RIVVI

Founding Infrastructure Engineer (AI)

In short

This founding infrastructure engineer role is at a healthcare AI startup building an AI workspace that processes chat, files, and patient conversations at scale. The job covers designing AWS infrastructure, maintaining Terraform modules, building CI/CD pipelines for a monorepo, and implementing HIPAA-ready security, encryption, and compliance controls. It demands 5+ years of DevOps/infrastructure experience, deep AWS expertise, strong Terraform skills, and PostgreSQL database operations experience, with on-site work in Boston, MA required.

Location
Boston, MA, United States
Salary
$120,000–$160,000 per year, plus founding equity
Company
Rivvi is building an AI workspace for healthcare organizations that processes workspace chat, files, and optional patient conversations through fast, reliable, and compliant systems.
What you will do
•Design and build AWS infrastructure for a healthcare AI platform processing millions of interactions.
•Create and maintain Terraform modules for compute, networking, databases, security controls, and multiple environments.
•Build fast, safe, observable CI/CD pipelines for a monorepo with multiple applications.
•Implement HIPAA-ready encryption, audit logging, access controls, security monitoring, and compliance capabilities.
•Own observability, alerting, incident response, disaster recovery, and platform reliability.
•Create developer tooling and local-development workflows that improve engineering productivity.
Requirements
•5+ years of DevOps, infrastructure, or platform engineering experience, or 3+ years with an MS in Computer Science.
•Deep AWS experience with VPC networking, Lambda, ECS, RDS, DynamoDB, IAM policies, and security controls.
•Strong Terraform skills, including module design, state management, multi-environment deployments, and drift detection.
•Experience with encryption at rest and in transit, secrets management, and least-privilege access patterns.
•Database operations experience, including PostgreSQL administration, backups, and migrations.
•Daily familiarity with AI development tools such as Cursor, Copilot, or Claude.
Nice to have
•Experience in healthcare or another regulated industry, including HIPAA, SOC 2, or HITRUST.
•Experience with serverless architecture at scale, including Lambda, Step Functions, or EventBridge.
•Cost optimization, FinOps, multi-tenant infrastructure, or TypeScript/Node.js experience.
Culture & Benefits
•Founding role with direct collaboration with the founders.
•Ownership of infrastructure decisions from day one, without approval layers or lengthy planning cycles.
•Opportunity to build the production foundation, security posture, and developer experience for a healthcare AI platform.
•Founding equity included.
Hiring process
•Apply through the careers page.
•Include examples of production infrastructure built and operated, relevant regulated-industry experience, and motivation for building healthcare infrastructure.

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