Senior Manager, Site Reliability Engineering

As a Senior Manager, Site Reliability Engineering, you will:

• Lead and grow our SRE team of ~10 engineers, including hiring, retention, career development, and performance management across multiple time zones (US, HK, NZ).
• Build strategic partnerships with product engineering pillars — shifting SRE from reactive, ticket-based support to proactive co-ownership of reliability outcomes.
• Scale our multi-tenant infrastructure to support new customer onboarding and growing patient populations.
• Own cloud cost management and FinOps practices, building frameworks that balance cost control with reliability and performance.
• Champion developer self-service and platform engineering. Build self-service capabilities so product teams can manage routine operations without filing SRE tickets. Establish SLOs/SLIs for critical services and improve alert quality so every page is meaningful.
• Ensure the SRE team is fully leveraging AI tooling in their workflows — using tools like Claude Code for IaC generation, log analysis, root cause investigation, and automating repetitive work — at the same level as the rest of engineering.

You should get in touch if:

• You have 6+ years managing an SRE team and 10+ years of hands-on SRE or infrastructure engineering experience.
• You're deeply comfortable with our core stack: Kubernetes, GCP (GKE, Cloud SQL, Pub/Sub, GCS), Terraform, Helm, ArgoCD, PostgreSQL, and Prometheus/Grafana.
• You have strong programming skills in Python and/or Go, and you're comfortable writing and reviewing infrastructure tooling code — including using AI coding tools to do so.
• You have experience with CI/CD pipelines (GitHub Actions) and a track record of building or improving developer tooling and automation.
• You have sound build vs. buy judgment — you default to the right answer, not the easiest one, and you're comfortable building internal tooling when existing solutions don't fit.
• You have experience leading teams across multiple time zones and a track record of developing engineers into strong technical contributors.

Benefits Overview

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such a