Founding Infra Engineer

About Joyful Health

Building the financial operating system for healthcare, and bringing the
joy
back to healthcare by fixing the financial chaos behind it.

The healthcare payment system is a complex and inefficient maze - healthcare practices leave $125 billion in revenue uncollected each year, lost in the chaos of fragmented financial data, manual workflows, and opaque payer systems. This financial uncertainty leaves practices struggling to stay afloat, while valuable revenue slips through the cracks.

Joyful Health is building the AI-powered financial operating system for healthcare practices. Our mission is to bring the joy back to running a private practice by simplifying financial operations so providers can focus on patient care. We spent 10 months working as fractional CFOs for a dozen practices, doing this work side by side with providers as we developed our product.

We just closed a funding round led by world-class investors led by CRV and XYZ and angels including the founders of Mongo

DB & KAYAK.

🚀 We have an enormous opportunity in front of us. The broken healthcare payment ecosystem impacts practices of all sizes, and the opportunity to make a real difference is massive.

This role is full-time. We’re looking for someone NYC-based who is open to coming into the office 3 days a week.

The base pay range for this role is $150,000–$275,000 per year.

We’re hiring a founding Infra engineer with deep experience across Kubernetes, cloud infrastructure, CI/CD, and production‑grade reliability. You’ll own the foundation that powers everything we build—our deployment architecture, service mesh, observability stack, and core platform reliability.

Our platform ingests, reconciles, and analyzes large volumes of messy financial data from every type of healthcare system imaginable. Keeping that pipeline stable, secure, and scalable is mission‑critical. In a landscape where every customer’s environment is different, highly repeatable infrastructure and robust automation are differentiators.

You’ll design, build, and operate the core infrastructure that allows us to ship fast, stay reliable, and onboard customers seamlessly. As one of the earliest engineers on the team, you’ll shape our architecture, engineering practices, and culture from day one.

This is a full‑time role, based in NYC.

• Accelerate the entire engineering team by building novel tooling, automation, and proven infra best practices that dramatically increase development velocity

• Design and maintain high‑leverage CI/CD workflows (Git Hub Actions) that make shipping safe, fast, and frustration‑free

• Own our Kubernetes‑based platform end‑to‑end: architecture, deployment strategy, scaling, and overall reliability

• Build a stable, automated infrastructure layer around our Python services, ingestion pipelines, and compute workloads

• Implement robust observability (metrics, logs, tracing) and build a clean operational picture of system health

• Establish strong security foundations
  : secrets management, IAM hardening, system‑level policies, and compliance‑friendly patterns

• Improve and optimize Postgre
  
  SQL performance
  , monitoring, and operational stability across workloads

• Drive the team’s infrastructure roadmap and ensure our architecture supports rapid onboarding and growth

• Build internal tooling that reduces complexity, eliminates manual ops, and gives engineers “superpowers”

• Collaborate closely with engineering and product to ensure that infra choices enable—not constrain—our product velocity

• You’re energized by Joyful Health’s mission
  —building tools that help providers take control of their financial health

• You want to shape foundational architecture at an early‑stage startup and influence technical decisions for years

• You thrive in ambiguous environments and take pride in owning problems end‑to‑end

• You value craftsmanship, reliability, and clean abstractions
  —infra that feels elegant, not duct‑taped

• You have 5+ years of experience in Infra//SRE/platform engineering roles

• You have strong experience with:

  • Kubernetes (EKS or GKE preferred)

  • Python engineering workflows

  • CI/CD (Git Hub Actions or similar)

  • Postgre
    
    SQL…