Statewise is looking for a hands-on Infrastructure and Security Engineer who treats security and reliability as engineering disciplines, not checklists. This is not a “keep the lights on” role. This is an ownership role for someone who wants to design, harden, and scale the infrastructure behind a complex, state-configurable Medicaid EHR platform serving pediatric nursing and IDD home care providers.
We are at a turning point. Our platform runs on AWS, our compliance foundation is solid, and our team is growing. Now we need someone to take our infrastructure to the next level of maturity: more resilient, more observable, more scalable, and hardened beyond baseline compliance. This role will own that evolution.
You will own infrastructure confidence across our production systems: web platform, mobile backend, data pipelines, and integrations. You will define how our systems are provisioned, secured, monitored, and recovered.
Who is Statewise
Statewise is building the future of Medicaid home care software. We are the only EMR and EVV platform built specifically for Medicaid home care providers across Pediatric Nursing, Therapy, Personal Care, andIntellectual and Developmental Disabilities (IDD) services. Our software is designed to handle complex, state-by-state rules and real clinical workflows without the bloat of traditional systems. Everything we build is rooted in simplifying complexity so providers can focus on delivering high-quality care.
What You’ll Do
Own AWS Infrastructure Architecture & Security
Architect and maintain AWS infrastructure across compute, networking, databases, caching, storage, and serverless services
Design for scalability, elasticity, and cost efficiency
Own VPC architecture, subnet segmentation, routing, and security boundaries
Design and enforce IAM policies, least-privilege access, and secrets management
Strengthen encryption standards (at rest and in transit) and key management
Elevate Reliability & Operational Maturity
Design and improve monitoring, alerting, and observability across the stack
Move from reactive alerts to proactive system health signals
Define uptime expectations, SLAs, and capacity planning
Create and maintain incident response runbooks and disaster recovery plans
Regularly test and validate backup and recovery procedures
Mature Security Beyond Baseline HIPAA
Strengthen AWS security services usage including GuardDuty, WAF, CloudTrail, Config, and Security Hub
Own vulnerability scanning, patch management, and remediation tracking
Support audits, security assessments, and penetration test remediation
Drive toward steady-state audit readiness, not scramble-based compliance
Own CI/CD & Deployment Safety
Improve and maintain Azure DevOps build and release pipelines
Implement low-blast-radius release strategies
Enforce security gates within deployment workflows
Improve rollback confidence and deployment predictability
Partner with Engineering
Collaborate on infrastructure needs for new services and features
Drive infrastructure-as-code practices where they create leverage
Influence architectural decisions related to scalability, cost, and security
Raise operational awareness and security discipline across the team
What We’re Looking For
You learn systems quickly and reduce ambiguity for yourself and others
You take ownership of production outcomes, not just task completion
You think in systems: blast radius, failure domains, and network topology
You design for security and reliability from the beginning
You automate what matters without over-engineering
You are comfortable making production decisions under pressure
You communicate risk and tradeoffs clearly
You are hands-on and operate confidently in live environments
You use AI tools thoughtfully to accelerate investigation, documentation, and operational clarity
Experience & Background
5+ years of infrastructure, DevOps, or cloud engineering experience
Deep hands-on experience with AWS (EC2, RDS, VPC, S3, Lambda, IAM)
Strong understanding of AWS security services and IAM best practices
Experience designing scalable, elastic production systems
Experience maturing and hardening HIPAA-compliant environments
Strong networking fundamentals: VPCs, subnets, routing, DNS, load balancing
Experience with monitoring and observability tools (CloudWatch, Datadog, or similar)
Hands-on experience with CI/CD pipelines (Azure DevOps preferred)
Familiarity with Infrastructure-as-Code (Terraform, CloudFormation, or CDK)
Experience in healthcare or regulated software environments strongly preferred
Must be located in and authorized to work in the United States. Statewise does not provide visa sponsorship at this time.
This Role Is Not a Fit If You
Prefer managing infrastructure through the console rather than repeatable processes
Treat security as a compliance checkbox rather than an engineering practice
Are uncomfortable making production decisions without a full committee
Focus on tooling over outcomes
Avoid documentation and knowledge sharing
Need someone else to define what “secure” means for your systems
See monitoring as optional rather than foundational
What Success Looks Like
Within 45 days, you understand our AWS architecture and security posture and have identified high-leverage improvements
Within 90 days, monitoring coverage is stronger, security controls are tightened, and release processes are safer and more predictable
Within 6 months, infrastructure is more resilient, observable, and audit-ready as a steady state
The team trusts production. Deployments are predictable. Incidents are contained quickly. Leadership has visibility into operational health and security posture.
Benefits & Perks
Remote-first role (Nashville or Fort Worth proximity is a plus, not a requirement)
Competitive salary based on experience
Medical insurance with employer contribution
HSA with employer contribution
Dental insurance available (employee-paid)
401(k) with employer match
Flexible PTO with an expectation that people actually take time off
Paid parental leave
Statewise is building specialized software for the Medicaid home care industry, serving pediatric nursing, therapy, personal care, and intellectual and developmental disabilities (IDD) providers. The company offers an integrated EMR and EVV (Electronic Visit Verification) platform designed specifically to handle complex, state-by-state Medicaid regulations without the bloat of traditional systems. Their software is engineered to simplify regulatory complexity so providers can focus on delivering high-quality care. The platform runs on AWS and handles critical clinical workflows and data pipelines for home care organizations nationwide.
