DevSecOps / Cloud Engineer
Trial Library
San Francisco, CAFull TimeAugust 19, 2026
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Job Description
Trial Library is an AI-native research platform with a mission to improve healthcare outcomes by expanding access to precision medicine.
About Trial Library
Trial Library is an AI-native enrollment and care navigation platform that accelerates access to precision medicine. In collaboration with biopharmaceutical manufacturers, payers, and health systems, Trial Library enables the delivery of clinical trials as a standard care option - improving patient access, advancing oncology outcomes, and reducing the total cost of care. Backed by leading healthcare venture capital firms, Trial Library’s platform is currently deployed in 840+ clinics and 3,000+ providers nationwide.
About the role
Join our small, high-trust Infrastructure team as its second engineer, reporting to the Director of Infrastructure and partnering closely with our product engineering team. You will drive two key initiatives: building a cohesive AWS foundation with Terraform, Control Tower, and AFT, and owning end-to-end security engineering for our production PHI and Bedrock AI workloads. Just as important, you'll build the paved paths, self-service tooling, and guardrails that let our engineers ship quickly.
AI is deeply embedded in how we work. We use it across coding, testing, and operations, not because of a mandate but because we've seen what it unlocks. We're looking for someone who already builds this way and is curious about what AI-augmented practice looks like in infrastructure and security work. We value fast decisions, open feedback, and empowered engineers.
About Trial Library
Trial Library is an AI-native enrollment and care navigation platform that accelerates access to precision medicine. In collaboration with biopharmaceutical manufacturers, payers, and health systems, Trial Library enables the delivery of clinical trials as a standard care option - improving patient access, advancing oncology outcomes, and reducing the total cost of care. Backed by leading healthcare venture capital firms, Trial Library’s platform is currently deployed in 840+ clinics and 3,000+ providers nationwide.
About the role
Join our small, high-trust Infrastructure team as its second engineer, reporting to the Director of Infrastructure and partnering closely with our product engineering team. You will drive two key initiatives: building a cohesive AWS foundation with Terraform, Control Tower, and AFT, and owning end-to-end security engineering for our production PHI and Bedrock AI workloads. Just as important, you'll build the paved paths, self-service tooling, and guardrails that let our engineers ship quickly.
AI is deeply embedded in how we work. We use it across coding, testing, and operations, not because of a mandate but because we've seen what it unlocks. We're looking for someone who already builds this way and is curious about what AI-augmented practice looks like in infrastructure and security work. We value fast decisions, open feedback, and empowered engineers.