Senior AI Infrastructure Engineer

About Vega Health

We source, implement, and monitor leading Al solutions aligned to the priorities of health systems. As part of our team, you’ll play a key role in achieving our mission: To be the objective, trusted partner equipping health systems everywhere as they scale AI solutions that improve care and operational outcomes.

At Vega Health, each team member leads with integrity, trust, and accountability and works with humble ambition, collaboration, and curiosity. Please visit vegahealth.com for more information about our story and the DNA of how we approach this work.

About the Role

This role is responsible for building and designing the systems that will enable Vega Health to scale as an enterprise and help our customers be at their best. This role reports directly to the Director of Engineering and works with the Product team at Vega Health.

At large, this role at Vega Health will provide technical leadership regarding our infrastructure and platform delivery both internally and to our customers. This role is responsible for defining architecture, guiding engineering standards, and delivering scalable software infrastructure as code, and analytics capabilities across fully automated deployments. The successful candidate will partner with product, business, and engineering stakeholders to modernize platform capabilities, enable data-driven insights, and ensure long-term platform reliability and performance.

Relocation to Durham, North Carolina, is not required for this role; however, some travel may be expected to create structured in-person time with the team. We also expect new hires to spend one week on-site in Durham during the initial onboarding period.

Key Responsibilities

• Design and implement scalable, secure, and cost-efficient cloud infrastructure using automation tools.
• Design, develop, and maintain production software services and tools (APIs, internal dashboards, customer onboarding/evaluation tools) alongside infrastructure work.
• Develop and maintain Infrastructure as Code using tools such as Terraform, Helm, CloudFormation or equivalent technologies to ensure cloud environments are version controlled, auditable and consistently deployed.
• Build, maintain and improve CI/CD pipelines to automate build, test, security validation and deployment processes for infrastructure and cloud-hosted applications, using tools such as Azure DevOps, GitHub Actions, GitLab CI or equivalent platforms.
• Deploy and operate containerized workloads and cloud-native services using technologies such as Docker, Kubernetes, AKS, EKS or GKE, where appropriate to the solution architecture.
• Follow cloud architecture standards, policies, and guidelines to maintain consistency and reliability across teams and ensure compliance with data privacy and regulatory requirements (e.g., HIPAA, GDPR, FedRAMP).
• Serve as senior escalation for complex cloud, infrastructure, and security issues
• Implement cloud security controls including IAM, network segmentation, logging, and compliance baselines
• Instrument systems for monitoring and platform observability (metrics, logging, tracing) to support proactive monitoring and incident response (e.g. Prometheus, Grafana, Datadog, etc.).
• Work closely with application, infrastructure, security and operations to translate business and technical requirements into well-architected fully automated solutions.
• Contribute to a platform engineering approach by developing reusable templates, self-service deployment patterns and standardized cloud services that enable application teams to deploy solutions consistently and efficiently.
• Troubleshoot and resolve technical issues across platforms, deployment pipelines and production environments, ensuring timely restoration of service and continuous improvement of solution reliability.
• Design scalable systems, processes, and playbooks that remove operational friction internally and enable the organization to grow efficiently (e.g., developing collateral, installation and operational documentation, and software to automate service and infrastructure deployment)
• Interface with Vega Health internal teams or senior customer IT staff when addressing escalated technical and implementation issues related to materials designed and operated within this function.
• Mentor and provide technical guidance to other engineers on infrastructure and software engineering best practices.

What We're Looking For

• Bachelor's degree in Computer Science or related field, or equivalent practical experience.
• 6+ years of experience in cloud engineering, infrastructure, or DevOps roles
• Deep hands-on experience with AWS, Azure, and/or GCP, on-premises Kubernetes substrates (multi-cloud preferred)
• Strong proficiency with Terraform, Kubernetes, Helm, or similar IaC tools
• Solid understanding of networking (e.g. VPC/VNet design, firewalls, VPNs, Direct Connect, etc.)
• Experience supporting Linux and Windows workloads in production
• Scripting and automation skills (Python, PowerShell, Bash)
• Demonstrated experience building or scaling internal systems or operational infrastructure from an early stage, with a track record of translating organizational goals into practical programs and processes
• Experience implementing security frameworks and compliance controls (SOC 2, HIPAA, PCI, etc.)
• Strong communication and stakeholder management skills, with experience mentoring or leading other engineers.
• Strong troubleshooting skills in high-availability, customer-impacting environments

Annual Salary

$135,000 - $150,000 USD

Work Location Policy

Currently, we expect employees based in Durham to work from our office at least 3x a week. Employees who live outside of a 50-mile radius from our office may work remotely on a full-time basis with some travel to our office based on the needs of their function.

Relocation

For candidates who wish to explore relocation opportunities for this role, we can provide support.

Visa sponsorship

We will sponsor visas for the right candidate! We cannot guarantee successful visa sponsorship for every role or candidate. However, if we extend an offer to you, we will make every reasonable effort to support you in obtaining the necessary visa.

How We Support You

At Vega Health, we believe in building a workplace culture where people can do their best work while working hard. In addition to your salary compensation, you can expect:

• Equity
• Medical, dental and vision insurance options
• Employee assistance program (e.g., work-life resources)
• Voluntary benefits (e.g., pet insurance)
• Free on-site parking
• Generous vacation policy
• 10 paid sick days annually
• 12 weeks of fully paid parental leave
• Weekly lunches
• Quarterly team events (with friends, family, and pets are welcome!)

Please note that our benefits are subject to change as we continue to grow.

Additionally, Vega Health strives to cultivate a professional environment and culture that enables our team to balance their work and home life. We understand the stress associated with childcare and senior care and do our best to accommodate the care responsibilities of our employees. For any questions regarding our benefits, please reach out to our team at HR@vegahealth.com.

Equal Opportunity Policy (EEO)

Vega Health is proud to be an equal opportunity workplace and employer. We review applications for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, ancestry, citizenship, age, veteran status, genetic information, physical or mental disability, medical condition, marital status, or any other basis prohibited by law.