Lead Site Reliability Engineer

We're building the future of healthcare by giving every clinician the earth's finest AI Care Partner. Our platform has absorbed the administrative chaos of 175 million patient visits and supported 67 million clinical hours. Today, we support 2.8 million patient sessions a week across 190+ countries, in 110 languages and over 200 specialties.

Healthcare systems are failing us; clinicians spend more time on documentation than on patients, and the human connection that makes medicine worth practicing is eroding. Our mission is simple: double the world’s capacity for care and strengthen the human connection at its heart.

We found product-market fit with a freemium medical scribe that clinicians love. Now, we're expanding. Every task a clinician hands to Heidi is a patient who feels more attended to, a health system unclogged, and a clinician who gets to be a clinician again.

We’ve grown annual recurring revenue from $1 million to $50 million in two years.

To go further, we’ve secured US$340 million: a $100 million Series C led by Blackbird, with Phoenix Court, Point72 Private Investments and Headline, alongside a $240 million growth investment led by General Catalyst’s Customer Value Fund.

If you want to join us in doing work worth shipping, jump in.

• →

• 7+ years in SRE, DevOps, platform, or operations-heavy engineering roles, including experience formally leading or managing a team.

• A track record of hiring, coaching, and growing engineers, not just leading incidents solo.

• Deep experience supporting production systems, including on-call rotations, and the credibility to still jump into an incident yourself.

• You're comfortable debugging live systems under pressure.

• Strong experience operating cloud infrastructure at scale (AWS preferred).

• Solid hands-on experience with Kubernetes and containerized workloads in production.

• Infrastructure as code experience (Terraform or similar).

• Hands-on experience with monitoring and alerting tools such as Datadog or Prometheus, including designing alerting strategy, not just consuming dashboards.

• Scripting or automation experience in Python, Bash, or similar.

• Hands-on experience defining and owning SLOs, error budgets, and capacity planning, not just familiarity with the concepts.

• Experience scaling a team through fast headcount growth, not just steady-state management.

• Experience in regulated or security-sensitive environments.

• Familiarity with databases, queues, and caches in production.

You’ll join a team measured on real-world impact, not press cycles. We live and breathe the challenges of modern health systems, and are laser-focused on exacting the change we’d like to see. We’re medicos, engineers, builders and designers who’ve felt (on every side of the equation) what non-care feels like, the moral and practical toll as a provider or receiver.

Building what we’re building isn’t always easy. Standard tech playbooks routinely fail in healthcare, and the friction of the medical system will test your perseverance. But we didn’t choose easy, we chose a purpose-driven mission that actually matters. We hold ourselves to a higher standard because healthcare demands it. If you join Heidi, you recognize that the deeper question isn’t whether AI can solve the global healthcare crisis, but whose hands will shape it.

True A-players progress extremely fast here. The nature of the scale-up game is demanding, but we value sustainable performance and mental health. You're trusted to perform, and you set your schedule. We operate on outcomes > inputs, not process theatre. We all take the bins out, metaphorically and literally.

We offer a $1,000 annual learning and development budget, a $150/month health and wellness allowance, a $500 home office budget, 26 weeks paid primary parental leave and 18 weeks paid secondary parental leave, fertility support up to $10,000, four weeks of work from anywhere per year, and serious equity.