iRhythm Technologies

Staff Systems Reliability Engineer

United States

Not SpecifiedCompensation
Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare TechnologyIndustries

Staff System Reliability Engineer V

Employment Type: Full-time

Position Overview

iRhythm is seeking a highly experienced and strategic Staff System Reliability Engineer V to lead the design, scalability, and resilience of our cloud infrastructure. This role is ideal for someone with deep expertise in AWS, infrastructure automation, and observability who thrives in complex, high-availability environments. As a senior technical leader, you’ll work closely with engineering and security teams to optimize performance, improve deployment pipelines, and uphold service reliability across mission-critical systems. At iRhythm, you’ll have the opportunity to grow your skills and your career while impacting the lives of people around the world, shaping a future where everyone, everywhere can access the best possible cardiac health solutions.

Responsibilities

  • Design and implement scalable, fault-tolerant AWS-based infrastructure using Terraform and/or CloudFormation for regulated workloads (e.g., HIPAA, FDA CFR Part 11, EU MDR).
  • Develop and maintain CI/CD pipelines using tools like GitLab CI, ArgoCD, or similar.
  • Write automation tools and scripts in Python and/or Go to support operations, monitoring, and self-healing systems.
  • Lead incident response efforts, root cause analysis, and postmortem documentation for system failures.
  • GitLab pipeline authoring.
  • Kubernetes (EKS) cluster management support.
  • Migrate applications from ELB/ALB EC2 instances to k8s using Helm for configuration management.
  • Define and monitor SLOs, SLAs, and error budgets across key services.
  • Implement and manage observability tools (e.g., Prometheus, Grafana, CloudWatch, OpenTelemetry).
  • Collaborate with software engineers to ensure systems are designed for reliability and security from the ground up.
  • Harden system security by implementing least privilege IAM, automated patching, and vulnerability management.
  • Evaluate and onboard new technologies to improve infrastructure efficiency and resilience.
  • Mentor junior SREs and promote best practices in reliability engineering across the organization.

Requirements

  • Experience: Minimum of 8 years of related experience with a Bachelor's degree; or 6 years and a Master's degree; or equivalent work experience.
  • AWS Expertise: Expert-level knowledge of AWS services (EC2, Lambda, VPC, IAM, RDS, ECS/EKS, etc.).
  • CI/CD & GitOps: Helm, Argo CD, GitLab (ability to abstract complexity to templated pipeline archetypes for similar development projects). Deep understanding of infrastructure-as-code and GitOps workflows.
  • Automation: Strong proficiency in Python and/or Go for automation and tooling.
  • Observability: Experience managing observability and alerting systems at scale.
  • Systems & Architecture: Strong grasp of Linux systems, networking, and distributed architecture principles.
  • Regulatory Familiarity: Familiarity with regulatory requirements such as FDA 21 CFR Part 11, HIPAA, ISO 13485, and EU MDR as they relate to infrastructure and DevOps.
  • Communication: Strong written and verbal communication skills, including documentation and incident reporting.

Company Information

At iRhythm, you’ll have the opportunity to grow your skills and your career while impacting the lives of people around the world. iRhythm is shaping a future where everyone, everywhere can access the best possible cardiac health solutions. Every day, we collaborate, create, and constantly reimagine what’s possible. We think big and move fast, driven by our commitment to put patients first and improve lives. We need builders like you. Curious and innovative problem solvers looking for the chance to meaningfully shape the future of cardiac health, our company, and your career.

What’s In It for You

  • Competitive Compensation: Includes base salary, annual performance bonus, and stock/equity opportunities.
  • Outstanding Benefits: Comprehensive medical, dental, vision, and wellness programs.
  • Generous Paid Time Off: Vacation, holidays, and sick leave to support work/life balance.
  • Flexible Work Options: Hybrid and remote arrangements, depending on your location.
  • Financial Wellness: 401(k) with company match and financial wellness resources.

Work Environment / Other Requirements

  • Occasional travel to office if in the Bay area.

Skills

AWS
Terraform
CloudFormation
GitLab CI
ArgoCD
Python
Go
Kubernetes
EKS
Helm
Monitoring
Automation
Incident Response
Root Cause Analysis
SLOs/SLAs

iRhythm Technologies

Advanced cardiac monitoring solutions provider

About iRhythm Technologies

iRhythm Technologies focuses on cardiac monitoring solutions, with its main product being the Zio Patch, a wearable device that tracks heart rhythms for up to 14 days. This extended monitoring helps healthcare providers detect irregular heart rhythms that shorter monitoring might miss, making it especially useful for patients at risk. The company serves both patients and healthcare providers, generating revenue by selling the Zio Patch and offering data analysis services to interpret the collected heart data. iRhythm aims to improve patient outcomes and streamline healthcare workflows in the cardiac health sector.

San Francisco, CaliforniaHeadquarters
2006Year Founded
$102.8MTotal Funding
IPOCompany Stage
Biotechnology, HealthcareIndustries
1,001-5,000Employees

Benefits

Health Insurance
Dental Insurance
Vision Insurance
Health Savings Account/Flexible Spending Account
Unlimited Paid Time Off
Paid Vacation
Paid Holidays
401(k) Retirement Plan
401(k) Company Match
Employee Stock Purchase Plan
Mental Health Support
Hybrid Work Options
Pet Insurance

Risks

Increased competition from emerging cardiac monitoring technologies threatens market share.
FDA warning letter may lead to regulatory scrutiny and potential fines.
Shareholder investigation could result in legal challenges and financial liabilities.

Differentiation

Zio Patch offers up to 14 days of uninterrupted cardiac monitoring.
iRhythm's Zio Patch is the smallest and least conspicuous cardiac diagnostic device.
The company provides data analysis services for actionable insights from Zio Patch data.

Upsides

Wearable health tech market growth aligns with iRhythm's business model.
Telehealth expansion increases demand for remote monitoring solutions like Zio Patch.
AI integration enhances arrhythmia detection accuracy in iRhythm's Zio Patch.

Land your dream remote job 3x faster with AI