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Senior Software Engineer (Infra)

Company: Amigo
Location: New York City
Posted on: February 18, 2026

Job Description:

Job Description Job Description About Amigo Amigo builds AI agents that deliver healthcare autonomously—AI doctors, AI nurses, and AI care coordinators. Our agents handle clinical workflows and patient engagement across the entire patient journey: pre-visit intake, triage, care navigation, post-visit care plans, side effect management, and medication adherence. Context-aware with memory across sessions and the ability to take clinical action. We own outcomes, not just delivery. For our customers, we're responsible for agent performance: clinical safety, continuous improvement, measurable patient outcomes. Agents operate autonomously within bounded clinical domains, with clear scope and handoff protocols. That scope expands as we validate performance across populations. We're fresh off our Series A from Tier 1 investors like General Catalyst, GSV Ventures, SVA, and CohoVC. Our work is validated with leading academic medical institutions. We're currently reaching 1M patient interactions every 90 days, and are on track to 10x this year. About this role As a Senior Software Engineer (Infra) at Amigo, you'll build the foundational infrastructure that powers our platform at global scale. You'll design and implement core systems that handle millions of conversations across multiple regions while meeting diverse regulatory requirements. This role combines deep technical expertise in distributed systems with practical experience building production infrastructure that operates reliably across healthcare, finance, and other regulated industries. What you'll do Design and build scalable infrastructure supporting millions of conversations across multiple regions Implement multi-region deployment pipelines with zero-downtime updates for critical systems Build monitoring and alerting systems that provide visibility across global infrastructure and the entire platform stack Design disaster recovery and backup systems meeting diverse regulatory compliance requirements Implement security infrastructure to meet stringent compliance standards Build auto-scaling systems that handle traffic spikes while maintaining cost efficiency globally Maintain infrastructure as code of our infra, ensuring clearly documented and identical deployments across regions Implement data residency and sovereignty controls for regulated industries Perform cost optimizations that balance performance with regulatory requirements What we're looking for 4 years of production infrastructure experience at scale Strong experience with cloud platforms and multi-region deployments Deep knowledge of containerization and orchestration technologies Strong experience with infrastructure as code tools like Terraform Experience with CI/CD pipelines and deployment automation Deep knowledge of end-to-end monitoring and observability tools Experience with database administration and backup/recovery procedures, preferably with a NoSQL database Understanding of security best practices and regulatory compliance requirements in regulated industries Strong debugging skills for complex infrastructure issues Nice to have Experience in healthcare, finance, or other heavily regulated industries, with knowledge of specific regulatory frameworks (HIPAA, GDPR, SOX, etc.) Experience with high-performance computing and distributed systems at scale Background with high-availability, mission-critical systems Benefits Health & Wellness Comprehensive health, dental, and vision insurance Mental health support and wellness coaching Flexible wellness stipend for fitness, therapy, or personal growth Daily catered lunch and dinner Growth & Development Annual learning budget for courses, books, or conferences Conference attendance budget for professional development Development setup of your choice Academic collaboration opportunities Compensation Range: $180K - $220K

Keywords: Amigo, Meriden , Senior Software Engineer (Infra), IT / Software / Systems , New York City, Connecticut


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