Principal Site Reliability Engineer (SRE)

Symmetrio is a rapidly growing healthcare technology organization focused on advanced healthcare technology solutions. They are seeking a Principal Site Reliability Engineer (SRE) to ensure the reliability, scalability, security, and performance of a mission-critical SaaS platform supporting healthcare providers across the United States.

Responsibilities:

• Serve as the primary technical owner for production reliability across U.S. customer environments
• Investigate and resolve complex issues spanning web applications, APIs, backend services, data pipelines, cloud infrastructure, and customer integrations
• Lead production incident response efforts, coordinating cross-functional teams to restore service and minimize customer impact
• Perform root cause analysis and drive corrective actions that improve long-term system stability and resilience
• Partner with software engineering and platform teams to identify recurring reliability risks and implement sustainable solutions
• Design, configure, and validate secure customer connectivity solutions including Site-to-Site VPNs, Transit Gateway integrations, routing configurations, and secure network paths
• Support customer onboarding initiatives by troubleshooting connectivity challenges and ensuring consistent implementation processes
• Enhance platform observability through improvements in monitoring, logging, alerting, tracing, and operational dashboards
• Contribute to CI/CD, infrastructure automation, and deployment processes that improve release safety and operational consistency
• Develop operational tooling that supports incident response, troubleshooting, onboarding, and system monitoring activities
• Collaborate with engineering leadership to improve cloud architecture, scalability, security, and operational readiness
• Partner with customer-facing teams to communicate technical issues, remediation plans, and reliability improvements in a clear and effective manner
• Support compliance, security, and risk management initiatives within highly regulated healthcare environments

Requirements:

• 6+ years of hands-on experience supporting and managing AWS-based production environments
• 4+ years of experience supporting web applications and backend services (Python/Django experience strongly preferred)
• Experience with AWS networking technologies including VPCs, Site-to-Site VPNs, Transit Gateways, routing, NAT gateways, and security groups
• Strong experience with Terraform and infrastructure-as-code deployment practices
• Experience with containerized environments including ECS, Fargate, Kubernetes, or similar technologies
• Experience building and supporting CI/CD pipelines and release automation processes
• Familiarity with monitoring and observability platforms such as Datadog, CloudWatch, Sentry, Grafana, or similar tools
• Experience leading production incidents, outage management, and root cause analysis initiatives
• Exposure to Windows Server environments, Active Directory, Kerberos, and enterprise infrastructure concepts
• Healthcare technology, healthcare SaaS, clinical software, or other regulated industry experience
• Bachelor's degree in Computer Science, Engineering, Information Technology, or a related technical field