Open Position – C++ Build and Infrastructure Engineer

Horizon Surgical Systems Inc.

Horizon Surgical Systems Inc. is revolutionizing the world of surgical ophthalmology by developing a novel, AI driven, and imaging-guided surgical robotic system. Horizon Surgical Systems Inc. aims to expand access to care, provide superior capabilities to the human surgeon, and enhance patient outcomes. Microsurgery in general and Ophthalmology are subfields of surgery for which the surgical outcomes can be significantly improved by robotic systems to allow superior dexterity, precision, accuracy, and visualization beyond the human surgeon’s own capabilities.

We are seeking highly motivated, and intellectually inquisitive individuals looking to make a positive impact on healthcare via the development of robotic technology. The core values of Horizon Surgical Systems Inc. are:

Commitment to Excellence: We aim to deliver superior patient outcomes and surgeon experiences
Passion for Creativity and Innovation: We are driven by new ideas and aim to push the boundaries of what's possible
Teamwork and Camaraderie: We achieve our best when we collaborate and work together
Welcoming of Critical Opinion: We are enriched by constructive criticism and support the best ideas
Personal Accountability: We honor our commitments and take responsibility for our actions

Horizon Surgical Systems Inc. offers:

An opportunity to build autonomous surgical robotic systems driven by image guidance and AI technology for the future of affordable, high-quality healthcare.
The opportunity to work alongside clinicians, engineers, and global leaders in cutting-edge AI, imaging, and robotics technology.
Competitive compensation and an excellent company-paid benefits package.

We are looking for a medical product C++ Software Build and Infrastructure Engineer.
As a build and infrastructure engineer at Horizon Surgical Systems, you will own the design, implementation, and maintenance of our development infrastructure end-to-end. You'll be the sole engineer on a small team, making architectural decisions and carrying them through to implementation yourself. The work is hands-on and primarily on-premise: racking servers, debugging system issues, wiring networks, and building CI pipelines that produce auditable builds of safety-critical surgical software. You'll support multiple engineering teams in a fast-paced environment where priorities shift constantly; the infrastructure you build needs to be robust and adaptable enough to evolve with the product.

Responsibilities:

What you'll do:

Design, build and maintain CI/CD pipelines using GitHub Actions on self-hosted runner infrastructure
Work with containerization tools to build reproducible environments and tooling for developers on various teams
Maintain and improve Cmake based build systems for large C/C++ codebase
Facilitate software releases in a high velocity monorepo with many contributors; coordinate merges, maintain branch health, and manage release candidates
Manage and configure bare-metal servers, networking equipment, and other on-premise infrastructure using system configuration tools like Ansible
Debug complex systems issues across the Linux stack
Set up and maintain reliable cloud services on AWS for company-wide efforts like code coverage reports, software artifact storage, etc.
Support regulatory compliance efforts by maintaining traceability in all levels of your work; audit trails in CI/CD pipelines and documenting infrastructure processes consistent with QMS requirements

Qualifications and Experience

Required Qualifications:

Bachelor’s or Master degree in science, engineering and math.
Minimum 5 years of work experience managing diverse Build and software infrastructure operations, and tools (e.g., GitLab, GitHub), including C++ software building, source branching, tagging, merging and release management.
Proficiency in Python and bash for automation and tooling
Extensive experience building and maintaining CI/CD pipelines with GitHub Actions, specifically on self-hosted runner infrastructure
Hands-on experience with configuration management tools such as Ansible or Chef
Experience with containerization tools like Docker or podman
Experience with build tooling, specifically Make/CMake or Bazel
Experience managing third party C/C++ dependencies with tools like vcpkg or Conan
Familiarity with Linux packaging formats like Debian or snap
Strong Linux system administration skills; you should be comfortable debugging issues at various layers including systemd, networking, filesystems, and process management
Familiarity with networking fundamentals like TCP/IP, DNS, DHCP, and VPNs
Experience with NVIDIA GPU driver installation, configuration, and troubleshooting on Linux
Experience managing on-premise infrastructure: building and maintaining servers, networking hardware, and storage systems
Experience deploying reliable infrastructure in VPCs on AWS using services such as EC2, S3, and IAM
Comfort working in a cross-functional team where you are the primary owner of infrastructure decisions
Experience using AI tools like Claude code, Codex, OpenCode, or Pi

Nice-to-have Qualifications:

Experience with infrastructure-as-code tools like Terraform
Familiarity with the NVIDIA Holoscan SDK or similar GPU-accelerated sensor processing frameworks
Familiarity with security hardening of Linux systems and network infrastructure
Prior experience working under regulatory frameworks like FDA QSR/QMSR, ISO 13485, or IEC 62304, including familiarity with how design control processes and CI/CD pipelines support traceability from requirements through verification

This is an exciting opportunity to join a high-tech startup that is poised to revolutionize surgical robotics in ophthalmology.

The base salary range for this role is $125,000-$145,000, in addition to a performance-based annual bonus, equity (stock options), a comprehensive benefits package, and a generous PTO policy.