Sr. Platform Engineer

Overview

Who We Are
We are a mission- and values-driven company with tremendous dedication to our customers. Our 100% remote team is dedicated to a common goal – to revolutionize healthcare through innovation, collaboration, and commitment to our core values and behaviors.

About the Opportunity
We are looking for a Sr. Staff Platform Engineer to serve as a hands-on architect of our system's evolution. You will tackle our most substantial engineering challenges: ensuring the reliability, performance, and scalability of our distributed systems while driving the maturation of our technical stack. This is a leadership role for a hands-on technical visionary. You will focus on solving deep, structural problems in the overall system to achieve 99.99% reliability and massive scalability.

You will drive key maturation issues regarding our architecture, identifying the critical path for eliminating bottlenecks, reducing complexity, and enabling our engineering teams to ship faster with greater confidence. As a key voice on the Architecture Review Board (ARB), you will shape the technical direction of the entire organization. If you are an expert in high-scale distributed systems and have the scars and success stories to prove it, this is your chance to build a legacy.

• System Reliability, Performance, & Scalability:
  Solve substantial system challenges by identifying and leading the resolution of the most complex, systemic problems affecting the platform's stability and speed.
• Architect for Scale:
  Design strategies that allow the system to handle exponential growth, focusing on database scaling, caching architectures, and asynchronous processing throughput.
• Reliability Engineering:
  Define and drive the adoption of patterns that ensure system resilience, including circuit breaking, graceful degradation, and active-active failover strategies.

• Stack & Architecture Maturation:
  Drive technical evolution by maturing libraries, frameworks, and infrastructure choices to meet future business needs.
• Eliminate Structural Bottlenecks:
  Address structural issues in the database layer, messaging infrastructure, and deployment pipeline.
• Technical Governance:
  As a senior leader on the ARB, enforce architectural rigor and establish standards for long-term maintainability.

• Strategic Leadership & Influence:
  Cross-organizational impact by guiding technical direction across multiple product areas and reconciling architectural goals to serve the broader business.
• Elevate the Platform:
  Mentor Staff and Senior engineers on distributed consensus, eventual consistency, and trade-offs of complex distributed systems.

• Elite Distributed Systems
  
  Experience:
  
  10+ years of software engineering with a focus on designing, optimizing, and operating high-scale distributed systems.
• Architectural Evolution:
  Proven track record of evolving complex systems and driving technical maturity in a fast-paced environment.
• Language Fluency & Strategy:
  Deep expertise in Type Script/Node.js; experience with Go or strong Go proficiency is highly desirable.
• Deep Technical Mastery:
  • Expertise in defining Service Level Objectives (SLOs) and Error Budgets.
  • Knowledge of synchronous (Websockets, gRPC, REST) vs. asynchronous (Kafka/Pub Sub) communication patterns.
  • Advanced database design patterns (sharding, partitioning, CQRS).
  • Expertise in container orchestration (Kubernetes) at scale.
• Visionary Leadership:
  Ability to identify critical long-term technical challenges and mobilize the organization to address them.
• Communication at Scale:
  Ability to communicate the business value of architectural investments to executives while collaborating with engineers.

• Healthcare Domain
  
  Experience:
  
  Experience in healthtech or regulated industries is a plus.
• Compliance & Standards:
  Familiarity with healthcare data standards (DICOM, HL7, FHIR) and regulations (HIPAA).
• High-Performance Database Tuning:
  Experience tuning Postgre
  
  SQL or similar relational databases for massive concurrency.
• Breaking Up The Monolith:
  Experience migrating a monolithic database architecture to microservices is a plus.

• Solve Our Toughest Puzzles: A high-leverage role working on impactful technical challenges critical to the company s success.
• Define the Architecture:
  Be a primary author of the system s future state with autonomy to make it happen.
• Lead from the Front:
  Establish yourself as a key technical voice in a rapidly growing company.
• Competitive Compensation & Benefits:
  Strong salary, meaningful equity, a 100% remote culture, and opportunities for growth.

We are a values-driven company. Our values:

• Clinical service first.
• Collaborate with our customers.
• Listen, respect, learn.
• Innovate to excel.

The behaviors we look for:

• Be nice.
• Be creative.
• Be honest.
• Be helpful.

Typical salary range for this position is $170,000 - $205,000
. However, Synthesis participates in location based hiring and salary ranges can be adjusted based on candidate s…