Cloud Site Reliability Engineer

Position Overview

The Cloud Site Reliability Engineer will own the reliability, performance, and security of Cadwell's cloud-hosted infrastructure supporting healthcare facilities that depend on Cadwell's software suite for neurodiagnostic care.

Working within the Enterprise Service Delivery team, this role builds and maintains infrastructure as code, deployment automation, monitoring and observability, and disaster recovery capabilities for Cadwell's AWS environments, and leads incident response for hosted customer systems.

The Cloud Site Reliability Engineer partners closely with software engineering, enterprise support, and project delivery teams to ensure hosted deployments meet the uptime, data protection, and regulatory expectations of clinical environments.

Key Responsibilities

• Build, maintain, and continuously improve Cadwell's AWS cloud infrastructure supporting hosted customer environments, applying infrastructure-as-code practices using Terraform, YAML, and JSON/Jinja.
• Automate build, test, and deployment pipelines for cloud-hosted Cadwell applications to reduce manual effort and eliminate configuration drift across customer environments.
• Build and maintain log ingestion, monitoring, alerting, and observability systems that provide early warning of degradation in hosted clinical environments.
• Lead incident response for cloud-hosted environments, serving as the escalation point for availability and performance events and conducting post-mortems with corrective actions tracked to closure.
• Design, implement, and routinely test backup and disaster recovery strategies for hosted customer data to meet the recovery time and recovery point objectives committed to customers.
• Optimize cloud compute, storage, and lifecycle policies to balance performance, clinical data retention requirements, and cost across the hosted footprint.
• Implement and maintain cybersecurity best practices across cloud infrastructure, including identity and access management, network segmentation, encryption, patching, and vulnerability remediation.
• Partner with software engineering to improve application reliability, scalability, and performance, contributing to architecture decisions for new and migrating hosted deployments.
• Partner with Cadwell's enterprise support and project delivery teams on hosted environment onboarding, migrations, and upgrades, providing cloud infrastructure expertise throughout the customer lifecycle.
• Ensure cloud infrastructure and processes comply with applicable healthcare data privacy and security requirements (e.g., HIPAA, GDPR) and with Cadwell's quality system, including IEC 62304 software lifecycle processes.
• Document infrastructure architecture, runbooks, and escalation procedures so that support and on-call staff can operate hosted environments consistently.
• Other activities as directed, assigned, or requested.

Knowledge, Skills, and Abilities

• Expert-level knowledge of core AWS services and architectural patterns, including compute, object storage, networking (VPC, security groups, load balancers), managed databases, and container orchestration with ECS.
• Demonstrated command of infrastructure as code and deployment automation, including Terraform, YAML and JSON/Jinja templating, CI/CD pipeline design, and scripting in Bash, Python, or JavaScript/TypeScript.
• Practical knowledge of cloud security, including identity and access management, least-privilege design, secret management, encryption in transit and at rest, network segmentation, and vulnerability remediation.
• Hands-on experience building monitoring, logging, and observability systems, and designing alerting that surfaces real problems without creating noise.
• Sound judgment in backup, disaster recovery, and business continuity planning, including replication, restore validation, and recovery objectives appropriate to clinical data.
• Solid grounding in managed database administration and cloud cost management, including backups, patching, performance tuning, right-sizing, storage lifecycle policies, and capacity planning.
• Familiarity with healthcare data privacy and security requirements such as HIPAA and GDPR, and with software lifecycle standards such as IEC 62304.
• Ability to explain complex technical concepts clearly to technical and non-technical audiences, lead incident response under pressure, and mentor engineers and support staff on cloud practices.
• Ability to work both independently and as an effective team member, exhibiting Cadwell's core values of integrity, initiative, accountability, commitment to excellence, and service to others.

Education and Experience

• Bachelor's degree in Computer Science, Information Technology, or a related field, or equivalent work experience.
• 8+ years of experience in site reliability engineering, cloud infrastructure, or DevOps, including recent hands-on experience operating production AWS environments.
• Demonstrated experience operating production infrastructure under formal on-call and incident management practices.
• Experience working in a regulated environment (medical device, healthcare, or financial services) preferred.
• 2+ years of support within a healthcare environment preferred.
• AWS certification such as Solutions Architect or SysOps Administrator preferred.
• Familiarity with virtualization technologies such as VMware, Hyper-V, or Citrix is preferred.
• Familiarity with HL7 integration tooling such as Mirth Connect is preferred.

Physical Requirements and Working Conditions

• Positions working with Cadwell equipment generally may require some reaching, bending, stooping, squatting, crawling, kneeling, pushing, pulling, and occasional lifting and carrying up to 50 pounds, finger dexterity, repetitive motions, standing, walking, sitting, hearing, visual acuity, color vision, and 2-way written/verbal communication. More specific details may be provided as needed or requested.
• Extensive use of a computer will be required.
• Reliable high-speed internet required.
• Participation in an on-call rotation for hosted environment escalations, including occasional after-hours and weekend response, is required.
• Infrastructure maintenance is frequently scheduled outside of customer clinical hours; flexibility to work evenings or weekends for planned changes is required.
• Travel up to 10% for company meetings.

Pay and benefits

Salary Range $120,000—$130,000 USD