Senior DevOps Engineer

An Industry Defining Company

Karoo is a venture-backed startup, prior to Series A, on a mission to transform cardiovascular care. Our platform is designed to empower large provider groups and health systems to succeed in value-based care contracts with payers by improving patient outcomes and reducing cost of care through better coordination, analytics, and disease management. While our initial focus is cardiology, we are building a scalable operating system for managing complex conditions across the healthcare spectrum.

This is a rare opportunity to join a mission-driven founding team at a pivotal stage and help define the future of healthcare technology, with the power to improve the lives of patients with cardiovascular disease, the number one cause of death in America today.

The Role

Karoo Health is seeking a skilled DevOps Engineer to join our Engineering team. In this role, you will be the backbone of our deployment and infrastructure strategy, directly supporting our software and data engineers as they build and scale our healthcare platform. You are energized by the idea of building something new and want to work on problems that matter.

As a DevOps Engineer at Karoo, you must be a curious and eager problem solver with a hunger for building well-designed, high-quality infrastructure solutions. You thrive on producing simple solutions to complex architectural problems and engaging in constructive dialogue to find the best path forward.

What You'll Do

• Workflow Orchestration: Support the data engineering team in managing workflow orchestration tools (e.g., Apache Airflow or AWS Step Functions) for production-grade data pipelines.
• Automate: Design, build, and maintain robust CI/CD pipelines (utilizing GitLab) to ensure seamless, automated software delivery and data pipeline deployments.
• Architect: Design and deploy scalable, secure, cloud infrastructure leveraging Infrastructure as Code (IaC) best practices to support high-availability healthcare applications.
• Monitor: Implement comprehensive monitoring, logging, and alerting systems to ensure platform reliability and performance, providing visibility into both application health and data processing speeds.
• Safeguard Data: Act as a primary defender of our environment; ensure all infrastructure remains compliant with strict healthcare data regulations, specifically HIPAA and HITRUST.
• Collaborate: Work closely with software and data engineers to optimize system architecture and performance of databases (PostgreSQL, Snowflake) and workflow orchestration tools (e.g., Apache Airflow or AWS Step Functions).
• Innovate: Evaluate and implement emerging tools and technologies that improve the developer experience and system resilience.

What We're Looking For

• Experience: Minimum 7 years of dedicated professional experience in DevOps, Site Reliability Engineering (SRE), or Platform Engineering, ideally within a high-growth startup environment.
• Cloud Expertise: Deep understanding of cloud platforms, with a strong preference for AWS and cloud-native development (S3, Lambda, RDS, IAM).
• IaC Mastery: Expertise in Infrastructure as Code tools such as Terraform or CloudFormation.
• Security-First Mindset: Practical experience with healthcare data regulations (HIPAA, HITRUST) and implementing security best practices at the infrastructure layer.
• Containerization: Hands-on experience with Docker and Kubernetes for orchestrating microservices and data workloads.
• Technical Breadth: Strong knowledge of system architecture, scalability, and performance optimization across the full stack.
• Autonomy: Proven ability to work independently, manage complex projects, and make high-impact technical decisions regarding infrastructure.
• Must be legally authorized to work in the United States and not require employer sponsorship now or in the future

Why Join Us

• Competitive salary and equity in an early-stage startup. The starting salary for this role is between $150K - $175K annually based on factors such as cost of living, experience, etc.
• Opportunity to define the technical solution from the ground up
• Possibly fully remote work environment with flexible hours
• Health benefits, learning stipends, and professional development support
• A collaborative and transparent company culture that values creativity and ownership

Equal Opportunity Statement

At Karoo Health Inc (“Karoo”), we believe that improving healthcare starts with creating a more equitable and inclusive world, both inside and outside our organization. We are committed to fostering a diverse workforce that reflects the communities we serve, and to building a culture where every team member feels valued, supported, and empowered. Our commitment to inclusion is reflected in initiatives such as equitable compensation practices, employee resource groups, inclusive benefits, and more.

Karoo Health is proud to be an equal opportunity employer. We maintain a strict policy of non-discrimination for all applicants and employees. What does that mean for you? It means that we are dedicated to providing a workplace that is inclusive, respectful, and free from discrimination or harassment of any kind.

Employment decisions at Karoo Health are made based on merit, qualifications, and business need, without regard to race, religion, color, national origin, sex, sexual orientation, gender identity or expression, age, disability, marital status, veteran status, political affiliation, or any other characteristic protected under applicable law. This policy applies to every aspect of the employment journey, from recruitment and hiring to compensation, benefits, training, promotion, performance evaluation, and beyond.

We’re committed to doing the right thing, always, and that includes creating a fair and inclusive hiring process and workplace for all.

Karoo Health welcomes all.

In the United States, compensation is determined by factors including location, role level, job-related skills, experience, and market conditions. Some positions may also be eligible for bonuses, equity, or other benefits. To learn more about Karoo Health’s benefits, please contact our People Team.