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Pair Team is building an AI-enabled healthcare system for Medicaid, Medicare, and public assistance programs, recognizing that housing, food, and transportation are as critical to health as medical care. As a public benefit corporation and the largest complex care provider in California with 500+ employees, they partner with shelters, food pantries, and community organizations to deliver whole-person care to 115 million Americans relying on the safety net. Their model has demonstrated 52% fewer ER visits and 26% fewer hospitalizations while saving taxpayers significant costs.
The Senior Platform Engineer will own foundational infrastructure and shared engineering capabilities that enable Pair Team to scale. This is a highly leveraged role focused on building the platform that every product and engineering team depends on, rather than building for a single product team.
Key responsibilities include owning the shared platform layer across Patient Care Application, AWS, Postgres, Snowflake, GitHub, and CI/CD systems. You'll establish reusable patterns and conventions so engineers can interact with infrastructure consistently and confidently. Design and improve cloud infrastructure with focus on scalability, reliability, security, and developer experience. Build core application services in Ruby on Rails, including authorization/RBAC, jobs and queues, deployments, and integrations. Own foundational infrastructure and services including platform, IAM, HIE, EMR, and integration layers.
You'll improve developer experience and engineering velocity by identifying infrastructure bottlenecks and turning manual processes into reliable, self-service workflows. Build for scale to support significant growth in engineering teams, products, integrations, and infrastructure. Partner closely with product and engineering teams to understand their needs and build platform capabilities that accelerate their work. Set technical standards and architectural conventions that other engineers can build upon. Operate production infrastructure, participating in troubleshooting and improving reliability and resilience of critical systems.
The ideal candidate brings deep expertise in AWS and Terraform while being comfortable working in the Ruby on Rails codebase. This fully remote position reports to the Engineering Manager.
