Senior Azure Cloud Infrastructure Engineer – Healthcare AI Platform

🕒 June 24

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

👷 Infrastructure Engineer

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Logo of CIVIE

CIVIE

51 - 200 employees

Founded 2018

🏥 Healthcare

🤖 Artificial Intelligence

☁️ SaaS

Healthcare • Artificial Intelligence • SaaS

CIVIE is a healthcare technology company that provides an AI-powered, cloud-based radiology operations suite and modular products for radiology groups, hospitals, and teleradiology services. Its offerings include a Radiology Information System (RIS), Picture Archiving and Communication System (PACS), vendor-neutral archive (VNA), AI-enabled workflow and dictation (CIVR), revenue cycle management (RCM), business intelligence, interoperability and patient experience tools, plus ancillary services like credentialing, authorizations, AR recovery, and IT support. CIVIE’s platform aims to improve radiologist productivity, reduce costs, unify disparate imaging systems, and deliver better patient and operational outcomes.

📋 Description

• Architect and manage highly available, fault-tolerant systems on Microsoft Azure with multi-region redundancy and disaster recovery • Design infrastructure with strict adherence to healthcare compliance standards (e.g., HIPAA, HITRUST, SOC 2) • Provision and optimize GPU-based environments for AI/ML workloads, including large-scale model training and inference • Build secure, zero-trust architectures (private networking, encryption, identity isolation, least privilege access) • Implement backup, failover, and business continuity strategies with clearly defined RTO/RPO targets • Continuously reduce infrastructure costs through intelligent scaling, reserved capacity, spot instances, and workload optimization • Develop Infrastructure as Code (Terraform, Bicep, ARM) for repeatable, auditable deployments • Partner with AI/ML teams to productionize and scale foundational models reliably • Establish observability across systems (logging, monitoring, alerting) with proactive incident response • Conduct architecture reviews, risk assessments, and security audits

🎯 Requirements

• 5–8+ years of hands-on experience with Microsoft Azure cloud infrastructure • Proven experience designing high-availability and disaster recovery systems in regulated environments • Strong background in healthcare or other compliance-heavy industries • Deep expertise in: Azure Virtual Machines, VM Scale Sets, and GPU compute • Azure networking (VNets, Private Link, ExpressRoute, firewalls) • Storage solutions (Blob, Files, managed disks with redundancy options) • Experience implementing compliance frameworks such as HIPAA or SOC 2 • Strong knowledge of identity and access control (RBAC, Azure AD, managed identities) • Experience with Kubernetes (AKS) and containerized workloads • Proficiency in scripting (Python, Bash, PowerShell)

🏖️ Benefits

• Paid vacation, sick time, and personal days • 11 company paid holidays • Quarterly UberEats voucher • Monthly Fringe benefits • Flexible work schedules • Professional development stipend • Health, dental, and vision benefits, with employer HSA contribution • STD, LTD and life insurance • 401(k) company match and profit sharing

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