Senior Platform Engineer (Azure / DevOps / AI Infrastructure)
Tideline RCM
- Location
- Remote (United States)
- Employment
- Full-time
- Level
- Senior Level
About the Role
Join a health-tech company transforming pharmacy claim processing and backend billing through innovative technology. This role offers the opportunity to own, design, and scale the Azure-based platform infrastructure, with a clear growth path into leadership.
Skills
Benefits
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Paid Time Off
- Company Holidays
Perks
- Equity
- Flexible Work Hours
- Remote Solely
Full job details
About Us
We’re a health-tech spin-off from a leading provider of integrated pharmacy and healthcare workflow solutions uniquely positioned to tackle the challenges of pharmacy claim processing and backend billing. With firsthand knowledge of the system's pitfalls, we leverage our deep expertise to boost operational efficiency, enabling seamless collaboration among care teams, payers, and patients. By combining automation, data-driven insights, and user-centric design, we're transforming fragmented systems into unified, transparent experiences. If you're passionate about directly improving healthcare, we’d love for you to join us.
Why We Do What We Do
We envision healthcare as:
Efficient: No more paperwork or missing information.
Collaborative: Breaking down silos among doctors, pharmacists, and payers.
Patient-Focused: Faster claims processing and reimbursement to enhance patient outcomes.
We use innovative technology and thoughtful design to overcome delays, reduce costs, and improve patient care and provider experience.
Role Overview
We are hiring a Senior Platform Engineer to own, design, and scale our Azure-based platform infrastructure.
This is not a pure DevOps role.
You will:
Build the platform (hands-on)
Define the architecture (strategy)
Evolve into leadership (Team Lead → Director → Head)
We want someone who can think like a Head of infrastructure, but still ship like a senior engineer in startup mode.
What You Will Do
Platform & Infrastructure
Design and operate multi-environment Azure infrastructure (dev / staging / production)
Build secure, scalable cloud architectures using:
VNet, Subnets, Private Endpoints
AKS (Azure Kubernetes Service)
Storage (Blob, SQL, CosmosDB if needed)
Ensure strong isolation and compliance boundaries (HIPAA-ready mindset)
Infrastructure as Code
Lead infrastructure development using Terraform
Define reusable modules, environments, and deployment patterns
Implement infrastructure lifecycle management and drift control
DevOps & CI/CD
Build and maintain Azure DevOps pipelines
Design secure, scalable CI/CD workflows
Automate:
Build
Test
Deployment
Rollback strategies
Containers & Orchestration
Design and operate containerized workloads
Manage AKS clusters at scale
Implement:
Helm / deployment strategies
Autoscaling
Observability
Security & Compliance
Implement secure-by-design infrastructure
Work with:
Identity & access (RBAC, Managed Identity)
Secrets management (Key Vault)
Network isolation
Build with HIPAA / regulated environment mindset
Cost & Performance Engineering
Optimize cloud cost (FinOps mindset)
Monitor and improve:
Resource utilization
Scaling strategies
Cost vs performance trade-offs
AI Infrastructure (Next Gen)
Deploy and operate agentic AI workflows using Azure AI Foundry
Integrate AI services into platform architecture
Build infrastructure supporting:
LLM-based workflows
Data pipelines for AI systems
Leadership & Evolution
Act as a technical leader for platform
Define best practices, standards, and architecture
Mentor engineers and help build the platform team
Grow into:
Team Lead → Director → Head
What We’re Looking For
Core Requirements
Strong experience in Azure cloud ecosystem
Deep knowledge of:
Networking (VNet, DNS, private endpoints)
Compute (AKS, VMs, containers)
Storage systems
Proven experience with Terraform in production
DevOps & Platform
Hands-on experience with:
Azure DevOps (pipelines, releases)
CI/CD design and automation
Strong experience with:
Docker
Kubernetes / AKS
Architecture Depth
Experience across:
On-premise environments
IaaS
Ability to design end-to-end infrastructure systems
Security & Compliance
Experience with regulated environments (HIPAA or similar is a strong plus)
Understanding of:
Data protection
Access control
Auditability
AI / Modern Stack (Strong Plus)
Experience with:
Azure AI / LLM infrastructure
Agent-based workflows
Interest in building AI-first platform systems
Nice to Have
Experience with .NET / backend systems
Experience in:
Healthcare
Fintech
Payments / regulated systems
Experience with Hashicorp tools
Profile We Want
Builder mindset → you create, not just maintain
Ownership → you think end-to-end, not per ticket
Ambition → you want to grow into leadership
Pragmatism → you balance perfection with delivery
Systems thinking → you understand how everything connects
Why Join
Build greenfield + evolving platform in a complex, high-impact domain
Work on real-world regulated systems (healthcare + payments-like complexity)
Opportunity to shape the entire platform organization
Competitive compensation
Strong growth path into leadership
Exposure to AI-native infrastructure from day one
Meaningful Equity – Share in the success you help build.
Comprehensive Healthcare – Medical, dental, and vision.
Flexible Work – Fully remote with flexible hours.
Generous PTO – Time to recharge, plus company holidays.
Professional Development – Budget for certifications, courses, and conferences.
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