Head of Infrastructure

Telepatia builds real-time AI products for healthcare — medical transcription, clinical record generation, and EMR integrations across Brazil and Colombia. Our integrations layer is the nervous system connecting hospitals, clinics, and EHR systems to our platform.

We need someone who can design, build, and own complex integration systems where reliability directly impacts clinical workflows. This person won't just execute tasks — they'll shape how the team thinks and builds. Reliability here has real-world consequences for clinical teams.

What You'll Do

• Compliance & Security: Ensure our infrastructure and processes are compliant with HIPAA and other relevant frameworks. Build and enforce security, audit, and data protection practices.
• Multi-Cloud Architecture: Design, operate, and evolve resilient infrastructure across AWS, GCP, and potentially other providers. Balance portability, cost, and compliance requirements.
• Kubernetes Operations: Own our Kubernetes clusters (multi-cloud), including networking, scaling, upgrades, security hardening, and workload orchestration.
• Observability & Reliability: Define and enforce standards for logging, metrics, tracing, dashboards, and alerting. Make sure teams have visibility into systems and can respond effectively.
• Incident Management: Build and maintain a strong incident response process, including runbooks, on-call practices, and postmortems.
• Automation & Infrastructure as Code: Lead the adoption and best practices for Pulumi (or equivalent), CI/CD pipelines, and self-service infra tooling.

• Proven experience building and running production infrastructure in regulated environments (HIPAA, SOC2, GDPR, etc).
• Deep expertise with Kubernetes in production, ideally across multiple cloud providers.
• Strong multi-cloud experience, especially AWS and GCP.
• Hands-on mindset — comfortable digging into systems, writing Pulumi modules, debugging incidents, or optimizing CI/CD pipelines.
• Track record of implementing observability, monitoring, and incident response systems that scale.
• Familiarity with zero-trust networking, secrets management, and compliance frameworks.
• Ability to balance technical depth with pragmatism: you know where to build from scratch vs. where to leverage vendor solutions.

• Experience managing backend engineers who build infrastructure services — not as a people manager, but as a technical leader who can guide, unblock, and raise the bar for engineering teams building infra-adjacent systems.
• Hands-on experience with graph databases (e.g. Neo4j, Amazon Neptune) and document storage systems (e.g. Firestore, MongoDB) in production environments.