About the position
The Senior Infrastructure Engineer – Real-Time Streaming is responsible for designing, operating, and scaling PreciPoint’s infrastructure supporting WebRTC-based real-time medical streaming systems across cloud, hybrid, and on-premise environments.
This role focuses on low-latency, high-availability communications infrastructure used in clinical environments, where reliability, security, and regulatory compliance are critical.
This is a hands-on senior engineering role responsible for infrastructure architecture, deployment, monitoring, and operational reliability, while also supporting customer deployments and hospital IT integrations.
The role operates at the intersection of:
• real-time communications infrastructure
• cloud and hybrid infrastructure engineering
• networking and Linux systems administration
• healthcare-grade system reliability and security
The engineer will collaborate closely with engineering, product, and customer teams and will regularly work with customer IT departments during system deployment and integration.
Responsibilities
• Operate, optimize, and troubleshoot WebRTC-based real-time streaming systems
• Ensure low latency, high availability, and stable connections across diverse hospital and enterprise networks
• Configure and maintain STUN/TURN servers and streaming services
• Diagnose and resolve connectivity issues across NAT, firewall, and enterprise network environments
• Support architecture decisions for scalable real-time communications infrastructure
• Lead technical onboarding and infrastructure integration for new customer deployments, working directly with hospital IT teams to implement systems within clinical network environments.
• Serve as the technical liaison between customers, engineering, and partners, providing deployment support and resolving infrastructure or connectivity issues (1st and 2nd level).
• Design, deploy, and maintain cloud, hybrid, and on-premise infrastructure environments
• Build and maintain infrastructure using Infrastructure-as-Code tools such as Terraform and Ansible
• Automate provisioning, configuration, and lifecycle management of infrastructure environments
• Ensure scalability, reliability, and availability across global deployments
• Support infrastructure planning for new product capabilities and customer deployments
• Design and maintain network architectures supporting real-time communications systems
• Configure and manage firewalls, VPNs, NAT traversal, secure tunneling, and routing
• Support customer IT and security teams during deployment validation, security reviews, and infrastructure audits
• Ensure secure data transmission aligned with healthcare data security standards
• Administer and maintain Linux-based systems
• Configure and manage NGINX for reverse proxying, load balancing, and secure access
• Maintain high system uptime through proactive monitoring and maintenance
• Support rapid response to operational incidents
• Build and maintain Docker-based infrastructure and services
• Deploy containerized workloads across cloud and on-premise environments
• Ensure infrastructure is reproducible, scalable, and maintainable
• Configure and maintain identity and access management solutions including:
• Integrate systems with hospital identity providers and enterprise authentication platforms
• Build and maintain monitoring, logging, and metrics pipelines
• Detect and resolve system performance issues proactively
• Participate in incident response, root cause analysis, and operational improvements
• Ensure operational visibility across all deployed environments
• Design and implement backup, restore, and disaster recovery strategies
• Validate recovery processes and ensure data integrity
• Ensure availability and protection of sensitive medical and operational data
Requirements
• Strong hands-on experience operating WebRTC-based real-time streaming infrastructure
• Familiarity with WebRTC technologies including:
• STUN / TURN
• RTP
• ICE negotiation
• DTLS-SRTP
• Advanced experience with Infrastructure-as-Code tools such as Terraform and Ansible
• Deep expertise in Linux system administration
• Strong experience deploying and managing Docker-based services
• Solid understanding of networking fundamentals including:
• TCP / UDP
• NAT traversal
• VPNs
• firewalls
• Experience operating STUN/TURN infrastructure
• Experience with identity and access management systems such as:
• SSO
• SAML
• OAuth2
• Experience supporting mission-critical production systems
• Ability to work directly with customer IT teams during deployments
• Excellent written and verbal communication skills
• Strong technical documentation practices
• Ability to explain complex infrastructure topics to non-technical stakeholders
• Comfortable working independently in a remote, international team environment
• Strong problem-solving ability and ownership mindset
• Fluency in English (written and spoken)
Nice-to-haves
• Experience working in MedTech, HealthTech, or other regulated industries
• Familiarity with HIPAA, GDPR, or healthcare security frameworks
• Experience supporting hospital or clinical IT environments
• Exposure to Kubernetes or container orchestration platforms
• Experience working with low-latency real-time communication systems