DevOps & Security Engineer - AI-Native Healthcare SaaS

About this role

About the Company
Zenara Health is a mental healthcare organization driven by technology, aiming to improve the accessibility and quality of mental wellness services. By integrating AI-driven platforms with professional clinical care, we deliver personalized and effective mental health solutions, creating a smooth digital experience for both patients and providers. We operate as a startup, distinct from a mere department.
Why This Role Exists
This position serves as the company's foremost line of defense.
You will operate under the assumption that systems are constantly under threat, crafting infrastructure that is resilient, auditable, and inherently secure. You will be the most risk-aware individual in the startup — and that’s exactly what we require. While others concentrate on feature rollout, you will prioritize the security of patient data, regulatory compliance, and system integrity.
About the Role
If your understanding of DevOps is limited to "I occasionally execute kubectl apply," this position is likely not for you.
This role is not suited for those who prioritize speed over safety or view security as an afterthought to be addressed later. At Zenara, safeguarding patient data and maintaining system integrity takes precedence over rapid deployment.
Our team is in the process of developing a platform that manages clinical data, operates AI workflows, and processes insurance billing — all within a HIPAA-regulated environment catering to real psychiatric practices. Our infrastructure is operational; however, we lack an individual who will take ownership with a security-first perspective. We currently do not have a dedicated CI/CD owner, a comprehensive security posture, or monitoring that extends beyond simple uptime checks. If HIPAA auditors were to arrive tomorrow, we could withstand the scrutiny — but it wouldn’t be a pleasant experience.
You will be responsible for Zenara’s infrastructure, security posture, and compliance engineering — everything from the ground up. This includes CI/CD pipelines, HIPAA-compliant deployment automation, monitoring and alerting systems, cybersecurity measures and threat defense, access controls, and audit logging — the complete spectrum of "essential elements that ensure the safe operation of a healthcare company."
However, your role will go beyond mere maintenance. You will also develop infrastructure for our AI platform, encompassing model serving, scaling AI workloads, and supporting production AI pipelines. You will have a dual mandate: ensure the stability and security of the platform while also building the necessary infrastructure for AI at scale.
This represents a unique opportunity for greenfield infrastructure engineering within a healthcare AI company with genuine compliance obligations and real users. You will devise systems from fundamental principles, make architectural choices, establish best practices to guide us through growth and compliance audits, and serve as the ultimate security gatekeeper.
What You Will Own
1. Cybersecurity & Threat Defense
You will manage threat modeling, reduce attack surfaces, oversee intrusion detection, handle vulnerability management, and plan incident responses. You will be the final reviewer for infrastructure and security risks, possessing the authority to halt releases that do not satisfy security or compliance criteria. The security of patient data is non-negotiable.
2. CI/CD and Deployment Automation
You will design and implement CI/CD pipelines for all Zenara products, establishing deployment automation, managing environments, and setting quality thresholds. Your goal is to eliminate chaotic releases and establish a system that enables the team to deploy confidently and consistently — without compromising security.
3. Security Posture and HIPAA Compliance
You will develop and uphold a HIPAA-compliant security posture across all Zenara systems. This involves implementing access controls, managing secrets, maintaining audit logs, and enforcing encryption standards. You will ensure our adherence to regulatory requirements while avoiding bureaucratic slowdowns.
4. Monitoring, Alerting, and Incident Response
You will create monitoring and alerting capabilities to proactively identify issues before they affect users. You will establish incident response protocols, define service level objectives (SLOs), and monitor reliability metrics. You will lead the on-call rotation and develop runbooks for common incidents.
5. AI Infrastructure Support
You will address the AI infrastructure needs, including model serving, GPU provisioning (if necessary), and autoscaling for AI workloads. You will collaborate with the Head of AI to ensure that the infrastructure supports production AI efficiently and securely.
6. Cloud Infrastructure Management
You will oversee cloud infrastructure (AWS/Azure), focusing on cost optimization, reliability, disaster recovery, and capacity planning. You will make architectural decisions that find a balance between cost, performance, and compliance obligations.
7. SOC 2 Readiness
You will spearhead SOC 2 Type II preparedness as we approach fundraising, implementing necessary controls, organizing evidence collection, and liaising with auditors. You will ensure compliance becomes an integrated process rather than an ad-hoc measure.
8. Security Incident Response
You will take charge of security incident response, establishing procedures, conducting regular security evaluations, and responding to incidents as they arise. Your efforts will help the organization recognize security as an essential discipline rather than an afterthought.
Your First 90 Days
Week 1-2: Fully immerse yourself in the current infrastructure, deployment processes, and security posture. Identify the most significant security vulnerabilities and critical gaps. Build rapport through active listening and insightful inquiries.
Month 1: Set up basic monitoring and alerting systems. Outline the CI/CD roadmap. Begin…