Octagos is modernizing remote cardiac monitoring with AI-powered automation, seamless EHR integrations, and accuracy proven in high-volume, real-world clinics. Atlas AI™ triages cardiac device transmissions to filter nonactionable alerts and highlights the events that need true clinical attention. Through our Two-Brain Approach™ – combining Atlas AI™ with IBHRE-certified oversight – Octagos delivers 99%+ accuracy, sensitivity, and specificity for near-perfect clinical performance. With fast bi-directional EHR integrations, and flexible, cost-effective implementation, Octagos helps clinics scale care efficiently without compromise. Recognized by TIME and Statista as one of the World’s Top HealthTech Companies 2025, Octagos is redefining how cardiac care is delivered.
About the Role
We build the software that connects wearable cardiac and physiological monitoring devices to the clinicians and technicians who rely on them. As a Software Engineer on the Wearable Systems team, you'll work end-to-end — from device and mobile integration, through the services that ingest and process physiological data, to the monitoring and reporting tools used in clinical and reimbursement workflows. You'll collaborate across mobile, backend, frontend, and clinical teams to ship features that have direct impact on patient care.
Responsibilities
Integrate wearable medical devices and mobile applicationsBuild services that ingest, process, and store physiological dataDevelop technician-facing monitoring and interpretation toolsIntegrate third-party AI services and support internal algorithm developmentBuild automated reporting workflows for clinical and reimbursement use casesCollaborate across mobile, backend, frontend, and clinical teamsParticipate in the design, implementation, testing, and deployment of end-to-end product featuresRequired Qualifications
3+ years of professional software engineering experience building production systemsProficiency in C# / .NET and experience designing and consuming web APIsExperience with at least one modern frontend framework (Angular preferred)Solid understanding of relational and/or time-series data storage and data processing pipelinesExperience deploying and operating services on a major cloud platform (Azure preferred)Comfortable working across the stack and collaborating with cross-functional teamsPreferred Qualifications
Experience with mobile development (Kotlin / Swift) or device/BLE integrationBackground in healthcare, medical devices, or other regulated/data-sensitive domainsExposure to physiological or signal data (ECG, PPG, etc.) and/or ML/AI service integrationFamiliarity with automated reporting, HL7/FHIR, or healthcare reimbursement workflowsTech Stack
C# / .NET · Angular · Azure · Kotlin · Swift
Why Octagos?
Paid Time OffHealth, Dental, Vision InsuranceShort-Term and Long-Term DisabilityEAPCompany Paid Holidays401(k) Read LessOctagos is modernizing remote cardiac monitoring with AI-powered automation, seamless EHR integrations, and accuracy proven in high-volume, real-world clinics. Atlas AI™ triages cardiac device transmissions to filter nonactionable alerts and highlights the events that need true clinical attention. Through our Two-Brain Approach™ – combining Atlas AI™ with IBHRE-certified oversight – Octagos delivers 99%+ accuracy, sensitivity, and specificity for near-perfect clinical performance. With fast bi-directional EHR integrations, and flexible, cost-effective implementation, Octagos helps clinics scale care efficiently without compromise. Recognized by TIME and Statista as one of the World’s Top HealthTech Companies 2025, Octagos is redefining how cardiac care is delivered.
We’re looking for a Sr. Tech Lead, Production Support to own the day-to-day health, stability, and incident resolution of the Octagos platform. This person will build and lead a production support team, establish processes for monitoring and triaging issues, and serve as the bridge between our clinics and engineering. You’ll be the first line of defense when something goes wrong, and the driving force behind making sure it doesn’t happen again.
This role is ideal for someone who thrives in fast-paced environments, has a strong technical foundation, and brings operational rigor with a customer-first mindset. You’ll work closely with the VP of Engineering, Infrastructure, Security and the development team across the US and India, and our client success and clinical operations teams.
This is an In-Office position based in Houston, Texas.
Key Responsibilities
Production Operations & Incident Management
Own the production support function end-to-end: monitoring, triage, escalation, resolution, and post-incident reviewEstablish and enforce incident management processes including severity classification, SLAs, runbooks, and communication protocolsManage and respond to production incidents across the full stack: Angular portal, .NET API, SQL Server, Azure services, RPA bots, and EMR integrationsMonitor platform health using Azure Application Insights, Log Analytics, and custom alerting; proactively identify issues before they reach clinicsCoordinate with engineering on hotfixes, emergency deployments, and rollback proceduresTeam Leadership & Process Building
Build, hire, and manage a team of production support analysts and engineersDefine on-call rotations, escalation paths, and shift coverage to ensure adequate support during business hours and critical after-hours windowsCreate and maintain a knowledge base of known issues, troubleshooting guides, and standard operating proceduresEstablish KPIs and reporting for production support (MTTR, ticket volume, recurring issues, SLA adherence) and drive continuous improvementPlatform Stability & Reliability
Partner with engineering to identify and prioritize reliability improvements, tech debt reduction, and observability gapsOwn the operational readiness process for new releases - review deployments, validate release notes, and confirm monitoring coverage before go-liveDrive root cause analysis (RCA) for recurring production issues and ensure permanent fixes are tracked to completionManage database-level production issues including long-running queries, blocking, deadlocks, and job failures (Hangfire, Azure Elastic Jobs)Cross-Functional Coordination
Serve as the primary point of contact between client success, clinical operations, and engineering for production issuesTriage and contextualize clinic-reported issues, distinguishing between platform bugs, configuration issues, data quality problems, and user errorCoordinate with the RPA team on bot failures across vendor portals (Medtronic, Boston Scientific, St. Jude, Biotronik) and EMR push failures (Epic, Athena, NextGen, Cerner, etc.)Communicate outage status, ETAs, and resolutions clearly to internal and external stakeholdersAI-Assisted Working
Leverage AI-assisted alert triage and log summarization to speed up incident identification, reduce noise, and improve time-to-detectionUse AI to draft clear, stakeholder-ready incident updates and post-incident summaries while ensuring accuracy and appropriate clinical/operational contextApply AI-assisted root cause analysis workflows (pattern detection across traces, tickets, and recent deployments) to identify recurring failure modes and prioritize permanent fixesMaintain an AI-enhanced knowledge base (runbooks, known issues, troubleshooting steps) with consistent tagging, searchable summaries, and regular human review for correctnessRequired Qualifications
10+ years in production support, site reliability, DevOps, or application support roles, with at least 4 years in a people management capacityStrong hands-on experience with Microsoft Azure (App Services, SQL Server, Application Insights, Log Analytics, Azure Functions)Working knowledge of .NET/C# applications, SQL Server (T-SQL query analysis, execution plans, blocking/deadlock diagnosis), and web application architecturesExperience building incident management processes from scratch or significantly improving existing onesDemonstrated ability to manage cross-functional escalations and communicate technical issues to non-technical stakeholdersComfortable working across US and international (India) engineering teams with overlapping time zonesStrong organizational skills–can manage multiple simultaneous incidents without dropping contextPreferred Qualifications
Experience in healthcare SaaS, clinical software, or HIPAA-regulated environmentsFamiliarity with remote patient monitoring, medical device data, or cardiology workflowsExperience with RPA platforms, Playwright-based automation, or web scraping bots in productionFamiliarity with EMR systems (Epic, Athena, NextGen, Cerner) and HL7/FHIR integration patternsHands-on experience with Power BI, Hangfire, Auth0, or Azure DevOps pipelinesExperience with observability tooling: Open Telemetry, Grafana, PagerDuty, or equivalentBackground in SQL performance tuning, index optimization, and managing scheduled database jobsCompensation & Benefits
Paid Time OffHealth, dental, and vision insuranceCompetitive salary commensurate with experienceOpportunity to shape a critical function at a growing healthcare technology company Read Less