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.