Cloud Systems Engineer

Reposted 7 Days Ago
Hiring Remotely in United States
Remote
154K-195K Annually
Senior level
Healthtech
The Role
Design, optimize, and govern Komodo's Snowflake-centered data infrastructure, integrate with Databricks and adjacent stores, reduce costs and improve query performance, implement monitoring/automation, establish metadata and RBAC governance, and coach teams on best practices to meet compliance and performance SLAs.
Summary Generated by Built In

We Breathe Life Into Data

At Komodo Health, our mission is to reduce the global burden of disease. And we believe that smarter use of data is essential to this mission. That’s why we built the Healthcare Map — the industry’s largest, most complete, precise view of the U.S. healthcare system — by combining de-identified, real-world patient data with innovative algorithms and decades of clinical experience. The Healthcare Map serves as our foundation for a powerful suite of software applications, helping us answer healthcare’s most complex questions for our partners. Across the healthcare ecosystem, we’re helping our clients unlock critical insights to track detailed patient behaviors and treatment patterns, identify gaps in care, address unmet patient needs, and reduce the global burden of disease. 

As we pursue these goals, it remains essential to us that we stay grounded in our values: be awesome, seek growth, deliver “wow,” and enjoy the ride. At Komodo, you will be joining a team of ambitious, supportive Dragons with diverse backgrounds but a shared passion to deliver on our mission to reduce the burden of disease — and enjoy the journey along the way.

The Opportunity at Komodo Health

Komodo Health is rapidly growing and expanding both our cloud infrastructure and our data platform while adopting SRE best practices. You will join the Infrastructure team, which builds, operates, and continuously improves the cloud-native stack (AWS, Kubernetes, Terraform, ArgoCD, GitHub Actions) and the foundational systems that power our data ecosystem, including Snowflake for data warehousing. Beyond keeping these systems reliable, scalable, and secure, the team drives data governance, cost and FinOps discipline, and compliance alignment (HIPAA, SOC2). We work in an international context toward one goal: reduce the burden of disease.

This role exists to keep Komodo's cloud and data platform reliable, secure, and cost-efficient, so that data access, processing, and analysis stay seamless and performant for the teams that depend on them. Your work spans two core areas: our AWS cloud infrastructure, built and operated as code (IaC), and our Snowflake data platform, which you help operate and optimize. You will partner closely with engineering, data, and security teams, meeting the security and compliance demands of a rapidly evolving healthcare data landscape.

Looking back on your first 12 months at Komodo Health, you will have accomplished…

  • Operated and optimized our Snowflake environment in production: right-sized warehouses, monitored usage and cost, and resolved adhoc internal requests and query-performance issues.
  • Contributed to measurable cloud and Snowflake cost reduction through right-sizing, resource tagging and cost attribution, and eliminating idle or overprovisioned resources.
  • Delivered and operated production AWS and Kubernetes infrastructure through Terraform and GitOps (ArgoCD), reducing manual toil and improving reliability.
  • Strengthened our security and compliance posture (least-privilege IAM and RBAC, network and secrets hygiene) in line with HIPAA and SOC2 expectations.
  • Strengthened observability and on-call readiness, joining the shared US-business-hours rotation and improving alerting and runbooks

You will accomplish these outcomes through the following responsibilities…

  • Operate and optimize Snowflake: monitor warehouse consumption and cost, administer RBAC and metadata tagging for cost attribution, and triage query-performance issues and internal requests.
  • Build and operate AWS and Kubernetes infrastructure as code (Terraform), deployed via GitOps (ArgoCD).
  • Maintain and improve CI/CD pipelines (GitHub Actions) for application and infrastructure delivery.
  • Drive infrastructure optimization across performance, scalability, and cost (FinOps practices, tagging, attribution).
  • Harden cloud infrastructure: IAM and RBAC, networking, secrets management, and compliance alignment.
  • Build and maintain centralized observability (metrics, logs, alerting).
  • Participate in the shared US-business-hours on-call rotation and collaborate closely with developer, security, and data teams

What you bring to Komodo Health (required):

  • Hands-on Snowflake (or comparable cloud data warehouse) experience in a production setting: SQL, warehouse operations, and query-performance fundamentals.
  • Hands-on experience building and operating cloud infrastructure on AWS in production, with attention to security and cost.
  • Infrastructure-as-code proficiency with Terraform (you think IaC from inception).
  • Experience with containerization and Kubernetes (Docker, k8s).
  • Scripting and automation skills in Python, Go, or Bash, plus experience with CI/CD pipelines and at least one tool (GitHub Actions, Jenkins, CircleCI, Harness, etc.).
  • Hands-on experience with AI-assisted engineering tools (e.g. Claude, OpenAI Codex, Cursor, GitHub Copilot, AWS Bedrock) and sound judgment about when and how to apply them safely.
  • Strong collaboration and communication skills, and the ability to operate in a fast-paced, dynamic environment

Expectations of AI Use in this role (required):

  • This is an AI-native role. We expect you to work fluently with AI coding assistants and platforms (such as Claude, OpenAI Codex, Cursor, GitHub Copilot, or AWS Bedrock) to accelerate Terraform and script authoring, generate and maintain runbooks and documentation, and speed up log and query analysis, while reviewing and validating all generated output before it reaches production.

Additional skills and experience we’ll prioritize…

  • Deep hands-on Snowflake administration: warehouse sizing, resource monitoring, RBAC administration, and query optimization.
  • Advanced SQL and data-warehouse internals (clustering, partitioning, caching, execution plans).
  • Experience with big-data and orchestration tools (Spark, Airflow, dbt).
  • FinOps or cloud cost-optimization experience.
  • Familiarity with data governance and compliance requirements such as HIPAA or SOC2.
  •  

#LI-Remote 

The pay range for each job posting reflects a minimum and maximum range of annual base pay that we reasonably expect to pay for this position within the US. We carefully consider multiple business-related factors when determining compensation, including job-related skills, work experience, geographic work location, relevant training and certifications, business needs and market demands.


The starting annual base pay for this role is listed below. This position may be eligible for performance-based bonuses as determined in the Company’s sole discretion and in accordance with a written agreement or plan. This role may also be eligible for equity awards. In addition, this role is eligible for benefits including, but not limited to, comprehensive health, dental, and vision insurance; flexible time off and holidays; 401(k) with company match; disability insurance and life insurance; and leaves of absence in accordance with applicable state and local laws and regulations and company policy. 

San Francisco Bay Area and New York City:
$154,000$195,000 USD
All Other US Locations:
$134,000$170,000 USD

Komodo's AI Standard

At Komodo, we're not just witnessing the AI revolution – we're leading it. This is a pivotal moment in time, where being first to market with AI transforms industries and sets the bar. We've already established industry leadership in leveraging AI to revolutionize healthcare, and we expect every team member to contribute. AI here isn't optional; it's foundational. We expect you to integrate AI into your daily work – from summarizing documents to automating workflows and uncovering insights. This isn't just about efficiency; it's about making every moment more meaningful, building on trust in AI, and driving our collective success.

Join us in shaping the future of healthcare intelligence.
Where You’ll Work

Komodo Health has a hybrid work model with hubs in San Francisco, New York City, and Chicago. Roles vary — some can be performed from anywhere in the country, others are scoped to a specific region, and some are based near one of our hubs. For hub-based Dragons, we're building intentional in-office rhythms alongside the flexibility that's core to how we work. Whatever your setup, expectations will always be clear before you join.

Equal Opportunity Statement

Komodo Health provides equal employment opportunities to all applicants and employees. We prohibit discrimination and harassment of any type with regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. 

By submitting your application, you acknowledge that you have read and understand Komodo Health’s Privacy Notice for Employees and Contractors.

This notice explains how we collect, use, and retain applicant data.

Skills Required

  • 8+ years in data engineering or warehousing, including 5+ years managing large-scale environments (warehouse sizing, resource monitoring, query optimization, security governance)
  • Demonstrated success reducing query runtimes and eliminating bottlenecks via clustering, partitioning, caching, and execution plan optimization
  • Track record reducing data warehouse spend through auto-scaling strategies, eliminating idle compute, and restructuring high-cost workloads
  • Expert-level SQL and proficiency in Python and Terraform (or similar) for automation, monitoring, and orchestration of Snowflake resources
  • Strong background implementing metadata tagging and role-based access control (RBAC) to support governance, cost attribution, and ownership
  • Proven ability to operate strategically and tactically with analytics engineers, data scientists, and infrastructure teams to align performance and cost strategy with business objectives
  • Deep familiarity with cloud platform integrations across AWS, Azure, or GCP and tools such as Databricks, Airflow, and dbt plus observability platforms (e.g., New Relic, Tableau)
  • Experience with Snowflake
  • Experience with ClickHouse, ScyllaDB, or other high-performance DBaaS products
  • Experience with Temporal for ETL/workflow management
  • Knowledge of data governance, security practices, and compliance requirements like SOC2 or HIPAA
  • Demonstrated use of AI tools and AI-enhanced workflows (judgement, curiosity, integration into daily processes)

Komodo Health Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Komodo Health and has not been reviewed or approved by Komodo Health.

  • Leave & Time Off Breadth Time off and flexibility are positioned as a clear strength, including flexible time off, winter holiday office closures, and “Flex Friday Afternoons.” This is reinforced by an overall remote-friendly/hybrid-by-design approach that supports schedule flexibility.
  • Parental & Family Support Paid parental leave is described as having expanded from 12 to 16 weeks, paired with a flexible return-to-work period. These policies suggest a more modern family-support package relative to many peers.
  • Retirement Support A 401(k) with a company match is consistently referenced as part of the core package. Immediate vesting and a match around the mid-single digits are also repeatedly cited as part of the retirement offering.

Komodo Health Insights

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The Company
HQ: San Francisco, CA
659 Employees
Year Founded: 2014

What We Do

Improving lives through the largest, most actionable Healthcare Map™. At Komodo Health, we partner with our customers to improve patient care and reduce disease burden through data-driven insights. The Komodo Health Platform delivers patient-level insights by dynamically analyzing the broadest array of data across patients, practitioners, and health systems. We put patients at the center of clinical innovation. Healthcare today is all about delivering value — improving patient outcomes while reducing healthcare costs by helping our customers put life-saving therapies in the hands of people that need them the most. The Komodo Health software platform provides access to a broader array of healthcare stakeholders in over fifty therapeutic areas. Our comprehensive Healthcare Map™ helps: + Life Sciences extend the reach of innovative therapies + Patient Advocacy align investments toward the right patients and practitioners + Healthcare Practitioners address unmet medical needs in their communities + Payers increase care quality while reducing cost Let’s work together to reduce the burden of disease. Please learn more by visiting us at www.komodohealth.com

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