Overview

We're looking for a Senior Azure Cloud Infrastructure Engineer to design, build, and operate a highly resilient, secure, and cost-efficient cloud platform supporting advanced AI workloads in a healthcare environment.

This role is responsible for mission-critical infrastructure powering our proprietary foundational AI model, including GPU-based compute, while meeting strict requirements for compliance, data protection, and high availability. You will play a key role in ensuring our systems are fault-tolerant, auditable, and continuously optimized for both performance and cost.

What You'll Do

Architect and manage highly available, fault-tolerant systems on Microsoft Azure with multi-region redundancy and disaster recovery
Design infrastructure with strict adherence to healthcare compliance standards (e.g., HIPAA, HITRUST, SOC 2)

Provision and optimize GPU-based environments for AI/ML workloads, including large-scale model training and inference

Build secure, zero-trust architectures (private networking, encryption, identity isolation, least privilege access)

Implement backup, failover, and business continuity strategies with clearly defined RTO/RPO targets

Continuously reduce infrastructure costs through intelligent scaling, reserved capacity, spot instances, and workload optimization

Develop Infrastructure as Code (Terraform, Bicep, ARM) for repeatable, auditable deployments

Partner with AI/ML teams to productionize and scale foundational models reliably

Establish observability across systems (logging, monitoring, alerting) with proactive incident response

Conduct architecture reviews, risk assessments, and security audits

Required Experience

5–8+ years of hands-on experience with Microsoft Azure cloud infrastructure

Proven experience designing high-availability and disaster recovery systems in regulated environments

Strong background in healthcare or other compliance-heavy industries

Deep expertise in:

- Azure Virtual Machines, VM Scale Sets, and GPU compute

- Azure networking (VNets, Private Link, ExpressRoute, firewalls)

- Storage solutions (Blob, Files, managed disks with redundancy options)

Experience implementing compliance frameworks such as HIPAA or SOC 2

Strong knowledge of identity and access control (RBAC, Azure AD, managed identities)

Experience with Kubernetes (AKS) and containerized workloads

Proficiency in scripting (Python, Bash, PowerShell)

Preferred Qualifications

Experience with Azure AI ecosystem (Azure Machine Learning, Azure AI Foundry, Cognitive Services)

Familiarity with distributed training, model parallelism, and GPU orchestration

Experience implementing MLOps pipelines in regulated environments

Azure certifications (Solutions Architect Expert, Security Engineer Associate, DevOps Engineer Expert)

Experience with zero-downtime deployments and blue/green or canary strategies

Infrastructure Expectations

Multi-region architecture with automated failover

End-to-end encryption (data at rest and in transit)

Segmented environments (dev/staging/prod) with strict isolation

Real-time monitoring and alerting with defined SLAs

Automated backup and recovery with regular testing

Cost visibility and governance across all resources

What Success Looks Like

Near-zero downtime systems with tested failover capabilities

Full compliance readiness with audit trails and documentation

Efficient GPU utilization supporting AI workloads at scale

Measurable reduction in cloud spend without compromising reliability or security

Seamless collaboration between infrastructure and AI teams

Why This Role Matters

You will be building the backbone of the next-generation healthcare AI platform - where reliability, security, and performance directly impact real-world outcomes. This is not just infrastructure; it is critical systems engineering at the intersection of cloud, AI and healthcare.

We offer

Paid vacation, sick time, and personal days

11 company paid holidays

Quarterly UberEats voucher

Monthly Fringe benefits

Flexible work schedules

Professional development stipend

Health, dental, and vision benefits, with employer HSA contribution

STD, LTD and life insurance

401(k) company match and profit sharing

Collaborative Imaging Technology, LLC provides equal employment opportunities for all applicants and employees. All qualified applicants will be considered regardless of an individual’s race, color, sex, gender identity or expression, religion, age, national origin, citizenship, physical or mental disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, military or veteran status, or any other basis protected by federal, state or local laws. If you cannot submit your application due to a disability, please email hr@civie.com; we will reasonably accommodate individuals with disabilities to the extent required by applicable law.

CIVIE was founded in 2018 to tackle the toughest radiology challenges with advanced and evolving technologies. Designed by a team with deep radiology industry experience, CIVIE is driven by our passion for innovation.

You'' be joining a fully remote team of experts who are deeply committed to our mission and focused on delivering solutions that truly move the needle for our partners and the healthcare industry. If what we are doing excites you, we would love to connect.

CIVIE remote jobs

Senior Azure Cloud Infrastructure Engineer (Healthcare AI Platform)