Sr. Site Reliability Engineer

Join the team leading the next evolution of virtual care. 

At Teladoc Health, you are empowered to bring your true self to work while helping millions of people live their healthiest lives.

Here you will be part of a high-performance culture where colleagues embrace challenges, drive transformative solutions, and create opportunities for growth. Together, we’re transforming how better health happens.

Summary of Position

We’re looking for a Senior Site Reliability Engineer to own reliability, automation, and infrastructure-as-code for our modern Data & AI platform. In this role, you’ll ensure our Azure-based data ecosystem is reliable, scalable, and efficient.  You’ll build Terraform-first infrastructure, improve developer experience, and support a healthcare environment where uptime and data reliability directly impact patient care.

Essential Duties and Responsibilities

Infrastructure as Code

• Build and maintain Terraform modules for data platform services (Snowflake, Airbyte, Astronomer, dbt, Kafka).

• Develop IaC standards, GitOps workflows, and automated CI/CD pipelines using GitHub Actions.

• Migrate manual configurations to fully codified infrastructure and enable self‑service provisioning for engineer

Platform Reliability & Operations

• Implement monitoring, alerting, and SLO/SLIs for data pipelines and platform components.

• Lead incident response, root cause analysis, and postmortems.

• Create automation, runbooks, and self‑healing capabilities to reduce MTTR.

Cross-Cloud Architecture

• Design secure connectivity patterns between Azure and AWS vendor systems.

• Troubleshoot networking, VPN, private endpoints, DNS, and MFT integrations.

Automation & Developer Experience

• Build CI/CD pipelines using GitHub Actions for infrastructure changes with comprehensive testing (terraform plan, validate, compliance checks)

• Implement policy-as-code using tools like Sentinel, OPA, or Azure Policy integrated into GitHub workflows

• Develop testing frameworks for infrastructure code (Terratest, kitchen-terraform) with automated execution in GitHub Actions

• Improve abstractions and tooling to streamline development workflows.

Performance & Cost Optimization

• Optimize Snowflake compute usage and Airflow/dbt performance.

• Apply cloud cost management practices and tagging strategies.

• Support capacity planning and forecasting.

Systems Troubleshooting & Problem Resolution

• Lead complex troubleshooting efforts across distributed systems spanning multiple cloud providers

• Debug integration issues with Kafka streams, CDC patterns, and real-time data pipelines

• Resolve platform-wide incidents involving Snowflake, Astronomer, Airbyte, and downstream BI tools (PowerBI, Tableau, Cube Cloud)

• Partner with vendors for escalated support cases and coordinate resolution across multiple teams

The time spent on each responsibility reflects an estimate and is subject to change dependent on business needs.

Supervisory Responsibilities

No

Qualifications Expected for Position

• 7+ years in Site Reliability Engineering, DevOps, or Platform Engineering roles.

• 5+ years production experience with Terraform at scale.

• Strong Azure expertise; AWS experience beneficial.

• Experience operating cloud-based data platforms (Snowflake, Airflow, etc.).

• Expert GitHub knowledge (pull requests, Actions, branching strategies).

• Strong troubleshooting skills across distributed systems, networking, and data pipelines.

• Proficient in Python, Bash, PowerShell; able to read SQL and YAML/JSON.

• Strong experience with containerization and orchestration (Docker, Kubernetes).

Bonus Qualifications

• Healthcare data experience (FHIR, HL7, claims data)

• Kafka experience, dbt administration, BI tools (PowerBI/Tableau).

• Experience with data quality frameworks and synthetic data generation

• Policy-as-code tools (Sentinel, OPA, Checkov)

The base salary range for this position is $155,000 - $175,000. In addition to a base salary, this position is eligible for a performance bonus and benefits (subject to eligibility requirements) listed here: Teladoc Health Benefits 2026. Total compensation is based on several factors including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable for all full-time positions.

#LI-SS2 #LI-Remote

We follow a Flexible Vacation Policy, intended for rest, relaxation, and personal time. All time off must be approved by your manager prior to use. You will also receive 80 hours of Paid Sick, Safe, and Caregiver Leave annually. This applies to full-time positions only. If you are applying for a part-time role, your recruiter can provide additional details.

As part of our hiring process, we verify identity and credentials, conduct interviews (live or video), and screen for fraud or misrepresentation. Applicants who falsify information will be disqualified.

Teladoc Health will not sponsor or transfer employment work visas for this position. Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future.

Why join Teladoc Health?

• Teladoc Health is transforming how better health happens. Learn how when you join us in pursuit of our impactful mission. 

• Chart your career path with meaningful opportunities that empower you to grow, lead, and make a difference.

• Join a multi-faceted community that celebrates each colleague’s unique perspective and is focused on continually improving, each and every day.  

• Contribute to an innovative culture where fresh ideas are valued as we increase access to care in new ways.   

• Enjoy an inclusive benefits program centered around you and your family, with tailored programs that address your unique needs.

• Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn.

As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national origin, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status, or pregnancy). In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.

Teladoc Health respects your privacy and is committed to maintaining the confidentiality and security of your personal information. In furtherance of your employment relationship with Teladoc Health, we collect personal information responsibly and in accordance with applicable data privacy laws, including but not limited to, the California Consumer Privacy Act (CCPA).  Personal information is defined as: Any information or set of information relating to you, including (a) all information that identifies you or could reasonably be used to identify you, and (b) all information that any applicable law treats as personal information. Teladoc Health’s Notice of Privacy Practices for U.S. Employees’ Personal information is available at this link.