[Hiring] Database Administrator @The Emily Program

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.

• Administers Azure SQL and data warehouse environments.
• Ensures the reliability of data ingestion from source systems.
• Tunes database and reporting performance.
• Safeguards protected health information in accordance with HIPAA.
• Partners with the Data Architect, Data Developers, and the EHR and application teams.
• Reports to the Director of Health Data Analytics.

Qualifications

• Bachelor’s degree 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.
• 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.
• 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.

Requirements

• 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.
• Monitors data pipelines and integrations (APIs/web services, SFTP/file feeds, middleware).
• Owns platform reliability end to end, including escalation and incident response.
• Applies change control discipline: release readiness, testing coordination, backout planning and deployment standards.
• Treats documentation as a deliverable — runbooks, data lineage, interface and architecture diagrams, knowledge base articles.
• Explains technical constraints, configuration options, access controls and data considerations to technical and non-technical audiences.
• Builds credibility and influences without authority across business owners, super users, clinical and operational staff, InfoSec/Compliance and leadership.
• 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.