TherapyNotes.com

Cloud Systems Engineer - Site Reliability

United States full-time Senior $110,000 - $150,000
full-time Senior level Technology & IT Salary listed Curated
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About the role

About Us
TherapyNotes is the go-to superhero for behavioral health Practice Management and EHR software! Our top-notch SaaS solution handles scheduling, billing, documenting, telehealth, and more so clinicians can focus on awesome patient care.
We're a dynamic team of pros who love to innovate and push the envelope, keeping our software cutting-edge. Join us, and let's revolutionize behavioral health software together while making a real difference!
About The Position
We are seeking a Site Reliability Engineer to improve the reliability and operability of the production services and shared platforms supporting our growing 24×7 SaaS environment. In this role, you will apply software and systems engineering practices to improve availability, performance, scalability, resilience, observability, incident response, and operational automation. You will partner with software development, infrastructure, database, security, and other technology teams to establish measurable reliability goals, reduce operational toil, and ensure services are supportable throughout their lifecycle. If you are passionate about building reliable systems, solving complex production problems, and driving continuous improvement, we want to hear from you.
Requirements

BS degree in Information Systems, Engineering, or equivalent experience.

5+ years of engineering experience in Systems Engineering, Cloud or Platform Engineering, DevOps, Software Engineering, and/or SRE.

Experience designing and operating production systems using cloud-based compute, storage, networking, and containerization technologies; Azure and Kubernetes preferred.

Strong Linux systems and networking fundamentals, with experience troubleshooting complex distributed systems in production.

Expertise with an observability platform; Datadog experience strongly preferred. Experience with Prometheus, Grafana, New Relic, or equivalent platforms is also valuable.

Experience with scripting and operational automation using tools such as Bash, PowerShell, or Python, along with infrastructure-as-code and configuration-management practices.

Experience participating in production on-call rotations, incident response, root cause analysis, and post-incident improvement.

Experience working in Agile/DevOps environments and operating production services using ITSM practices where applicable.

Prior software development experience—or experience investigating application behavior through code, logs, and distributed traces—is a plus

Responsibilities

Own and continuously improve how we use Datadog to make reliability visible and actionable across metrics, logs, traces, dashboards, monitors, alerts, and service-level views.

Design, implement, and maintain high-availability, high-throughput, data- and compute-intensive critical systems supporting a growing 24×7 SaaS platform.

Partner with service owners to define and improve reliability through meaningful SLIs, SLOs, error budgets, actionable alerting, and operational-readiness practices.

Participate in and help drive incident management for production events, serving as an incident commander or technical responder as needed. Coordinate triage, service restoration, escalation, communication, incident documentation, root cause analysis, and completion of corrective actions.

Partner with development teams to investigate issues across the infrastructure and application layers using metrics, logs, distributed traces, and code-level context.

Improve deployment safety and service resilience through automated validation, recovery and rollback capabilities, reliability testing, and analysis of system failure modes.

Partner with other technical leaders to ensure all newly introduced systems are supportable and maintainable by both development and operations.

Provide escalated technical guidance and support to other technology teams throughout the organization.

Provide on-call coverage for production support and other duties as required.

Ensure supported systems and operational activities comply with organizational security, HIPAA, and operating policies.

Identify and eliminate repetitive operational toil using Bash, PowerShell, Python, or Ansible. Manage infrastructure as code using Terraform/OpenTofu and configuration automation using Ansible.

Benefits

Competitive salary - $110,000-$150,000

Employer sponsored health, dental, vision, life, and disability insurance

Retirement plan with company contribution

Annual company profit sharing

Personal development/training budget

Open, collaborative work environment

Extensive 2-week onboarding plan

Comprehensive mentorship program

Equal Opportunity Employer Statement & Applicant Rights
TherapyNotes LLC is an Equal Opportunity Employer and does not discriminate based on race, color, religion, sex, national origin, age, disability, genetic information, or any other protected status under federal, state, or local law. We are committed to providing a workplace free of discrimination and harassment.For more information about your rights under federal employment laws, please review the following:

Know Your Rights: Workplace Discrimination is Illegal

Family and Medical Leave Act (FMLA): Employee Rights Under FMLA

If you require a reasonable accommodation during the application process, please contact .
9/17/2026
Originally posted on Himalayas

Interview prep

Walk in with sharper answers.

Use this as a quick practice sheet before you speak with the employer.

Senior
Technology & IT MySQL Project Management Python Writing Senior level full-time

Likely questions

  1. Tell us about work you have done that is close to the Cloud Systems Engineer - Site Reliability role.
  2. How would you approach your first 30 days at TherapyNotes.com?
  3. Which of MySQL, Project Management and Python have you used recently, and what did it help you achieve?
  4. How have you led people, improved a process, or made a hard decision in a previous role?
  5. How do you handle busy days, changing priorities, or pressure at work?

Prepare before the call

  • A recent example that proves your experience with MySQL, Project Management and Python.
  • One short story with a problem, your action, and the result.
  • Two examples that show the strengths listed on your CV.
  • A clear reason why this role and company interest you.
  • Your availability, preferred work style, and salary expectations.

Ask them

  • What would success look like in the first 90 days?
  • What are the main problems this hire should help solve?
  • How does the team give feedback and measure good work?
  • What does a normal working week look like for this role?
Practice line

I am interested in the Cloud Systems Engineer - Site Reliability role because I can bring practical experience in MySQL, Project Management and Python, learn the team quickly, and contribute to the outcomes TherapyNotes.com needs from this hire.

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