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Staff Software Engineer (Infra)

EngineeringNew York CityOn SiteFull Time

$220K – $260K • $300K – $1M Equity

US Visa and Green Card sponsorship available


About Amigo

Amigo builds AI agents that deliver healthcare autonomously—AI doctors, AI nurses, and AI care coordinators. Our agents handle clinical workflows and patient engagement across the entire patient journey: pre-visit intake, triage, care navigation, post-visit care plans, side effect management, and medication adherence. Context-aware with memory across sessions and the ability to take clinical action.

We own outcomes, not just delivery. For our customers, we're responsible for agent performance: clinical safety, continuous improvement, measurable patient outcomes. Agents operate autonomously within bounded clinical domains, with clear scope and handoff protocols. That scope expands as we validate performance across populations.

We're fresh off our Series A from Tier 1 investors like General Catalyst, GSV Ventures, SVA, and CohoVC. Our work is validated with leading academic medical institutions. We're currently reaching 1M+ patient interactions every 90 days, and are on track to 10x this year.


About this role

As a Staff Software Engineer (Infra) at Amigo, you'll own the technical direction of the infrastructure that powers our platform at global scale. You'll architect multi-region systems handling millions of conversations while maintaining the compliance posture required for healthcare.

You'll drive architecture decisions for Kubernetes deployments, Databricks platform, voice/telephony systems, and security infrastructure. You'll mentor engineers, shape technical culture, and ensure we maintain elite engineering standards as the team grows. Reliability and security are non-negotiable—the platform must scale without compromising safety.


What you'll do

  • Own technical architecture for infrastructure across cloud platforms, Kubernetes, Databricks, and supporting systems

  • Drive engineering standards for reliability, security, observability, and incident response

  • Architect multi-region deployment strategies with zero-downtime updates for critical systems

  • Design the compliance & security infrastructure for healthcare (HIPAA, SOC 2) and support future regulatory requirements

  • Own disaster recovery architecture and backup systems meeting healthcare compliance requirements

  • Make build vs. buy decisions for infrastructure tooling and evaluate technical tradeoffs

  • Design auto-scaling systems that handle traffic spikes while maintaining cost efficiency

  • Own infrastructure as code of our infrastructure, ensuring clearly documented and identical deployments across regions

  • Mentor engineers and establish patterns that raise the bar for the infrastructure team

  • Collaborate with backend, platform, and security teams to ensure system-wide coherence

  • Define reliability targets (SLOs/SLIs) and drive operational excellence across the platform


What we're looking for

  • 7+ years of production infrastructure experience, with significant time at elite engineering organizations

  • Expert-level experience with Kubernetes and container orchestration at scale

  • Proven track record designing infrastructure that scales across multiple regions

  • Deep experience with cloud platforms (AWS, GCP, or Azure)

  • Strong understanding of infrastructure-level networking and security configurations

  • History of establishing engineering standards and mentoring engineers

  • Extremely high standards for reliability, security, and operational excellence

  • Both execution-oriented and defensive-minded: you ship infrastructure while anticipating failure modes

  • Deep knowledge of infrastructure as code tools (Terraform, Pulumi, or similar)

  • Experience with compliance requirements and data residency controls in regulated industries

  • Excellent written and verbal communication across engineering and executive stakeholders


Nice to have

  • Experience with healthcare infrastructure or HIPAA compliance at scale

  • Background with voice/telephony systems or real-time communication infrastructure

  • Experience with Databricks platform administration and optimization

  • Track record building and scaling infrastructure teams

  • Knowledge of specific regulatory frameworks (HIPAA, SOC 2, GDPR)

  • Experience with high-availability, mission-critical systems


Benefits


Health & Wellness

  • Comprehensive health, dental, and vision insurance

  • Mental health support and wellness coaching

  • Flexible wellness stipend for fitness, therapy, or personal growth

  • Daily catered lunch and dinner


Growth & Development

  • Annual learning budget for courses, books, or conferences

  • Conference attendance budget for professional development

  • Development setup of your choice

  • Academic collaboration opportunities

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