Senior DevOps EngineerKnowtex • San Francisco, CA, United States

Senior DevOps Engineer

Knowtex • San Francisco, CA, United States

4 days ago

Job type

Full-time

Job description

Senior DevOps Engineer at Knowtex

This role offers a base pay range of $180,000.00 / yr - $240,000.00 / yr . Your exact compensation will be based on your skills and experience, so discuss details with your recruiter.

About Knowtex

Knowtex is building the future of voice AI operating systems for clinicians, transforming how healthcare documentation happens at the point of care. Founded by Stanford AI scientists with deep clinical experience, we are experiencing explosive growth across both commercial health systems and federal healthcare. Our ambient documentation platform scales rapidly to thousands of clinicians across hundreds of specialties.

Position Overview

We are seeking a Senior DevOps Engineer to architect and scale our infrastructure as we grow 50x in health systems across the United States. You will build resilient, compliant, and high-performance systems that process millions of clinical encounters while maintaining sub‑millisecond latency for real‑time voice AI.

Technical Environment

AWS GovCloud infrastructure with multi‑region deployment
ECS containers and Lambda serverless functions
Triton Inference Server for ML model deployment
FHIR R4 integration with major EHR systems
Real‑time voice processing with
Processing hundreds of thousands of clinical encounters daily
Multi‑tenant architecture supporting 200+ medical specialties

Key Responsibilities

Design and implement AWS GovCloud infrastructure supporting FISMA and FedRAMP compliance requirements

Scale ECS container orchestration and Lambda functions for explosive user growth

Build and optimize CI / CD pipelines for rapid, safe deployments across development, staging, and production environments

Implement infrastructure as code using Terraform for reproducible, auditable deployments

Architect high‑availability systems with 99.99% uptime SLAs for clinical operations

Optimize Triton Inference Server deployment for ML model serving at scale

Design HIPAA‑compliant data pipelines and storage solutions for PHI

Implement comprehensive monitoring, alerting, and observability systems

Manage VistA / CPRS integration infrastructure and API gateway configurations

Lead incident response and post‑mortem processes for production issues

Implement zero‑downtime deployment strategies for continuous delivery

Design disaster recovery and business continuity plans for healthcare operations

Collaborate with the security team on ATO documentation and compliance audits

Optimize costs while maintaining performance across multi‑region deployments

Required Qualifications

5+ years of DevOps / SRE experience with at least 2 years in a senior / lead capacity

Expert‑level knowledge of AWS services (ECS, Lambda, RDS, API Gateway, CloudFormation, VPC)

Strong experience with containerization (Docker) and orchestration (ECS / Kubernetes)

Proficiency in infrastructure as code (Terraform, CloudFormation)

Experience with CI / CD tools (GitLab CI, GitHub Actions, Jenkins)

Strong scripting skills (Python, Bash, Go)

Experience with monitoring and observability tools (Datadog, CloudWatch, Prometheus)

Understanding of security best practices and compliance frameworks

Experience with high‑availability and disaster recovery planning

Bachelor’s degree in Computer Science, Engineering, or equivalent experience

Preferred Qualifications

AWS GovCloud and FedRAMP compliance experience

Healthcare IT infrastructure experience (HIPAA, HITRUST, SOC 2)

Experience with ML model deployment infrastructure (Triton, SageMaker)

Knowledge of VistA or other healthcare system integrations

Experience scaling from startup to enterprise (10x+ growth)

Familiarity with FHIR R4 and healthcare interoperability standards

Experience with real‑time systems and low‑latency optimization

Federal healthcare or government contracting experience

AWS Solutions Architect or DevOps Engineer certification

Benefits

Meaningful equity compensation

Unlimited PTO

Premium health, dental, and vision coverage

401(k) plan

Hybrid work model : 3 days / week in our San Francisco office

Seniority Level

Mid‑Senior level

Employment Type

Full‑time

Job Function

Engineering and Information Technology; Industries : Hospitals and Health Care

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Senior Engineer • San Francisco, CA, United States

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