Senior Systems Engineer

Xealth · Seattle, WA

Our Mission & Culture

At Xealth, we’re revolutionizing healthcare by leveraging data and automation to empower care providers—building on EHRs such as Epic and Cerner—to seamlessly prescribe, deliver, and monitor digital health for patients. We are a detail-oriented team committed to maintaining high standards while moving with agility and impact.

We are a highly skilled, collaborative, and passionate group, applying our expertise to improve health outcomes for millions. We believe in shared ownership and are looking for a team player who is a self-starter and self-driven to pioneer the next generation of intelligent, automated cloud infrastructure.

The Role

We're looking for a Senior Systems Engineer to take full ownership of our AWS EKS Kubernetes platform and the open source ecosystem that powers it. This is a hands-on, high-ownership role — you'll be the go-to expert for cluster reliability, observability, GitOps automation, and infrastructure-as-code. You'll work closely with our engineering teams to ensure our platform is resilient, secure, and continuously improving.

This isn't a ticket-queue operations role. We want someone who thinks architecturally, automates relentlessly, and raises the bar for how we build and run infrastructure.

*Must be open to working a hybrid schedule; in our office is in Seattle.*

What You'll Own

EKS cluster platform — day-to-day operations, version lifecycle management, node group strategy, cluster upgrades, and capacity planning across environments
GitOps delivery pipeline — own and evolve our ArgoCD-based deployment workflows, enforce GitOps patterns across teams, and drive consistency in how services reach production
Observability stack — build and maintain our Prometheus/Grafana observability platform; define SLOs, alerting standards, and dashboards that give engineering teams actionable signal
Infrastructure-as-code — manage and extend Terraform codebases for AWS infrastructure; enforce IaC standards and participate in code review
OpenTelemetry instrumentation — lead the adoption and standardization of OTel across services for distributed tracing, metrics, and log correlation
Linux systems health — own OS-level configuration, hardening, patching, and performance tuning across our compute fleet
Security & compliance posture — partner with engineering and security to enforce least-privilege IAM, secrets management, network policies, and audit readiness in a HIPAA-regulated environment

What We're Looking For

Required

5–8 years of hands-on systems/platform engineering experience
Deep Kubernetes expertise — you can reason about scheduling, networking, storage, RBAC, and cluster internals without reaching for the docs
Production experience running workloads on AWS EKS
Strong Linux fundamentals — systemd, networking, kernel tuning, troubleshooting under pressure
Proficiency with Terraform for AWS infrastructure management
Hands-on experience with ArgoCD or Flux in a production GitOps workflow
Experience building and operating Prometheus/Grafana observability stacks
Working knowledge of OpenTelemetry — collectors, instrumentation libraries, pipeline configuration
Programming and scripting experience with Python,Typescript, Bash
Comfort operating in a regulated environment (HIPAA, SOC 2, or similar)

Nice to Have

Experience with service mesh (Linkerd, Istio, or similar)
Familiarity with Kafka in a Kubernetes context
Secrets management experience (AWS Secrets Manager, or External Secrets Operator)
Prior work at a healthcare or health-tech company
Contributions to open source projects

How We Work

Hybrid in Seattle — we value in-person collaboration and flexibility in equal measure
Infrastructure managed as code — if it's not in Git, it doesn't exist
On-call expectations are reasonable and shared across the team
You'll have real autonomy over architectural decisions, not just implementation work

Why join Xealth?

Meaningful Work: Your engineering directly enables better patient care and health outcomes for millions.
Cutting-Edge Stack: Work with modern tools and a team that prioritizes technical excellence and continuous learning.
Best Workplace: Xealth has been named to the World's Best Digital Health Companies list by Newsweek, awarded gold in the Digital Health awards in 2024 and twice in 2023. In 2023 Xealth was also listed as one of BuiltIn's Best Places to Work, and one of Fierce Healthcare's Fierce 15 of 2023.

About Xealth

Xealth created the leading digital health platform helping health systems deliver connected, personalized care at scale. Embedded in the EHR, it enables clinicians to prescribe, automate, and measure the impact of digital tools--including apps, services, and wearable data--within existing workflows. Now part of Samsung's connected care vision, Xealth enhances decision-making, reduces friction, and supports enterprise-wide digital health strategies. Trusted by more than 500 hospitals and 70+ solution partners, Xealth provides a scalable foundation for delivering connected, personalized, and preventative care--empowering health systems to drive outcomes, engagement, and operational efficiency while advancing digital transformation.
As a market-leading digital health platform recognized for excellence and culture, some of our recent accolades include: Newsweek’s World’s Best Digital Health Companies (2024-2026), consecutive Gold Digital Health Awards, and we were named a BuiltIn Best Place to Work for 2025 and 2026.

Compensation & Benefits:

Xealth offers a multi-tiered approach when constructing a highly competitive compensation package. The compensation package would include a base salary, bonus, and a comprehensive suite of benefits. The base salary compensation range for this position is $145,000 - $160,000, depending on geographic market.

Paid parental leave.
Comprehensive medical, dental, and vision policies. Xealth covers 100% of employee premiums. We also provide Employee Assistance Programs.
Xealth provides your laptop and offers a home office stipend.
Generous learning & development opportunities for you to grow your skills and career.
401k Match: Xealth offers a dollar-for-dollar match up to 5%.
Flexible time off & 10 standardized holidays.
$500 yearly fitness stipend to spend on staying active.

Xealth is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application procedures.