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Synthesis Health · 16 hours ago

Sr. Staff Platform Engineer

United States

Full-time

Remote

Senior Level, Lead/Staff

$170K/yr - $205K/yr

10+ years exp

Synthesis Health is a mission- and values-driven company dedicated to revolutionizing healthcare through innovation. They are seeking a Sr. Staff Platform Engineer to architect their system's evolution, focusing on reliability, performance, and scalability of distributed systems while mentoring engineering teams.

Health CareMedicalWellness

Responsibilities

Solve Substantial System Challenges: You will identify and lead the resolution of the most complex, systemic problems affecting our platform's stability and speed

Architect for Scale: You will design the strategies that allow our system to handle exponential growth, focusing on database scaling, caching architectures, and asynchronous processing throughput

Reliability Engineering: You will define and drive the adoption of patterns that ensure system resilience, including circuit breaking, graceful degradation, and active-active failover strategies

Drive Technical Evolution: You will lead the maturation of our technical stack, ensuring our libraries, frameworks, and infrastructure choices evolve to meet future business needs

Eliminate Structural Bottlenecks: You will look beyond code-level optimization to solve structural issues in our database layer, messaging infrastructure, and deployment pipeline

Technical Governance: As a senior leader on the ARB, you will enforce architectural rigor, preventing the introduction of new technical debt while establishing standards for long-term maintainability

Cross-Organizational Impact: You will influence the technical direction across multiple product areas, reconciling conflicting architectural goals to serve the broader business

Elevate the Platform: You will mentor Staff and Senior engineers, helping them understand distributed consensus, eventual consistency, and the trade-offs of complex distributed systems

Qualification

Distributed SystemsArchitectural EvolutionTypeScript/Node.jsKubernetesGo ProficiencyService Level ObjectivesDatabase Design PatternsHealthcare Domain ExperienceVisionary LeadershipCommunication Skills

Required

Elite Distributed Systems Experience: 10+ years of software engineering experience, with a heavy focus on designing, optimizing, and operating high-scale distributed systems

Architectural Evolution: You have a proven track record of evolving complex systems and driving technical maturity in a fast-paced environment

Language Fluency & Strategy: Deep expertise in TypeScript/Node.js is required. As we pivot performance-critical paths toward Go, experience leading similar language transitions or strong Go proficiency is highly desirable

Deep Technical Mastery: Expertise in defining Service Level Objectives (SLOs) and Error Budgets

Deep knowledge of synchronous (Websockets, gRPC, REST) vs. asynchronous (Kafka/PubSub) communication patterns

Advanced database design patterns (sharding, partitioning, CQRS)

Expertise in container orchestration (Kubernetes) at scale

Visionary Leadership: You can identify critical long-term technical challenges months or years in advance and mobilize the organization to address them

Communication at Scale: You can effectively communicate the business value of architectural investments to executive leadership while diving deep into the code with engineers

Preferred

Healthcare Domain Experience: Experience in healhtech or regulated industries is a plus

Compliance & Standards: Deep familiarity with healthcare data standards (DICOM, HL7, FHIR) and compliance regulations (HIPAA) is a significant advantage

High-Performance Database Tuning: Deep experience tuning PostgreSQL or similar relational databases for massive concurrency

Breaking Up The Monolith: Experience migrating a monolithic database architecture to microservices is a plus