[Hiring] Sr. Database Engineer @Fuze Health

Role Description

We are seeking a Senior Database Administrator to join our Technology Platform team, dedicated to the Hospice business unit. You will lead the AWS database modernization effort for a recently migrated healthcare platform driving the strategic migration from self-managed SQL Server on EC2 to AWS RDS, executing database cost optimization, and upskilling the existing Hospice SQL DBA team on cloud database operations. This is a high-impact role shaping the database strategy for critical healthcare applications serving hospice patients across the United States.

• Lead the planning and execution of the migration from self-managed SQL Server on EC2 to AWS RDS (SQL Server)
• Drive database cost optimization: right-sizing instances, evaluating reserved Instances, storage tiering, and eliminating unnecessary licensing costs
• Upskill and mentor the existing Hospice SQL DBA team on AWS database operations, RDS management, and cloud best practices
• Establish cloud-native database monitoring, alerting, and performance baselines using Datadog and CloudWatch
• Design and implement automated backup, restore, and disaster recovery processes using AWS Backup
• Perform query optimization, index management, and capacity planning
• Collaborate with the DevOps team on infrastructure automation (Terraform for RDS)
• Ensure HITRUST E1 compliance for all database systems (encryption, access controls, audit logging)
• Support the Hospice application team with database-related development needs
• Evaluate future database modernization opportunities (PostgreSQL, Aurora) for the 2027 roadmap

Qualifications

• 8+ years of experience in database administration
• Deep expertise with Microsoft SQL Server (2016+) performance tuning, high availability, disaster recovery
• Experience with AWS RDS (SQL Server) setup, migration, monitoring, Multi-AZ
• Experience with database migration projects (on-premises or EC2 to RDS)
• Strong understanding of backup/restore strategies, point-in-time recovery, cross-region replication
• Experience with monitoring tools (Datadog, CloudWatch, SQL Server DMVs)
• Proficiency in T-SQL, stored procedures, and query optimization
• Experience working in regulated environments (HIPAA, HITRUST, SOC2)

Requirements

• Experience with AWS Backup, AWS DMS (Database Migration Service)
• Experience with Terraform for database infrastructure management
• Experience with other database engines (PostgreSQL, Aurora) for future modernization
• Experience with Windows Server administration
• AWS certifications (Database Specialty, Solutions Architect)
• Experience mentoring junior DBAs or application developers on database best practices

Benefits

• Dental, vision, and multiple group medical plans to choose from
• 401(k) retirement savings plan
• Group life insurance
• Accidental death and dismemberment (AD&D) insurance
• Flexible spending account (FSA) and health savings account (HSA)
• Commuter benefits
• Employer-paid short-term (STD) and long-term disability (LTD) insurance
• Additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program)
• Flexible vacation time
• Accrued paid sick time
• 10 paid holidays (2 floating holidays for full-time non-exempt employees)
• Eight weeks of paid parental leave for eligible employees
• Additional paid weeks for the birthing parent
• 4 weeks paid caregiver leave
• A Lifestyle Spending Account allowance each month