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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Backend Infrastructure Engineer who's equal parts software engineer and infrastructure engineer - **Company:** Counsel Health - **Location:** New York, United States (Remote available) - **Experience:** Experienced - **Contract:** Permanent contract - **Skills:** Java (Programming Language), Application Programming Interfaces (APIs), Amazon Web Services, Audit Trail, Microsoft Azure, Databases, Software Debugging, Distributed Systems, Github, Identity and Access Management, Python (Programming Language), Key Management, PostgreSQL, Node.Js, Redis, TypeScript, Circleci, Google Cloud, Load Balancing, Delivery Pipeline, Backend, Containerization, Kubernetes, Amazon Simple Queue Service (SQS), Terraform, Docker - **Published:** September 4, 2026 - **Apply:** https://startup.jobs/infrastructure-engineer-counsel-health-8132028 ## About the Role * 3-5 years of professional experience in backend engineering, infrastructure engineering, or a mix of both. * Strong proficiency in at least one strongly-typed or compiled language (Go, Rust, Java, Typed Python, TypeScript, etc.). * Experience with AWS, GCP, or Azure cloud services. * Familiarity with containerized environments and Docker. Bonus Points For * Hands-on experience writing and maintaining Terraform (or equivalent IaC tooling). * A track record building and maintaining CI/CD pipelines (GitHub Actions, CircleCI, or similar). * Kubernetes experience. * Experience with TypeScript/Node.js. * Experience working in a regulated environment (HIPAA, SOC 2, etc.). Our Tech Stack Our backend platform is built to support large-scale AI-driven clinical systems and enterprise integrations. * Languages: TypeScript, Node.js * Infrastructure: SQS, Temporal, AWS, GCP, Docker, Kubernetes * Data: PostgreSQL, Redis, time-series and vector storage with GCP We value strong engineering fundamentals over familiarity with any specific tool. If you've built robust distributed systems and high-quality APIs before, you'll ramp quickly in our stack. ## Description At Counsel, we've built a product that patients and physicians love, on a fast-moving stack. As we scale, the line between "application code" and "infrastructure" keeps blurring and we need someone who lives right at that intersection., * Shape our infrastructure-as-code. Develop and maintain our cloud infrastructure using Terraform. * Build and improve CI/CD. Own our build, test, and deployment pipelines end to end. Your goal is to make deploying to production boring; fast, reliable, automatic. * Write real backend code. Contribute production backend services and core server-side systems. You write application code, rather than simply orchestrating it. * Build our core archetypes. Create production-grade patterns for new deployments, jobs, consumers, and workers. Think: an abstract base stream consumer or cron executor built for reuse across the team. * Make other engineers faster. Improve local dev workflows, cut build times, kill flaky infrastructure, and build the internal tools people actually want to use. * Strengthen security and compliance. Work closely with our security and compliance team to harden our infrastructure posture - secrets management, IAM policies, network isolation, and audit logging in a HIPAA-regulated environment. Who You Are * Just as comfortable in an IDE writing application code as in a terminal managing cloud infrastructure, because backend and infra aren't separate disciplines to you. * Already scripting the fix by the third time you'd otherwise have to do something manually. * Understands how a request travels from a user's browser through a load balancer, into a container, to a database, and back, and can debug any layer along the way. * Reaches for the right tool over the trendy one and would rather ship something working today than architect something perfect next quarter. * Can explain infrastructure decisions to product engineers and translate product requirements into infrastructure changes., We are clinicians 1st, technologists 2nd. We act with patient trust/safety at the center of every decision. * Innovate with optimism. We are optimistic as we build the future of care delivery from first principles. Challenge the status quo when needed, no sacred cows. * Right answer wins. Debate openly and pick the strongest path. We optimize for the company, not functions. We win and lose as a team. * Simplicity over complexity. We choose clear, elegant solutions and avoid adding complexity that does not serve patients or the team. * Do fewer things, well. We focus, and hold ourselves to the highest bar and pursue excellence in those areas. ## Related Videos - [Reducing LLM Calls with Vector Search Patterns - Raphael De Lio (Redis)](https://www.wearedevelopers.com/videos/1714-reducing-llm-calls-with-vector-search-patterns-raphael-de-lio-redis) - [Docker Compose: Rediscovered](https://www.wearedevelopers.com/videos/1978-docker-compose-rediscovered) - [Innovating Developer Tools with AI: Insights from GitHub Next](https://www.wearedevelopers.com/videos/1268-innovating-developer-tools-with-ai-insights-from-github-next) - [Shipping Faster with Less: Render on Cloud Hosting, AI Workloads, and the Future of DevOps](https://www.wearedevelopers.com/videos/1894-shipping-faster-with-less-render-on-cloud-hosting-ai-workloads-and-the-future-of-devops) - [Accelerating Authentication Architecture: Taking Passwordless to the Next Level](https://www.wearedevelopers.com/videos/733-accelerating-authentication-architecture-taking-passwordless-to-the-next-level) - [Inside Bitpanda's Tech Stack: Scaling a European Fintech Leader - Markus Dorner](https://www.wearedevelopers.com/videos/1979-inside-bitpanda-s-tech-stack-scaling-a-european-fintech-leader-markus-dorner) ## Related Articles - [How We Built a Worry-Free System That Runs for 10+ Years – And What We’d Do Again](https://www.wearedevelopers.com/magazine/751-how-we-built-a-worry-free-system-that-runs-for-10-years-and-what-we-d-do-again) - [Navigating the AI Shift](https://www.wearedevelopers.com/magazine/629-navigating-the-ai-shift) - [7 Cloud Computing Trends Coming in 2025 for Developers](https://www.wearedevelopers.com/magazine/412-7-cloud-computing-trends-coming-in-2025-for-developers) - [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-for-developers) - [Fully Remote Software Engineer Jobs](https://www.wearedevelopers.com/magazine/447-fully-remote-software-engineer-jobs) - [Dev Digest 121 - AI goes offline](https://www.wearedevelopers.com/magazine/456-dev-digest-121-ai-goes-offline)