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)
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