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Posted May 24, 2026

Lead Service Reliability Engineer

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Who is Prescryptive?  Prescryptive Health is a healthcare technology company delivering solutions that empower consumers. Prescryptive’s secure, mobile-first products connect consumers, pharmacists, and employers, ultimately providing people with the information they need to make informed decisions and take control of their health. To learn more about Prescryptive Health, visit Prescryptive.com.  About the Role  The Lead Service Reliability Engineer at Prescryptive is responsible for the reliability, scalability, security, and performance of our cloud-based platforms across pre‑production and production environments. This role blends hands‑on technical leadership with people leadership, guiding and mentoring a small team of Service Reliability / DevOps Engineers while remaining deeply involved in design, deployment, and operations.  As a healthcare technology company, Prescryptive not only meets HIPAA requirements, but strives to exceed them through proactive infrastructure design, automation, monitoring, and operational excellence. The ideal candidate is a strong technical expert who also enjoys leading engineers, influencing teams, and raising the bar for reliability and security.  What You Will Do Technical Leadership & Reliability  Own and define build and deployment pipelines for secure, reliable production releases  Lead the operation of pre‑production and production cloud infrastructure to ensure high availability, performance, and security  Partner with Engineering and Product teams to manage release flow from development to test and production  Define and implement monitoring, alerting, and incident response practices  Lead troubleshooting, root cause analysis, and post‑incident improvements  Evaluate, recommend, and implement new infrastructure technologies and services  Ensure platforms meet or exceed healthcare security and compliance standards Team Leadership & Enablement  Act as the technical and people lead for a team of Service Reliability / DevOps Engineers (minimum of 2)  Provide day‑to‑day guidance, technical direction, and mentorship for team members  Conduct regular 1:1s, provide feedback, and support career development  Help prioritize work, balance operational needs, and remove blockers for the team  Support onboarding and ongoing skill development  Help establish best practices, standards, and operational runbooks  Foster a culture of ownership, accountability, reliability, and continuous improvement What You Will Bring Required Qualifications  Bachelor’s degree in Computer Science, Computer Engineering, Information Security, or equivalent practical experience  5+ years of experience in SRE or DevOps roles  Prior experience leading engineers, either formally or as a technical/team lead  Strong experience managing cloud-based infrastructure, preferably in Azure  Demonstrated expertise with Kubernetes, including:   Cluster setup, networking, access control, and authorization  Deployments, services, config maps, secrets, and cronjobs  Designing, deploying, and maintaining service mesh infrastructure  Strong experience with GitHub Actions  Experience supporting production environments and high‑availability services  Familiarity with Agile methodologies (Scrum, sprints, backlogs)  Experience managing certificates, secrets, and monitoring systems  Strong collaboration skills within a large, evolving engineering organization  Bias toward action with a focus on continuous improvement  Technical Experience Areas  Cloud Infrastructure  Load balancers, VNets, DNS, network firewalls  API Management  Service Bus  Storage accounts  Automation functions  Virtual Machines, scale sets, and Azure Virtual Desktops  Active Directory and domain services  Monitoring and alerting systems  Secret and key management  Platform & Data  Kubernetes clusters and container registries  kubectl and container operations  Redis  SQL, PostgreSQL, and MongoDB  Preferred Qualifications  Experience leading SRE, DevOps, or Platform teams  Experience in healthcare or HIPAA-regulated environments  Experience guiding on‑call rotations and incident response practices  Track record of improving reliability, performance, or operational maturity  Strong communication and stakeholder‑management skills  Demonstrated ability to mentor and grow engineers  Curiosity and willingness to learn and adopt new technologies    What we have to offer  The opportunity to grow alongside an early-stage company shaking up a big, old-fashioned industry  Flexible time off, including 12 paid holidays  401k match plus 100% employer paid medical, dental, and vision premiums   Company contribution to Health Savings Account  Stock options    Prescryptive is committed to fair pay practices. The projected annual salary for this position is $125k to $195k.   When preparing an offer, we consider the candidates resume, experience, interview feedback, internal equity, and location.    Prescryptive is an Equal Opportunity Employer. Prescryptive does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need. Apply To This Job