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Posted 1 hour ago

Staff Site Reliability Engineer, AWS & Databases

@ OpenLoop Health

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Toronto, Ontario

RemoteFull-time
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SIGNALS

Requirements summary:

  • Required Qualifications
  • Strong, hands-on AWS cloud experience.
  • Deep experience with PostgreSQL or MySQL in production on Aurora or RDS.
  • Strong working knowledge of VPC design, IAM, EC2, EKS or ECS, S3, and Lambda.
  • Hands-on infrastructure as code experience with Terraform, in a team setting with code review.
  • Hands-on observability experience with tools like ELK, Grafana, Loki, and Prometheus.

Tools & skills

AWSIdentity and access managementGoogle CloudSQLBigQueryPostgreSQLMySQLAmazon DynamoDBChange managementSAP DMSImplement ICT recovery systemInfrastructure as codeIBM TerraformPython

Benefits mentioned

Health insuranceDentalVisionLife insuranceRetirement planPaid time off
Source and dates

Employer career site / ATS feed · ashby

Employer posting date
2026-11-13
First seen by our source
2026-11-13
Source record updated
2026-11-13

These dates describe the source record, not a live verification that the employer is still hiring. Check the original posting.

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OpenLoop Health

Saved company profile

Historical company information from a saved The Jobs API profile (LinkedIn/Crunchbase fields). It is not live-verified; figures may have changed. Missing values remain unknown.

Powering superior telehealth from end-to-end. #HealingAnywhere

Full company description

OpenLoop is the nation’s top white-label digital health infrastructure provider, powering virtual care delivery for healthcare organizations, employers, retailers, and consumer brands. We make it simple to launch and scale virtual care by delivering the complete clinical and operational backbone behind the scenes—you control your brand, and we handle everything else. Our end-to-end stack includes: - Pharmacy & Diagnostic - Platform & AI - RCM & Billing - RPM Fullfilment - Built-In AI Solutions Trusted by organizations nationwide, OpenLoop supports 300K+ patient visits per month and serves 3M+ patients annually, earning a 4.9★ Trustpilot rating. You focus on your brand and growth—we’ll power the care delivery.

LinkedIn followers
38,021
People associated on LinkedIn
591
Reported office locations
  • 317 6th Ave, Suite 400, Des Moines, Iowa 50309, US
Business categories
  • Service Industry
  • Health Care
  • Telehealth
  • Medical
  • IT Infrastructure
  • Staffing Agency
Other recorded names
  • OpenLoop Health Partners
  • OpenLoop Health
  • OpenLoop
Specialties
  • Telehealth
  • Revenue Cycle Management
  • Practice Management
  • Provider Staffing
  • Payer Coverage
  • and Clinician Licensing
Profile identifies a recruitment agency
No
Reported total investment
26,620,000

Currency and observation date were not supplied; this is not a current valuation or a funding round.

View all jobs Website

OpenLoop is the nation’s top white-label digital health infrastructure provider, powering virtual care delivery for healthcare organizations, employers, retailers, and consumer brands. We make it simple to launch and scale virtual care by delivering the complete clinical and operational backbone behind the scenes—you control your brand, and we handle everything else. Our end-to-end stack includes: - Pharmacy &…

FieldValue
IndustryHospitals and Health Care
Company size201-500 employees
HeadquartersDes Moines, Iowa
Organization typePrivately Held
Year founded2020
SpecialtiesTelehealthRevenue Cycle ManagementPractice ManagementProvider StaffingPayer Coverageand Clinician Licensing
Open jobs on Jobsy10
LinkedInView page
Job description

About OpenLoop

OpenLoop was co-founded by CEO, Dr. Jon Lensing, and COO, Christian Williams, with the vision to bring care anywhere. Our telehealth support solutions are thoughtfully designed to streamline and simplify go-to-market care delivery for companies offering meaningful virtual support to patients across an expansive array of specialties, in all 50 states.

Staff Site Reliability Engineer, AWS & Databases

About the Role

OpenLoop runs telehealth services for clients in all 50 states, and the AWS platform and databases behind it keep growing. You'll design, build, and operate that infrastructure, with extra ownership of our production databases and the automation around them. Because we handle PHI, every change has to be secure and auditable.

What You'll Do

  • Cloud Architecture & Provisioning: Architect and manage AWS core services like EC2, VPC, S3, IAM, Lambda, and EKS or ECS to build high-availability systems, and support a smaller footprint on Google Cloud (Cloud SQL, GKE, and BigQuery).

  • Database Engineering: Design, run, and tune Amazon Aurora, RDS (PostgreSQL and MySQL), DynamoDB, and Google Cloud SQL, including high-availability setups, read replicas, backups, point-in-time recovery, and failover testing.

  • Database Performance & Capacity: Find and fix slow queries, lock contention, replication lag, and connection pool problems using Performance Insights and Enhanced Monitoring, and plan capacity before growth hits limits.

  • Database Change Management: Plan and run schema changes, engine upgrades, and data moves with minimal downtime, using AWS DMS or native tooling.

  • Disaster Recovery & Resilience Testing: Plan and run regular DR exercises and tabletop exercises across AWS and Google Cloud, including restore tests, failover drills, and validation of recovery time (RTO) and recovery point (RPO) objectives, and turn the findings into runbook and architecture improvements.

  • Infrastructure as Code (IaC): Provision cloud and database resources with Terraform, with every change reviewed in a pull request.

  • Automation & Scripting: Write Python, Bash, or Lambda-based automation for patching, snapshot management, access requests, failover, and event remediation.

  • CI/CD & GitOps: Build and manage pipelines in GitHub Actions or AWS CodePipeline, and deploy applications through ArgoCD.

  • Security & Governance: Implement least-privilege IAM policies, KMS encryption at rest and in transit, Secrets Manager rotation, audit logging, Service Control Policies (SCPs), and compliance frameworks such as HIPAA, SOC 2, or NIST.

  • Monitoring & Troubleshooting: Set up observability with ELK, Grafana, Loki, Prometheus, or Amazon CloudWatch to track database and platform health, manage logs, and resolve production incidents.

  • On-Call Coverage: Participate in a rotating on-call schedule with the team, respond to production alerts and database incidents during your shift, and follow up with postmortems and runbook updates.

  • AIOps & AI-Assisted Operations: Use AIOps and AI tooling to catch database anomalies and slow-query regressions early, forecast capacity, cut alert noise, and speed up incident triage, so our data layer stays reliable as it scales.

  • Cost Optimization (FinOps): Right-size instances and storage, and monitor usage to balance performance with cloud spend.

  • Documentation: Document architecture, database standards, and runbooks in Confluence.

Who You Are

Required Qualifications

  • 8-10 years in cloud or infrastructure engineering, with at least 3 years running production databases on AWS.

  • Strong, hands-on AWS cloud experience.

  • Deep experience with PostgreSQL or MySQL in production on Aurora or RDS.

  • Strong working knowledge of VPC design, IAM, EC2, EKS or ECS, S3, and Lambda.

  • Hands-on infrastructure as code experience with Terraform, in a team setting with code review.

  • Comfort scripting in Python or Bash to automate database and platform operations.

  • Hands-on observability experience with tools like ELK, Grafana, Loki, and Prometheus.

  • Experience troubleshooting production incidents and writing clear postmortems.

  • Experience planning and running disaster recovery exercises, including tabletop exercises.

  • Willingness to participate in an on-call rotation.

Preferred Qualifications

  • Production experience with ArgoCD and GitOps workflows.

  • Experience with AWS CloudFormation or AWS CDK.

  • AWS Certified Database Specialty, Solutions Architect Professional, or similar certification.

  • Experience with Datadog.

  • Experience with Rubrik for backup and recovery.

  • Hands-on experience with Google Cloud, including Cloud SQL, GKE, and BigQuery.

  • Experience with AIOps or AI-assisted tooling for anomaly detection, incident triage, or operational metrics.

  • Experience in healthcare or another regulated environment.

Our Benefits

In addition, for salaried positions you would also be eligible for:

  • Medical, Dental, and Vision plans

  • Flexible Spending/Health Savings Accounts

  • Flexible PTO

  • 401(k) + Company Match

  • Life Insurance, Pet insurance, and more

Our Company

We have a relatively flat organizational structure here at OpenLoop. Everyone is encouraged to bring ideas to the table and make things happen. This fits in well with our core values of Autonomy, Competence and Belonging, as we want everyone to feel empowered and supported to do their best work.

Sound like a good fit? We’d love to meet you.

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