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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # C++ Build and Infrastructure Engineer - **Company:** HORIZON SURGICAL, INC. - **Location:** Los Angeles, United States - **Experience:** Expert - **Salary:** $125,000.0 - $145,000.0 - **Contract:** Permanent contract - **Skills:** Amazon Web Services, Amazon Elastic Compute Cloud, Amazon S3, Bash Shell, C++ (Programming Language), CMake, Code Coverage, System Configuration, Continuous Integration, Dynamic Host Configuration Protocol, Debian Linux, Software Debugging, Linux, File Systems, Domain Name System (DNS), Github, Identity and Access Management, Networking Hardware, Virtual Private Networks (VPN), Python (Programming Language), Linux System Administration, Network Architecture, Networking Basics, Software Architecture, Release Management, Cloud Services, Ansible, Software Systems, TCP/IP, Gitlab, Containerization, Infrastructure Automation Frameworks, Bare Metal, Build Tools, Hardware Infrastructure, Terraform, Network Server, Docker - **Published:** September 4, 2026 - **Apply:** https://startup.jobs/c-build-and-infrastructure-engineer-horizon-surgical-systems-inc-8366014 ## About the Role * Bachelor's or Master degree in science, engineering and math. * Minimum 5 years of work experience managing diverse Build and software infrastructure operations, and tools (e.g., GitLab, GitHub), including C++ software building, source branching, tagging, merging and release management. * Proficiency in Python and bash for automation and tooling * Extensive experience building and maintaining CI/CD pipelines with GitHub Actions, specifically on self-hosted runner infrastructure * Hands-on experience with configuration management tools such as Ansible or Chef * Experience with containerization tools like Docker or podman * Experience with build tooling, specifically Make/CMake or Bazel * Experience managing third party C/C++ dependencies with tools like vcpkg or Conan * Familiarity with Linux packaging formats like Debian or snap * Strong Linux system administration skills; you should be comfortable debugging issues at various layers including systemd, networking, filesystems, and process management * Familiarity with networking fundamentals like TCP/IP, DNS, DHCP, and VPNs * Experience with NVIDIA GPU driver installation, configuration, and troubleshooting on Linux * Experience managing on-premise infrastructure: building and maintaining servers, networking hardware, and storage systems * Experience deploying reliable infrastructure in VPCs on AWS using services such as EC2, S3, and IAM * Comfort working in a cross-functional team where you are the primary owner of infrastructure decisions * Experience using AI tools like Claude code, Codex, OpenCode, or Pi Nice-to-have Qualifications: * Experience with infrastructure-as-code tools like Terraform * Familiarity with the NVIDIA Holoscan SDK or similar GPU-accelerated sensor processing frameworks * Familiarity with security hardening of Linux systems and network infrastructure * Prior experience working under regulatory frameworks like FDA QSR/QMSR, ISO 13485, or IEC 62304, including familiarity with how design control processes and CI/CD pipelines support traceability from requirements through verification ## Description * An opportunity to build autonomous surgical robotic systems driven by image guidance and AI technology for the future of affordable, high-quality healthcare. * The opportunity to work alongside clinicians, engineers, and global leaders in cutting-edge AI, imaging, and robotics technology. * Competitive compensation and an excellent company-paid benefits package. We are looking for a medical product C++ Software Build and Infrastructure Engineer. As a build and infrastructure engineer at Horizon Surgical Systems, you will own the design, implementation, and maintenance of our development infrastructure end-to-end. You'll be the sole engineer on a small team, making architectural decisions and carrying them through to implementation yourself. The work is hands-on and primarily on-premise: racking servers, debugging system issues, wiring networks, and building CI pipelines that produce auditable builds of safety-critical surgical software. You'll support multiple engineering teams in a fast-paced environment where priorities shift constantly; the infrastructure you build needs to be robust and adaptable enough to evolve with the product. Responsibilities: What you'll do: * Design, build and maintain CI/CD pipelines using GitHub Actions on self-hosted runner infrastructure * Work with containerization tools to build reproducible environments and tooling for developers on various teams * Maintain and improve Cmake based build systems for large C/C++ codebase * Facilitate software releases in a high velocity monorepo with many contributors; coordinate merges, maintain branch health, and manage release candidates * Manage and configure bare-metal servers, networking equipment, and other on-premise infrastructure using system configuration tools like Ansible * Debug complex systems issues across the Linux stack * Set up and maintain reliable cloud services on AWS for company-wide efforts like code coverage reports, software artifact storage, etc. * Support regulatory compliance efforts by maintaining traceability in all levels of your work; audit trails in CI/CD pipelines and documenting infrastructure processes consistent with QMS requirements ## Related Videos - [Docker network without Docker](https://www.wearedevelopers.com/videos/1418-docker-network-without-docker) - [Code to Road in < 12 hours](https://www.wearedevelopers.com/videos/1082-code-to-road-in-12-hours) - [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) - [Docker Compose: Rediscovered](https://www.wearedevelopers.com/videos/1978-docker-compose-rediscovered) - [Docker exec without Docker](https://www.wearedevelopers.com/videos/1094-docker-exec-without-docker) - [Docker build without Docker](https://www.wearedevelopers.com/videos/100114-docker-build-without-docker) ## 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) - [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-for-developers) - [Best US AI Conferences for CTOs in 2026: Build vs. Buy, Vendor Evaluation, and Peer Intelligence](https://www.wearedevelopers.com/magazine/736-best-us-ai-conferences-for-ctos-in-2026-build-vs-buy-vendor-evaluation-and-peer-intelligence) - [Dev Digest 120 - Apple and peers](https://www.wearedevelopers.com/magazine/455-dev-digest-120-apple-and-peers) - [Now is the time for industrialized software development](https://www.wearedevelopers.com/magazine/601-now-is-the-time-for-industrialized-software-development) - [Dev Digest 121 - AI goes offline](https://www.wearedevelopers.com/magazine/456-dev-digest-121-ai-goes-offline)