The System Engineer II is a capable, independent contributor who owns features end-to-end within assigned systems. They work with moderate oversight, consistently deliver quality work, and are beginning to contribute meaningfully to design discussions and peer development. Engineer IIs are expected to take ownership, communicate proactively, and demonstrate growing technical judgment. Infrastructure and cloud engineers at Monogram Health provision, secure, and maintain the cloud environments, networking, and identity systems that underpin every application and service in the organization.
Responsibilities
- Designs, develops, tests, and deploys features end-to-end within assigned systems with moderate oversight
- Troubleshoots and resolves issues across environments, escalating when appropriate with proposed solutions
- Writes clean, maintainable, well-tested code or configurations that meet team quality and security standards
- Participates actively in code/configuration reviews, providing constructive and thoughtful feedback
- Collaborates with product management, QA, and cross-functional partners to translate requirements into technical implementations
- Supports peers through knowledge sharing, pair work, and informal coaching
- Identifies and communicates risks, dependencies, and blockers proactively during delivery
- Contributes to continuous improvement of development processes, tooling, documentation, and team practices
- Leverages AI-assisted development tools to accelerate delivery, improve code quality, and support learning
- Participates in a shared on-call rotation to support production reliability and patient safety; on-call rotates across the team and volume is generally low
Position Requirements
- Bachelor's degree in Computer Science, Engineering, Information Technology, or a related field — or equivalent practical experience
- Minimum of two (2) years of professional engineering experience
- Solid understanding of software development lifecycle, version control, CI/CD practices, and agile delivery
- Proficiency in at least one modern programming language or platform relevant to assigned domain
- Demonstrated problem-solving skills and attention to quality
- Effective written and verbal communication skills with the ability to collaborate across teams
- Experience with or willingness to adopt AI-assisted development tools and workflows
- Experience working within agile delivery teams
- Proficiency with Microsoft Azure IaaS and PaaS services (VMs, VNets, App Services, AKS, Storage, Key Vault)
- Experience with Infrastructure-as-Code (Terraform, ARM templates, Azure Bicep)
- Strong knowledge of Entra ID, SSO/SAML, and identity & access management
- Understanding of networking fundamentals — DNS, TCP/IP, VPN, load balancing, and firewall rules
- Experience with monitoring, alerting, and observability tools (Azure Monitor, Application Insights, Log Analytics)
- Proficiency in scripting and automation (PowerShell, Bash, or Python)
Benefits
- Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
- Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
- Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
- Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts
About Monogram Health
Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.
Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.
Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Skills Required
- Bachelor's degree in Computer Science, Engineering, Information Technology, or related field -- or equivalent practical experience
- Minimum of two (2) years of professional engineering experience
- Understanding of software development lifecycle, version control, CI/CD practices, and agile delivery
- Proficiency in at least one modern programming language or platform relevant to assigned domain
- Demonstrated problem-solving skills and attention to quality
- Effective written and verbal communication skills with ability to collaborate across teams
- Experience with or willingness to adopt AI-assisted development tools and workflows
- Experience working within agile delivery teams
- Proficiency with Microsoft Azure IaaS and PaaS services (VMs, VNets, App Services, AKS, Storage, Key Vault)
- Experience with Infrastructure-as-Code (Terraform, ARM templates, Azure Bicep)
- Strong knowledge of Entra ID, SSO/SAML, and identity & access management
- Understanding of networking fundamentals -- DNS, TCP/IP, VPN, load balancing, and firewall rules
- Experience with monitoring, alerting, and observability tools (Azure Monitor, Application Insights, Log Analytics)
- Proficiency in scripting and automation (PowerShell, Bash, or Python)
Monogram Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Monogram Health and has not been reviewed or approved by Monogram Health.
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Fair & Transparent Compensation — Pay is considered competitive or fair in several roles and markets, with multiple signals pointing to attractive base salaries. Incentive opportunities are also cited alongside base pay, reinforcing the perception of solid overall compensation in certain functions.
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Retirement Support — A 401(k) with employer match is available and characterized as decent relative to other benefits. This provides foundational long-term value even when other elements feel mixed.
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Wellbeing & Lifestyle Benefits — Wellness extras such as app-based mental health resources are available through the medical plan. These perks add auxiliary value to the total package.
Monogram Health Insights
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What We Do
Monogram Health is a leading value-based specialty provider of in-home evidence-based care and benefit management services for patients living with polychronic conditions, including chronic kidney and end-stage renal disease.
