---
title: 'Site Reliability Engineer at Latent'
canonical: 'https://feeny.ai/job/site-reliability-engineer-latent-san-francisco-xhedkj2f49w5'
type: 'job'
last_seen: '2026-10-19'
---

# Site Reliability Engineer at Latent

- **Company:** Latent
- **Location:** San Francisco, CA
- **Employment:** full-time
- **Work type:** onsite
- **Posted:** 2026-09-29
- **Last confirmed live:** 2026-10-19
- **Apply:** https://jobs.ashbyhq.com/latent/bbd1a8e3-b943-4c8c-b239-e87951504f71

## Job description

## About Latent

Latent is the enterprise pharmacy intelligence platform, powered by a clinical agentic engine, that enables health systems to grow their pharmacy operations and serve more patients. One engine works across the pharmacy journey to identify patients who qualify for care, improve medication access, capture eligible prescriptions and support patients throughout treatment. Latent’s platform enables more than 60 leading health systems that collectively serve an estimated 70 million people. Founded by Sriram “Sri” Somasundaram and Rishabh Jain, Latent has raised $80 million from Transformation Capital, Spark Capital, Conviction, General Catalyst, Y Combinator, and others.

## The Role

You are the infrastructure expert who enables our rapid product development and guarantees 99.9%+ stability and performance of our clinical AI platform for major health systems. Your focus on operational excellence is directly tied to a patient's access to life-saving treatment.

## What You'll Do

As our SRE, you will own the entire production environment and improve the development experience:

- Infrastructure Ownership: Design, implement, and maintain the production environment, having previously handled 500+ machine deployments.
- Kubernetes Mastery: Own our containerized infrastructure, leveraging deep expertise in Kubernetes and Helm to manage deployment, scaling, and operational health.
- CI/CD & Deployment Optimization: Optimize and streamline both the TypeScript and Python/ML deployment pipelines to support high-velocity feature release while maintaining the highest reliability.
- DevX Support: Support Developer Experience (DevX) work to streamline developer workflows, enhance tool proficiency, and improve CI/CD systems.
- Infrastructure as Code (IaC): Manage and maintain infrastructure definitions using Terraform.

## What We're Looking For

You have the intensity and technical mastery to own mission-critical infrastructure. You hold yourself and others to high standards and thrive in a high-energy, in-office culture where everyone is in it to win it.

- Tool Proficiency: You are highly proficient with your tools—you speak command line fluently and have mastered keyboard shortcuts.
- Ownership: You thrive on owning complex systems and have a proven track record of scaling mission-critical deployments.
- Automation Drive: You love automating things, always finding new ways to increase your own leverage, and defining standards for operational excellence.
- Problem Solver: You won't wait for someone else to solve a problem that you're in a position to solve; you are willing to jump into whatever needs to get done.

Technical Qualifications & Environment

- IaC & Orchestration: Deep, demonstrable experience with Kubernetes, Helm, and Terraform.
- Scaling Systems: Proven ability to architect and maintain complex, distributed systems with high-availability requirements.
- Deployment Experience: Hands-on experience optimizing deployment pipelines for both application code (TypeScript) and machine learning models (Python/ML). Also PostgreSQL, Redis, Kakfa.
- Core Team Member: Excitement about working five days per week in our San Francisco office.

## Nice to Have

- Interest in healthcare, pharmacy, or health technology
- Uses AI tools in your workflow and is always looking for ways to move faster with them

## Why Join Latent

- Backed by top-tier investors including General Catalyst, Conviction, and Y Combinator
- Work alongside a high-caliber team building products our healthcare partners love
- Work on mission-critical problems at the intersection of AI and healthcare
- Real ownership and visibility
- High-impact role on a small, fast-growing team

## Benefits

- Competitive compensation, including meaningful equity
- Medical, dental, and vision insurance for employee and dependents
- Flexible PTO policy
- Paid parental leave
- Fertility and family-building stipend through Carrot

## About Latent

## Company Overview
- **One-liner**: Latent provides an enterprise pharmacy intelligence platform that uses a clinical AI engine to automate medication access workflows—such as prior authorizations and appeals—for health systems.
- **Entity Type**: Private (Series A)
- **Headquarters**: San Francisco, California, United States
- **Founded**: 2022
- **Founders**: Rishabh Jain and Sriram Somasundaram

## Core Business
- **Primary industry/industries**: Healthcare IT, AI-powered clinical operations, pharmacy intelligence
- **Target customers**: B2B; large health systems (hospitals and health networks) – currently serving over 45 partners including 50% of the top 20 U.S. health systems.
- **Mission or purpose statement**: “Closing the distance between a therapeutic decision and a patient receiving therapy” by automating the manual knowledge work that sits between a doctor’s order and treatment.

## Products & Services
- **Clinical Reasoning Engine**: An AI platform that performs clinical knowledge work—reasoning through patient data, interpreting drug criteria, extracting evidence, and orchestrating workflows across EHR, payers, pharmacies, and patients. Automates prior authorization, payer policy parsing, form auto-filling, and medical necessity checks.
- **Pharmacy Intelligence Platform**: A suite that centralizes pharmacy operations, increases prior-authorization throughput, reduces denials, and helps pharmacists focus on patients instead of paperwork.

## Market Standing
- **Valuation/Market Cap**: Not publicly available
- **Key Metric**: Total funding raised – $80.5 million (Series A as of April 2026)
- **Notable Investors/Partners**: Spark Capital, Transformation Capital, McKesson Ventures, Conviction, General Catalyst, Y Combinator
- **Growth Signals**: 
  - Grew from 4 to more than 45 health system partners in the past year (2025–2026)
  - Now serves 2 million patients annually
  - Reduces denials by over 30% and enables clinicians to serve twice as many patients
  - Customers include Yale New Haven Health, Ochsner Health, MetroHealth, UCI, Vanderbilt Health, Mount Sinai, Henry Ford Health, UCSF Health, UCLA Health

## Competitive Advantages
- Deep, native integration with any EHR; the engine operates directly within the patient record.
- Proprietary clinical agentic engine trained on medical reasoning, payer rules, and drug criteria – a high bar for regulatory and clinical accuracy.
- Proven operational impact: 109% more prior-auth throughput per person, 23.4 minutes of every appeal handed back to pharmacists, and $300K+ annual labor cost savings cited by customers.
- Already embedded in 50% of the top 20 U.S. health systems, creating a high switching cost.

## Strategic Focus
- Expand health system footprint and deepen the platform connecting hospitals, payers, pharmacies, and patients.
- Continue investing in reliability and trust required for healthcare deployment.
- Scale the team and apply the Clinical Reasoning Engine proactively to identify patients who should start therapy and keep them on treatment.
- Move beyond prior authorization into every process where clinical knowledge must be translated into action.

## Why Work Here
- **Culture**: High agency, ownership, and independence; engineers own projects from ideation to completion. Values include bias to action, practical innovation, and customer obsession (regularly visiting partner sites).
- **Remote/Hybrid**: Remote-friendly (headquarters in San Francisco; team is distributed).
- **Notable perks/engineering culture**: Fast-moving environment with ambitious product and GTM goals; opportunity to work on one of healthcare’s hardest problems using modern AI/ML; team size ~50 (as of early 2026) – still a growth-stage startup.

## Sources
1. [latenthealth.com](https://latenthealth.com/)
2. [latenthealth.com/about](https://latenthealth.com/about)
3. [latenthealth.com/careers](https://latenthealth.com/careers)
4. [ycombinator.com/companies/latent](https://www.ycombinator.com/companies/latent)
5. [cbinsights.com/company/latent](https://www.cbinsights.com/company/latent)

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