Platform Engineer

About Prysm

Prysm is building the clinical and operational platform for skilled nursing facilities. One documentation entry flows to the assessment, the care plan, the task list, and the MDS, so nurses chart once and the system tells them what to do next. We are seed funded by strategic investors from the healthtech space, and we build alongside the operators and clinicians who will run on what we ship.

What you'll work on

• Build and maintain cloud infrastructure and deployment systems.
• Strengthen security through appropriate identity management, access controls, and secrets handling.
• Stand up alerting, paging, and an on-call rotation the whole team shares, plus the HIPAA and SOC 2 evidence that good infrastructure produces on its own.
• Keep Terraform, CI, and the merge queue fast and safe as the volume of human- and agent-written code grows.
• Document platform patterns and establish reusable engineering standards.

You might be a fit if

• Experience running production systems on AWS, with Terraform and incidents you have owned through to the postmortem.
• Deep PostgreSQL: row-level security, query plans, migrations on live data, and backups you have restored.
• You have built authentication, access control, or audit systems and know where they fail open.
• You create solutions to problems so that other engineers can focus on their work, and you know when to say no to a request that will create more work for the team.

Bonus points

• Experience with k8s, ECS, or other container orchestration systems.
• HIPAA, SOC 2, or HITRUST experience.
• Multi-region or disaster-recovery design for a stateful system.

Our stack

Backend

TypeScript, Node, NestJS

Data

PostgreSQL with row-level security, Prisma, pgvector

Frontend

React, Vite, Radix

Infra

AWS (ECS Fargate, RDS, SNS/SQS, Bedrock), Terraform

Quality

Jest, Vitest, Puppeteer acceptance specs, GitHub Actions merge queue