MEDvidi is an AI-powered mental healthcare platform setting a new standard for safe effective and scalable psychiatric care in the United States. We combine licensed providers with proprietary AI tools to deliver consistent outcomes-driven treatment for conditions like ADHD anxiety depression and more. MEDvidi's technology automates charting follow-ups and treatment planning freeing providers to focus on patient care while improving efficiency and clinical quality. As our Staff DevOps Engineer you'll decide where our infrastructure goes next and take the rest of engineering there. This is a hands-on role in the truest sense you set the technical direction ship it with your own hands and own the outcomes for reliability cost security and developer experience across the company. You'll partner directly with our product engineering teams embedded in what they're building removing infrastructure friction and shaping infrastructure around real product needs. Why this role Real ownership end to end. You own outcomes not tasks including your metrics. Reliability cost performance deployment health and developer velocity belong to you you set the targets and bring the numbers to the table proactively. Technical leadership without the management overhead. Lead by expertise and initiative where the most senior engineers are also the ones in the code. You set direction and raise the bar while staying hands-on. AI-native by default. Agentic AI is a first-class part of how we work. You'll delegate to autonomous agents integrate their output into production changes and help shape how the whole org builds with AI. Requirements 6+ years in DevOps/infrastructure engineering with strong systems fundamentals and solid Linux administration and troubleshooting (performance analysis resource management process debugging). Hands-on AWS (EC2 EKS RDS ElastiCache Lambda SQS EventBridge API Gateway ALB S3) and production Kubernetes/EKS (cluster management node scaling policy enforcement Karpenter Kyverno or similar). Strong Infrastructure as Code (Terraform and AWS CDK in TypeScript) and CI/CD ownership (GitLab CI/CD reusable/shared templates OIDC idtokens self-managed GitLab). Monitoring and observability in practice (Prometheus Grafana OpenTelemetry OpenSearch CloudWatch log-shipping and error tracking/APM). Practical security engineering (secrets rotation short-lived credentials leak scanning PHI-aware logging) and HashiCorp Vault as code (KV JWT/OIDC auth for CI policy design). Blue-green deployments with automated health-gated rollback PostgreSQL zero-downtime schema migrations (expand/contract) and migration gating in CI. Containers (Docker ECR immutable tags image lifecycle) and network/protocol fundamentals (load balancing TLS DNS). Hands-on agentic AI workflows (Claude Code or similar) delegating to autonomous agents and integrating their output into production. A developer-focused mindset strong problem-solving for complex system issues and strong technical writing (docs-as-code ADRs design docs via MRs). Fluent Russian and English (B2). Experience working effectively in remote distributed teams. Would be a plus Experience in a regulated/compliance-heavy environment (HIPAA SOC 2 or similar). Configuration management (Ansible) for VM fleet management. Node.js application operations (pm2 npm) our stack is Node.js + TypeScript. GitOps tooling (ArgoCD Flux) and deeper PostgreSQL database administration. AWS certifications. Responsibilities Set and drive the technical vision and quarterly roadmap for our infrastructure proactively with clear trade-offs and measurable goals. Run and evolve our AWS + Kubernetes (EKS) infrastructure cluster management autoscaling (Karpenter) policy enforcement (Kyverno) and zero-downtime operations. Own Infrastructure as Code end to end (Terraform AWS CDK in TypeScript) and our GitLab CI/CD (reusable/shared templates OIDC self-managed GitLab). Build and own observability that teams actually use (Prometheus Grafana OpenTelemetry OpenSearch CloudWatch log pipelines APM) a shared view of system health not a dashboard nobody opens. Keep blue-green deployments and health-gated automated rollback fast and boring own zero-downtime PostgreSQL schema migrations (expand/contract) and CI migration gating. Own security engineering in a HIPAA environment secrets hygiene (rotation short-lived credentials leak scanning) PHI-aware handling of logs and data and Vault managed as code. Partner directly with product teams to remove infrastructure friction and improve developer experience by design. Use agentic AI as a core part of your workflow integrating autonomous-agent output into production. What we offer High-impact environment A chance to contribute to a product-driven company in the medical tech space. Growth & compensation Clear growth opportunities and a competitive compensation package. Remote-first Fully remote long-term collaboration under a B2B model. Health & wellness Health insurance after the probation period plus sports & wellness compensation. Career development Clear growth opportunities including personalized English lessons via Preply. Time off 19 paid vacation days annually 4 additional wellness days each year and paid sick leave for the first 5 working days. Culture Thoughtful gifts for key life events and offline corporate events. Ready to make an impact? Send us your profile let's build something meaningful together. MEDvidi is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees and contractors. All qualified applicants will receive consideration without regard to race color religion sex sexual orientation gender identity national origin disability or veteran status.