:45:00Z"}},"role":"DevOps","role_family":"DevOps","seniority":"lead","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["San Francisco, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":200000,"max":275000,"currency":"USD","period":"year","gross":null,"usd_annual":275000},"salary_estimate":null,"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"AI Agents","optional":false},{"name":"AWS","optional":false},{"name":"CI/CD","optional":false},{"name":"Claude Code","optional":false},{"name":"GitHub","optional":false},{"name":"HIPAA","optional":false},{"name":"IAM","optional":false},{"name":"Incident Management","optional":false},{"name":"ISO 27001","optional":false},{"name":"Least Privilege","optional":false},{"name":"LLM Guardrails","optional":false},{"name":"OpenAI Codex","optional":false},{"name":"SOC 2","optional":false},{"name":"Terraform","optional":false},{"name":"Amazon ECS","optional":true},{"name":"Amazon S3","optional":true},{"name":"AWS Bedrock","optional":true},{"name":"Celery","optional":true},{"name":"ClickHouse","optional":true},{"name":"Django","optional":true},{"name":"JavaScript","optional":true},{"name":"Kyverno","optional":true},{"name":"Langfuse","optional":true},{"name":"LLM","optional":true},{"name":"Next.js","optional":true},{"name":"PostgreSQL","optional":true},{"name":"Python","optional":true},{"name":"Radix UI","optional":true},{"name":"React.js","optional":true},{"name":"shadcn/ui","optional":true},{"name":"Tailwind CSS","optional":true},{"name":"TypeScript","optional":true},{"name":"Zod","optional":true}],"status":"live","first_seen_at":"2026-08-26T14:31:13Z","employer_posted_date":"2026-08-26","last_verified_at":"2026-10-21T04:09:37Z","board_verified":true,"closed_at":null,"days_open":55,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":55},"description":"About Onos Health\nOnos Health’s mission is simple but ambitious: ensure every healthcare dollar goes toward delivering the highest quality care. Today, 30% of total U.S. healthcare spending is wasted due to ineffective care and administrative burden caused by misalignment between providers and payers.\nOnos is addressing this by building the largest AI-driven healthcare data platform. Our models enables payers to make faster, more accurate decisions across their populations. By guiding members to the right care, Onos is channeling more dollars to high-quality care that drives better outcomes while making healthcare more affordable.\nOnos is well-funded by some of the best healthcare investors and is working with the nation’s largest health plans. Come join a category-defining company and help reimagine healthcare for the better.\nWhy Onos?\nMeaningful impact: Help fix what is fundamentally broken in healthcare\n\nDirect collaboration: Work alongside experienced founders with deep healthcare and data expertise\n\nCulture: Join a high-performing, transparent, and results-oriented team\n\nOwnership: Significant responsibility and autonomy from day one\n\nOpportunity: Play a pivotal role in building a fast-growing, category-defining healthcare AI company\n\nThe Role\nWe're seeking an experienced infrastructure engineer to become our first dedicated platform hire and the owner of the infrastructure the Onos platform runs on. Onos is in production with the nation's largest health plans, which comes with contractual uptime SLAs, disaster recovery commitments, and a security bar (SOC 2, HIPAA) our clients audit. Until now this has been carried collectively by our product engineers and founders - you'll own it end to end. We build heavily with AI coding agents, so much of your leverage will come from specifying work well and directing agents rather than typing every line yourself; prior tech lead or engineering management experience translates directly. As an early team member, you'll set the patterns every future platform engineer at Onos inherits. This role is a hybrid role based in San Francisco, where you'll be expected to work at our office in person 3 times a week.\nWhat you'll be doing at Onos:\nOwn our availability, disaster recovery, and backup commitments to enterprise clients - multi-region failover architecture and the recovery exercises that prove it\n\nStand up production monitoring, alerting, SLOs, and our on-call rotation and incident response process\n\nOwn the technical controls behind SOC 2 and HIPAA: cloud security posture (AWS org guardrails, IAM least-privilege, KMS/encryption), vulnerability remediation, and continuous audit evidence through Vanta, with a path toward HITRUST\n\nBuild the CI/CD pipelines, Terraform/IaC foundations, preview environments, and test infrastructure the whole team ships on\n\nBuild the guardrails that let AI coding agents ship safely - policy-as-code, deploy verification, and agent-operated operations tooling\n\nSet the strategy and operating rhythm for platform work: priorities, status, and what we deliberately defer\n\nTechnical Challenges At Onos:\nArchitect AI SRE agents to ensure up-to-date compliance and reliability, enabling engineers to work more effectively and strategically\n\nRight-size enterprise-grade reliability: SLOs and alerting you can trust without drowning a small team in pager noise\n\nTurn compliance into continuously verified infrastructure - security controls and audit evidence as code\n\nScale a CI/CD and environments platform where AI agents, not just humans, are the primary users\n\nSupport multi-region disaster recovery with defined RTO/RPO targets and immutable, restore-tested backups for a multi-tenant healthcare platform\n\nTech Stack:\nAt Onos, we work with a modern tech stack where we continuously evaluate and adopt cutting-edge technologies as we scale.\nInfrastructure/Systems: AWS (ECS, Bedrock, Glue, etc.), Langfuse, Terraform\n\nLanguages/Frameworks\nBackend: Python, Django, Celery / Celery Beat, django-ninja, django-tenants\n\nFrontend: NextJS, Typescript, Tanstack Query, Shadcn UI, Zod, Nuqs\n\nDatabase/Storage: PostgreSQL (AWS RDS), S3, Clickhouse\n\nDevelopment Tools: Github, Linear, Claude Code, Codex, CoderabbitAI\n\nWhat we're looking for:\nDeep AWS experience - you've owned production cloud infrastructure end to end (IAM, networking, KMS, containers, managed databases)\n\nStrong Terraform/IaC and CI/CD expertise; you treat pipelines and environments as products with users\n\nTaken a company through at least one SOC 2 (or HITRUST/ISO 27001) audit cycle with your hands on the technical controls\n\nSRE fundamentals - SLOs, incident management, DR design - with the judgment to right-size reliability for a startup with enterprise contracts\n\nPrior experience leading engineering teams as a tech lead or engineering manager - you can break down ambiguous goals, delegate (to humans or AI agents), and communicate crisply with non-technical stakeholders\n\nCustomer obsessed and motivated to make an impact in the healthcare space\n\nBonus points if you have:\nSignificant experience in healthcare or another regulated industry, with HIPAA fluency\n\nPolicy-as-code (OPA, Kyverno) or compliance automation (e.g., Vanta, Drata) experience\n\nBeen the first infrastructure hire, or helped found or lead a platform team\n\nBuilt internal tooling or infrastructure for LLM/agent systems\n\nBenefits and Perks\nHybrid arrangement: 3 days/week at San Francisco office (Financial District)\n\nUnlimited vacation policy\n\nPaid parental leave\n\nMedical, dental, and vision insurance\n\nPre-tax commuter benefits\n\n401(k)\n\nSignificant equity as an early employee\n\nDirect mentorship from experienced founders\n\nGround-floor opportunity to help build a team and culture\n\nRegular team events and offsites\n\nCompany-provided equipment and home office setup\n\nWe are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.","description_format":"text","description_chars":6064,"description_truncated":false,"requirements":{"experience_years_min":null,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["Equity","Home office","Parental leave","Vision insurance"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["AI Agents","Health Insurance & Benefits"],"lifecycle":[{"event":"open","at":"2026-09-12T14:14:19Z"}],"visa":[{"country":"US","licensed_sponsor":true,"evidence":"Filed H-1B visas in the last two years","filings_12m":0,"filings_prev_12m":1,"green_card_filings_12m":0,"median_offered_wage_usd":null,"route":null,"cap_exempt":false,"checked_at":"2026-10-15T11:24:14+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)"],"filings_for_role_12m":0}],"liveness":{"score":24,"band":"cold","label":"Long shot","p_open":1,"p_active":0.523,"p_room":0.45,"age_days":54,"expected_fill_days":30,"reasons":["conf:2","win:tail"],"computed_at":"2026-10-20T05:45:00Z"},"pay":{"stated_usd_annual":275000,"is_top_pay":true},"html_url":"https://alion.io/job/onoshealth-lead-infrastructure-engineer","json_url":"https://alion.io/job/onoshealth-lead-infrastructure-engineer.json","meta":{"generated_at":"2026-10-21T05:21:28Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":7845,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-22T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":679758},"rest":"https://alion.io/mcp/rest/get_company?id=679758"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fonoshealth-lead-infrastructure-engineer"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fonoshealth-lead-infrastructure-engineer"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fonoshealth-lead-infrastructure-engineer"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/onoshealth-lead-infrastructure-engineer\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fonoshealth-lead-infrastructure-engineer"}]}