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.
Your Responsibilities
What you'll own
Infrastructure as code.
The Terraform codebase - module design, state strategy, drift detection, plan review discipline - and the migration of our CloudFormation/Serverless footprint where it delivers real leverage, without stalling product delivery.
The AWS landing zone.
Multi-account structure via Control Tower and AFT: account vending, customizations, service control policies, and OU design.
Security engineering.
Security Hub, GuardDuty, Inspector, and Config as living detection tooling: triage findings, tune signals, and run the vulnerability lifecycle from discovery through verified fix.
Coordinate penetration tests and own remediation.
Pipeline and supply chain security.
Secure the commit-to-production path in GitHub Actions: least-privilege OIDC deployment roles, secrets scanning, SAST and dependency/container gates, branch protection, and artifact integrity.
Developer enablement.
Paved-path tooling, self-service infrastructure, and secure defaults that let product engineers move fast without filing tickets.
Disaster recovery and backup.
Backup strategy, RPO/RTO targets, Aurora point-in-time recovery, and regular DR testing to satisfy HIPAA contingency planning requirements.
Compliance as code.
SOC 2 and HIPAA controls encoded into the platform - encryption, KMS, CloudTrail/Config coverage, log retention - with automated evidence collection.
Identity and access governance.
IAM Identity Center, cross-account roles, SSO, periodic access reviews, and joiner/mover/leaver deprovisioning, alongside network foundations: VPC design, WAF, and Client VPN.
Where you'll contribute
Alongside the Director of Infrastructure and the Dev Team:
Security architecture for Bedrock AI workloads: access controls, guardrails, PHI data boundaries Production incident response (reliability and security) and recurrence prevention Observability and cost visibility: CloudWatch, alarms, dashboards, tagging Partnership with application engineers on Lambda, Aurora PostgreSQL, and Bedrock workloads Lightweight threat modeling and security review of new features and third-party integrations touching PHI, including sponsor/CRO data-handling requirements
Your Requirements
5+ years in DevSecOps, security, platform, or infrastructure engineering, operating production systems you were accountable for Demonstrated security ownership: you have run vulnerability management, remediated real findings, and participated in incident response - not just deployed tooling Deep Terraform proficiency: module hierarchies, multi-environment state, drift and refactors, critical plan review Hands-on AFT and Control Tower experience - you have vended accounts through AFT and customized the pipeline, not adjacent familiarity Broad AWS depth: IAM, Organizations, VPC, Lambda, RDS/Aurora, S3, KMS, CloudTrail, Config, Security Hub, GuardDuty, Secrets Manager GitHub Actions as a daily environment, including pipeline hardening and secrets management SOC 2 Type II and HIPAA experience in a real PHI-handling environment - you have owned controls, produced evidence, and sat in front of an auditor Change and release discipline: you think about blast radius before you apply, have owned deployment and rollback strategies in production, and move quickly inside regulated-environment constraints rather than treating them as obstacles Hands-on, autonomous, and clear: you write code daily, take ambiguous problems to documented decisions, and can explain security tradeoffs to non-security people You use AI coding and automation tools as a daily part of how you work, and you actively explore how they change infrastructure and security practices Genuine interest in improving clinical trial access and health equity
Nice to Have
Compliance automation platforms (Drata, Vanta) including evidence automation CloudFormation/CDK/Serverless-to-Terraform migration experience GitHub EMU, SCIM, and SAML SSO administration Aurora PostgreSQL operations and schema migration coordination Python or TypeScript for automation HITRUST, NIST 800-53, or CSA STAR exposure Securing LLM workloads
Why Trial Library
Meaningful impact — helping patients access clinical trials faster through better technology and workflowsHigh ownership environment — autonomy to build, test, and influence strategy across the businessCollaborative team culture — low ego, high trust, and close partnership across functionsOpportunity for growth — join at an early stage with meaningful exposure to company-building and decision-making
Our Core Values
Ally is our favorite monikerThe broadest reach is worth the effortCelebrate measurable improvements in access and outcomesFearless advocates for representation in researchIncentives matter to stakeholders choosing our productsTaking initiative is actually givingWe are accountable for the experience of patients and providersEmpathy and humility are the real dynamic duo
Our Benefits & Perks
Health & Wellness: Comprehensive medical, dental, and vision coverage for employees and eligible dependents, along with disability, life, and supplemental insurance options designed to support your overall well-beingTime Off & Workplace Support: Flexible paid time off, observed company holidays, and a one-time home office stipend to help you create a productive and comfortable remote workspace within our hybrid environmentFinancial & Lifestyle Benefits: 401(k) program, pre-tax HSA and FSA options, commuter benefits, financial wellness resources, and access to legal protection plans to support both short- and long-term planningAdditional Support & Voluntary Benefits: Access to voluntary benefit offerings including pet wellness support, domestic partner coverage, and additional programs that support the diverse needs of our team members and their families
Our Interview Process
Our interview process typically includes four stages, followed by reference checks and an offer.
Depending on the role, particularly for technical or senior positions, the process may vary slightly and can include a technical assessment, case study, presentation, practical exercise, additional interview conversations, or conversations with members of our leadership team and investors.
Trial Library, Inc.
is an equal opportunity employer committed to building an inclusive workplace.
We provide equal employment opportunities to all employees and applicants and prohibit discrimination and harassment of any kind without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, national origin, ancestry, age, disability, genetic information, marital status, veteran status, military status, medical condition, family or medical leave status, political affiliation, or any other characteristic protected by applicable federal, state, or local law.
Trial Library, Inc.
is committed to providing reasonable accommodations for qualified individuals with disabilities throughout the recruiting process.
If you require assistance or accommodation, please contact jobs@triallibrary.com
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information.
These tools assist our recruitment team but do not replace human judgment.
Final hiring decisions are ultimately made by humans.
If you would like more information about how your data is processed, please contact us.