Senior Site Reliability Engineer (Systems Engineer III)

The posting, as Ophelia wrote it

Are you looking for a role in a company that's solving one of the greatest challenges of our lifetime? Ophelia helps people end their opioid use and restore their quality of life with respect for their time and dignity. Our mission is to make evidence-based treatments for opioid use disorder (OUD) accessible to everyone... and we're looking to bring more people onto our team to help us achieve it.

Ophelia is a venture-backed, healthcare startup that helps individuals with OUD by providing FDA-approved medication and clinical care through a telehealth platform. Our approach is discreet, convenient, and affordable. We've been successfully operating in 16 states for almost six years and we're excited to continue our growth. We are a team of physicians, scientists, entrepreneurs, researchers and White House advisors, backed by leading technology and healthcare investors working to re-imagine and re-build OUD treatment in America.

About the Role

As a Senior Site Reliability Engineer (SE III) at Ophelia, you will be our dedicated reliability, availability, and performance hire, playing a key role in making the systems that support our mission of treating opioid use disorder through telehealth stable, observable, and fast. Our stack is TypeScript on Node, React, and Firebase (e.g., Firestore, Authentication, Hosting) running on Cloud Run in Google Cloud Platform (GCP). Your work will have a direct impact on patients, clinicians, and our ability to scale.

You will own and drive our system stability and availability initiative, which is already underway: Terraform-driven uptime checks feed our engineering key performance indicators (KPIs), we have an initial service level objective (SLO) plan, and we've recently revamped our on-call rotation and runbook to keep the on-call engineer focused on severity incidents (SEVs). You will take this from a good start to a mature practice: defining and operationalizing SLOs, building out logging, monitoring, and alerting grounded in sound measurement (e.g., percentile-based latency indicators rather than averages), moving incident response into PagerDuty with clear categorization and escalation paths, expanding our infrastructure as code (IaC) footprint, and working down known pain points such as long-latency endpoints and Cloud Run cold starts. You will also partner closely with our head of IT on IAM hardening, secrets management, audit logging, and HIPAA/SOC 2 infrastructure controls. You will be the directly responsible individual (DRI) for our mean time to recovery (MTTR) KPI and for the measurement and reporting of our availability KPIs.

As a senior engineer, you will be a force multiplier for our team of fullstack engineers who are focused on product work. That means leveling up the team's GCP and DevOps skills through documentation, runbooks, pairing, and code review, and bringing reliability recommendations to new features as they are designed, while primarily owning the infrastructure work yourself.
[…]
ig plus - with hands-on experience implementing HIPAA or SOC 2 infrastructure controls.

Our Benefits Include

• Competitive medical, vision, and health insurance (many plans are fully covered for the employee!)
• Start with 20 days (4 weeks) of PTO, increasing to 5 weeks after 2 years and 6 weeks after 5 years of tenure
• 10 company holidays
• Work From Home Stipend
• 401k Contribution Platform
• Additional benefits offered through our benefits provider such as life insurance, short and long term disability, financial wellness, virtual primary care, among others!

#LI-Remote
Ophelia Compensation Overview

• We set compensation based on the level and skills required for the role. We value pay transparency and equity, and are committed to fair pay. In order to prevent pay disparities and reduce time spent in negotiations, we take a “first and best” offer approach: this means we’re not holding any compensation back from our candidates, and you can feel confident that our pay is fair and does not vary based on the strength of someone’s negotiation skills.
• Compensation is dynamic at Ophelia: as long as the company performs well and meets our targets, there will be opportunities for increased compensation annually. We’re happy to discuss this approach and our bands if you have questions during the interview process.

Compensation Range
$170,000 — $180,000 USD

Interested in learning more about Ophelia and this role? Apply to work with us!

A Note Before Applying

We believe a good hiring process is really just about getting to know each other. That's why we care about getting to know the real you, not a polished, AI-generated version of you. Every application is read by a real person who's genuinely curious about your experiences, your voice, and why this role speaks to you.

So as you put together your application, we'd love for it to sound like you . It's the best way for us to get to know each other, and the best way for you to find out if we're the right fit.