Location - Chennai with occasional travel to the pilot hospital
Type- Full-time
About The Company And The Product
India Health Link is building a new multi-tenant Hospital Management Information System (HMIS) — one platform serving many hospitals — with Artificial Intelligence (AI) features delivered as optional plug-ins on top of a core that works fully without them. It is a greenfield build, and the first pilot hospital goes live in month 6.
Our stack: Amazon Web Services (AWS), Terraform, GitHub Actions, Docker, TypeScript and NestJS services, PostgreSQL 16, Python for the AI services.
What You Will Build
The whole AWS footprint as Terraform code: Virtual Private Cloud (VPC), Elastic Container Service (ECS) Fargate, Relational Database Service (RDS) PostgreSQL, DynamoDB, Simple Storage Service (S3), OpenSearch, Redis, EventBridge and CloudFront.
Continuous integration and deployment (CI/CD) on GitHub Actions: build, test, migrate, deploy, roll back. Deployment must be boring.
Environments: development, staging, pre-production with anonymised data, and production.
Monitoring and alerting that a twelve-person team can actually respond to, with centralised logs and traces.
Backup and disaster recovery with a tested restore, not a documented one.
The on-premise edge gateway image that runs inside a hospital's local network for analyser connectivity and Local Area Network mode when the internet is down.
Responsibilities
Own infrastructure cost, keep it inside the agreed monthly budget, and report it monthly.
Own security hygiene: least-privilege identity and access management (IAM), secrets management, encryption at rest and in transit, patching, and network boundaries.
Own remediation for the Vulnerability Assessment and Penetration Test (VAPT) in month 5 — coordinate the external firm and drive every finding to closure.
Make the developer experience good. A new engineer should be productive on day two.
Set up data-residency arrangements appropriate to Indian health data.
Be the person who can tell, at 2 am, whether the problem is our service, the database, or the hospital's internet connection.
Requirements
Four or more years on AWS in production, including ECS or equivalent container orchestration, RDS, IAM and VPC networking.
Terraform written and maintained by you, with proper modules and state management.
Ownership of a CI/CD pipeline, including the database migration step.
Observability in practice: you have been on call, and you have tuned alerts that were too noisy.
Linux and networking fundamentals — you can debug why a device inside a hospital cannot reach a service.
Good to have
Compliance work: ISO 27001, SOC 2, or Indian health data regulation.
On-premise or hybrid deployments, and hardware appliances in the field.
Real cost optimisation on a live bill.
Experience supporting customers with unreliable connectivity.
Your first 90 days
Month 1 — all environments live, CI/CD running, the walking skeleton deployed automatically.
Month 2 — monitoring, alerting and centralised logs in place; backups running with a tested restore.
Month 3 — the edge gateway image built and running against analyser simulators.
How We Work
Two-week sprints. Everything is code — infrastructure included. Code review on every pull request.
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