[Hiring] Database Administrator @Accanto Health

Role Description

The Database Administrator is responsible for the reliability, performance and security of Accanto Health's Azure data platform, which integrates data from the electronic health record, Salesforce and financial systems to support enterprise reporting and analytics. As the organization's first dedicated database administrator, this position establishes and maintains platform standards, monitoring, backup and recovery, access controls and documentation. The role administers Azure SQL and data warehouse environments, ensures the reliability of data ingestion from source systems, tunes database and reporting performance, and safeguards protected health information in accordance with HIPAA. This position partners with the Data Architect, Data Developers, and the EHR and application teams, and reports to the Director of Health Data Analytics.

Schedule

• 8am-5pm, Monday to Friday

Salary Range

• $150,414- $184,970 commensurate with experience

Location

• Remote - Must be US based, and able to work with no restrictions in the US in a remote home office.
• Travel up to 10%
• Visa / work permit sponsorship is not available for this position

How Database Administrators Empower Recovery

• Platform and environments:
  • Azure SQL and warehouse environments across development, test and production — compute and storage sizing, performance tiers, and platform cost.
  • Environment lifecycle, including scheduled refreshes of non-production from production.
  • Ingestion reliability from the EHR, Salesforce and financial systems — monitoring, alerting, failure triage, and documented re-run procedures.
• Performance:
  • Tune ETL/ELT transformations and reporting queries (SSRS, Power BI).
  • Own indexing, statistics and partitioning strategy for large tables such as claims, transactions and encounters.
  • Establish performance baselines.
• Security and compliance:
  • Role-based access control, least-privilege design, and periodic access review.
  • PHI safeguards under HIPAA: encryption in transit and at rest, data masking, audit logging.
  • Vendor and contractor access management.
  • Participation in incident response for data-related events.
• Reliability:
  • Backup, restore and disaster recovery — including published RPO and RTO targets.
  • Detection and resolution of source-to-warehouse synchronization gaps.
  • Root-cause analysis of data inconsistencies.
• Documentation and continuity:
  • Platform documentation, runbooks, and data lineage from source through to the reporting layer.
  • Cross-training and written procedures.
• Partnership:
  • Data Architect, Data Modelers, Data Developers and Analytics leadership.
  • The EHR and application teams, and our EHR vendor's technical staff.
  • Finance, on platform cost and forecasting.

Qualifications

• Bachelor’s degree required in information technology, Healthcare Administration, Health Information Management, Healthcare Informatics, Computer Science, Business, or related field preferred; Associate Degree and 7 years equivalent experience may be considered in lieu of degree.

Requirements

• Five or more years administering relational databases in production, including SQL Server or Azure SQL.
• Demonstrated performance tuning on large transactional datasets.
• Hands-on experience with Azure data services, including pipeline monitoring and failure triage.
• Troubleshooting synchronization between a source system and a downstream warehouse.
• Comfort working with poorly documented, denormalized or hierarchically structured source data.
• Working knowledge of HIPAA safeguards as they apply to database and platform administration.
• Healthcare (EHR or revenue cycle) or financial systems experience preferred.
• Microsoft Fabric and/or Synapse preferred.
• Experience supporting a site or entity consolidation preferred.
• Infrastructure-as-code or scripted deployment, and source control for database objects preferred.

Competencies

• Administers relational database platforms in production — backup and recovery, high availability, capacity and storage planning, patching and upgrades.
• Diagnoses performance problems using execution plans, indexing, statistics and partitioning.
• Writes and tunes SQL fluently, and reads code written by others.
• Implements database security: role-based access control, least privilege, encryption, masking, audit logging and periodic access review.
• Safeguards protected health information in accordance with HIPAA.
• Monitors data pipelines and integrations, triages failures, and documents re-run and remediation steps.
• Works effectively with poorly documented source systems.
• Owns platform reliability end to end, including escalation and incident response.
• Applies change control discipline.
• Treats documentation as a deliverable.
• Manages competing priorities with sound judgment.
• Explains technical constraints to technical and non-technical audiences.
• Builds credibility and influences without authority.
• Manages vendor technical relationships.
• Transfers knowledge so that no critical procedure depends on one person.

Benefits

• HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield)
• Dental insurance (Delta Dental)
• Vision insurance (EyeMed)
• Short-term and long-term disability insurance
• Company-paid life insurance
• 401(k) plan available two months after start date
• Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation
• Generous PTO plan accrues annually and begins with your first whole pay period.
• Eligible employees enjoy seven paid holidays and one floating holiday in addition to their regular PTO.

Company Description

Accanto is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status, or other characteristics protected by law.