Senior/Staff Systems Reliability Engineer

About UsWe're Queue, the world's first fully autonomous robotic pharmacy. We go from sealed wholesale bottles to filled, verified prescription vials with zero human involvement.We built Queue because no one should ever have to wait in line for the medicines they need. One in three US pharmacies has shut down. Pharmacists are overworked to a breaking point. And patients are paying the price. Queue fixes that. Pharmacists get to practice pharmacy again — counseling patients, catching interactions, doing the work only they can do. And patients get their prescriptions in 60 seconds or less, any time, anywhere.We’re backed by over $18 million from Alleycorp, Riot Ventures, Ubiquity Ventures, House Capital, and others who believe the pharmacy system is broken and that robotics can fix it. Queue was founded by Nick Desai (6x founder, previously CEO of Heal) and Joshua Liu (previously Tesla, Waymo, and Zipline).About The RoleThis is a foundational hire. You own the infrastructure that a pharmacy robot fleet runs on — and you set the standard for how infrastructure is built. Engineers write application code; you make sure it deploys reliably, scales correctly, stays secure, and is observable in production. You don't write dispense logic. You own the platform it runs on: Terraform, CI/CD, deployment automation, security scanning, observability, certificate management, and the production environment that must pass a mandated penetration test. You write code to solve infrastructure problems, not just configure tools.What You'll OwnInfrastructure as code — Terraform modules, multi-environment strategy (dev, staging, production), production hardeningCI/CD — Build, test, scan, and deploy pipelines for Rust and TypeScript servicesDeployment automation — Reliable deploys in minutes. Docker builds. Blue/green or rolling deploymentsObservability — Dashboards, alerting, structured logging, health endpoints, SLO monitoringSecurity — Dependency auditing, vulnerability scanning, secret detection, image scanning, certificate management (X.509, mTLS) Device updates — OTA software update pipeline with staged rollout across pharmacy locations Cost management — Right-sizing, budget alerts, utilization targets First 90 DaysDay 30: Understand the existing infrastructure. Deploys are reliable. Security scanning enabled in CI. First monitoring dashboard operational. Day 60: Security hardening complete. CI/CD extended with full scanning. Alerting configured with escalation paths. Cost assessment delivered. Day 90: Production environment ready for pilot. Pen test prep done. OTA pipeline prototyped. Every service has a health dashboard, alerts, and a runbook. Required Qualifications And Experiences3+ years Terraform / IaC - Production modules, state management, multi-environment promotion AWS deep — VPC, ECS, RDS, IAM, KMS, SQS, CloudWatch. You understand the security model CI/CD — GitHub Actions or equivalent. Pipeline-as-code, caching, deployment gatesDocker — Multi-stage builds, image optimization, production deployment Linux — System administration, troubleshooting, performance analysis Nice-to-HaveRust toolchain (cargo, clippy, cross-compilation) IoT fleet management or device provisioning at scale AWS cost optimization Healthcare or regulated industry experienceHow We HireFour steps. Tight loop - Thats All!Recruiter Screen: (30 min) Technical Interview: (90 min) — You receive a broken infrastructure setup 24 hours before. We discuss your debugging approach, fix and improve together, and talk through operational thinking. Design Interview: (60 min) — We go deeper on the same exercise. How would you deploy to a fleet of pharmacy robots? What's your staged rollout strategy? What breaks and how do you know?Leadership Interview: (60 min) — Culture, vision, long-term fit. The technical and design interviews are two sides of the same coin — first you build it, then we pressure-test the thinking behind it.What we offerEarly-stage equity in automated pharmacy dispensing at scale Direct impact — your code dispenses medication to real patients Small team, zero bureaucracy, high trustHard problems: distributed systems, safety-critical software, regulatory compliance, real-time hardware integrationCompensations & BenefitsCompetitive salary Meaningful early-stage equity Health, 401(k), unlimited PTOWhy Join Us Now?Impact & GrowthDirect Patient Impact: Your code will improve healthcare outcomes for millions of patientsMarket Leadership: Ground-floor opportunity to define an entirely new category of healthcare technologyTechnical Innovation: Work on genuinely novel problems at the intersection of AI, robotics, and healthcareCareer Acceleration: High-visibility role with significant growth potential as the company scalesTeam and CultureWorld-Class Team: Work alongside exceptional engineers, AI researchers, and healthcare expertsDirect Access: Report directly to the CTO/Co-founder with significant autonomy and influenceInnovation Focus: Culture that prioritizes breakthrough thinking and rapid experimentationMission-Driven: Team united around the goal of transforming healthcare through technologyOur ValuesServant Leadership – Make those around you betterDo the Hard Things – Healthcare, hardware, and company - building are all hard. We do them anyway. Convenience for us is life-changing for those we serveOwn Your Work – Be accountable. Take pride in your output. Default is Now – There's no better time than today. Default to action. What can we prove, learn, or simplify right nowContact: If you have any questions, please contact us at careers@queue.inc