About LifeMD
LifeMD is a leading provider of virtual primary care, telehealth, and specialized treatment programs serving hundreds of thousands of patients nationwide. Our vertically integrated platform combines 50-state licensed providers, in-house pharmacy and lab integrations, and proprietary technology that enables safe, high-quality, and affordable care.
At the heart of this transformation is our team of developers, engineers, and tech innovators building state-of-the-art systems that make healthcare smarter, faster, and more accessible. From architecting scalable backend systems to crafting intuitive user experiences, we are pushing boundaries every day.
Recognized as one of the fastest-growing healthcare tech companies (#166 on Deloitte Fast 500 in 2023), LifeMD is not just a healthcare company — it's a tech company revolutionizing healthcare.
About the Role
We're looking for a Senior Platform Engineer who sits at the intersection of software development and infrastructure. You'll design and build the foundation our engineering teams ship on — codifying AWS infrastructure with Terraform and Pulumi, running workloads across ECS, EKS, and EC2, and playing a central role in our migration from monolithic services to a microservices architecture. This is a hands-on role for someone who writes production-quality code, thinks in systems, and raises the bar for the engineers around them.
What You’ll Do
- Design, build, and maintain AWS infrastructure as code using Terraform and Pulumi, with an emphasis on reusable modules, safe change management, and multi-account/multi-environment patterns
- Operate and evolve container platforms across ECS and EC2, including cluster architecture, autoscaling, networking, and cost optimization
- Drive our migration to microservices: decompose existing services, establish golden paths for service scaffolding, CI/CD, and deployment, and partner with product engineering teams through the transition
- Build internal tooling and automation in a general-purpose language (Python, Go, or TypeScript) — this role writes real software, not just configuration
- Own and advance our observability practice in Datadog: SLOs, dashboards, alerting strategy, distributed tracing, and driving down noise so on-call is humane
- Lead incident response and post-incident reviews; turn findings into durable platform improvements
- Mentor engineers, review designs and code, and set technical direction for platform standards across teams
- Champion security, compliance, and reliability best practices appropriate to a healthcare environment
Requirements
What You'll Bring
- 10+ years in platform, infrastructure, DevOps, or SRE roles, with a strong software development background — you're comfortable being evaluated on both your code and your architecture
- Deep, production experience with Terraform and hands-on experience with Pulumi (or strong Terraform plus a compelling reason we should trust you to ramp fast)
- Expert-level AWS knowledge: compute (ECS, Serverless,EC2), networking (VPC, load balancing, DNS), IAM, and the surrounding ecosystem
- Proficiency in at least one of Python, Go, or TypeScript, including testing and CI practices
- Direct experience decomposing monoliths or migrating platforms to microservices, and the scars to prove it — service boundaries, data migration, traffic cutover, rollback strategy
- Strong observability chops: metrics, logging, tracing, SLO design (Datadog experience is a plus)
- Demonstrated leadership: mentoring engineers, leading cross-team initiatives, communicating clearly with both engineers and non-technical stakeholders
Nice to Have
- Experience in regulated environments (HIPAA, SOC 2)
- GitHub Actions or similar CI/CD platform experience at org scale
- Experience with release management, deployment gates, and progressive delivery (canary, blue/green)
Benefits
- Annual Salary up to $170,000
- Health Care Plan (Medical, Dental & Vision)
- Retirement Plan (Roth 401k)
- Life Insurance (Basic, Voluntary & AD&D)
- Flexible PTO Policy
- Paid Holidays
- Short Term Disability
- Training & Development
Skills Required
- 10+ years in platform, infrastructure, DevOps, or SRE roles with strong software development background
- Deep, production experience with Terraform
- Hands-on experience with Pulumi (or strong Terraform experience with ability to ramp Pulumi)
- Expert-level AWS knowledge (ECS, EC2, Serverless, VPC, load balancing, DNS, IAM)
- Proficiency in at least one of Python, Go, or TypeScript, including testing and CI practices
- Direct experience decomposing monoliths and migrating to microservices (service boundaries, data migration, traffic cutover, rollback)
- Strong observability experience: metrics, logging, tracing, SLO design (Datadog experience is a plus)
- Demonstrated leadership: mentoring engineers, leading cross-team initiatives, clear communication with technical and non-technical stakeholders
- Experience in regulated environments (HIPAA, SOC 2)
- Experience with GitHub Actions or similar CI/CD platforms at org scale
- Experience with release management, deployment gates, and progressive delivery (canary, blue/green)
What We Do
LifeMD is a leading direct-to-patient Telehealth company leveraging deep expertise in medicine, technology and marketing to elevate healthcare. Our mission is to improve the health and happiness of our patients with healthcare that is honest, affordable, timely, and easy. LifeMD exists to help patients, getting them the care and medications they need while helping them navigate the changing world of medicine. We’re elevating the healthcare experience through Telehealth. Our brands are intensely focused on our patients, constantly striving to deliver a better end-to-end healthcare experience through technology, and provide our patients a transparent, convenient and cost-effective platform to access the quality medical care, prescription medications and OTC products they need. Already, we have treated more than 600,000 patients via our telehealth services and product lines, which include Shapiro MD, Rex MD and Nava MD. But these are just steps toward creating a platform that will span many different medical conditions and indications. We are building a comprehensive healthcare experience that offers primary care, gives patients direct contact with their personal physicians, responds quickly to their concerns, centralizes and leverages their medical histories, and meets their needs in the areas that most impact their quality of life. We are driven to create and provide the ultimate in healthcare.
