Lead Site Reliability Engineer

Sorry, this job was removed at 10:19 p.m. (CST) on Wednesday, Nov 05, 2025
Hiring Remotely in United States
Remote
Healthtech • Software
The Role

Overview

QCSS Health is seeking a Lead Site Reliability Engineer (SRE) to drive performance, availability, and scalability of our cloud-based SaaS applications. You will work closely with Development and Product to design resilient systems and respond to operational incidents that impact performance or availability. QCSS Health offers an exciting opportunity to support Medicaid health plans and providers in improving health care outcomes for vulnerable populations. Our solutions positively impact over two hundred and fifty thousand Medicaid members.

Responsibilities

  • Design and implement site reliability engineering best practices across cloud infrastructure and application services hosted on AWS
  • Deploy and manage performance monitoring tools to track key application and infrastructure metrics
  • Define and manage Service Level Indicators (SLIs), Service Level Objectives (SLOs), and Service Level Agreements (SLAs) across platform services
  • Lead technical responses during critical incidents to restore service availability with minimal downtime
  • Perform root cause analysis and coordinate postmortems to ensure follow-up improvements are implemented
  • Identify reliability risks and propose infrastructure improvements to enhance system performance and fault tolerance
  • Collaborate with software engineering, DevOps, and database teams to embed reliability into the development lifecycle
  • Advise teams on system design for high availability, capacity planning, and disaster recovery

Qualifications and Experience

  • 7+ years in site reliability engineering, DevOps, or systems engineering roles
  • 3+ years in a lead technical role with significant experience implementing Application Performance Monitoring (APM) solutions for data intensive applications
  • Experience with a scaling SaaS business (20 – 50 employees)
  • Experience with AWS services (EC2, CloudWatch, S3, etc), Microsoft IIS, Windows Server environments, and SQL Server databases
  • Experience in monitoring API and File Transfer interfaces
  • Demonstrated success in implementing SLIs/SLOs and managing systems to defined SLAs
  • Demonstrated success in leading incident response and communication
  • Bachelor’s degree in Computer Science, Information Systems, Engineering or related field

Location/Travel

  • Position is flexible in terms of physical location and can be remote.
  • QCSS is headquartered in Cambridge, MA.
  • Must be willing to travel (10% or less).

Hiring Process

  • The initial screen will be a 30 minute call
  • The first interview will be a 60 minute video call
  • The final interview will include presentation of an exercise and be a 90 minute video call
  • The final step of the process will be a reference check


Background Checks/Federal HealthCare Program Exclusion Lists Screening

Candidates for this position will be required to undergo a pre-employment background check. All QCSS employees are subject to annual screening to ensure that they have not been excluded from the Federal Healthcare Programs (using the OIG and GSA Exclusion Lists) or State Medicaid Programs. The Company’s pre-employment background check and OIG/GSA Exclusion Lists screening program is administered in compliance with all federal, state and local laws.

Equal Opportunity Employer

QCSS is an Equal Opportunity Employer and strongly supports diversity in the workforce.

About Quality Coding Software Solutions

At QCSS Health, we are laser-focused on simplifying the complexities of MLTSS service delivery through innovative, data-driven solutions that result in greater cost-efficiencies, more equitable access to care, and improved health outcomes.

Our Mission:

To seamlessly integrate domain expertise with technology solutions to make Managed Long Term Services and Supports more successful. We are dedicated to enabling health plans and providers to improve the health outcomes of their vulnerable populations and thrive in a value-based healthcare system.

Our Core values:

Simplifying Complexity - We know managing cost-effective MLTSS programs can be difficult, but it doesn’t have to be. Our guiding principle is to develop innovative, easy-to-use solutions, designed specifically to meet the unique challenges of running MLTSS programs.

Member-Centric Excellence - We empower MLTSS organizations to deliver exceptional care to their members, placing individual outcomes, health equity, and the quality of care delivered at the forefront of everything we do.

Trust is at our Core - We foster trust by leading with integrity, ethics, and the reliability of our technology. Transparency, genuine listening, and unwavering dedication to fulfilling our commitments are fundamental to how we cultivate strong and meaningful relationships.

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The Company
HQ: Cambridge, MA
7 Employees

What We Do

Our mission is to integrate domain expertise with technology solutions to make Managed Long Term Care successful. We seek to enable health plans and providers to improve health outcomes for their vulnerable populations and to thrive in a value-based healthcare system.

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