Lead Service Reliability Engineer
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