Job Description
Category: Professional
Employment Type: Full Time
Location: US-Remote
Department: Technology
Reports To: Director of Engineering
Additional Info: Visa / work permit sponsorship is not available for this position
Position Overview
We are seeking a Database Administrator (DBA) to manage, optimize, and safeguard our database platforms that supports the Onpoint Iris Agentic AI healthcare applications, AI-driven workflows, and clinical system integrations. This role is responsible for data modeling, database reliability, performance, backup and recovery, ETL data movement between systems, and ensuring data integrity across operational, reporting, and archival environments.
The DBA will work closely with engineering, data, and infrastructure teams to support production workloads, integrations with EHR systems, and internal analytics while maintaining compliance with healthcare security and availability requirements.
Key Responsibilities
Database Administration & Operations
Administer, maintain, and support relational database platforms across development, staging, and production environments.
Manage database availability, reliability, and performance for missionâcritical applications.
Perform routine database maintenance activities including:
Index creation and optimization
Query performance tuning
Statistics management
Schema changes and deployments
Monitor database health, capacity, and usage trends; proactively address performance or scalability risks.
Backup, Recovery, and Storage
Design and maintain backup and retention strategies aligned with business continuity and disaster recovery requirements.
Perform and validate database restores and recovery procedures on a regular basis.
Manage database storage, capacity planning, and archival strategies (including warm and cold storage).
Coordinate backup storage integrations with cloud storage services.
ETL & Data Movement
Support and maintain ETLâstyle data pipelines between:
Operational databases
Reporting/analytics environments
Data warehouses or backup storage systems
Develop and maintain data extraction, transformation, and loading processes using SQL, stored procedures, and data movement tools.
Ensure data consistency, integrity, and validation across source and target systems.
Support scheduled and nearârealâtime data movement for integrations and downstream consumers.
Data Modeling & Schema Design
Collaborate with application engineers and data teams on:
Logical and physical data models
Schema design and evolution
Referential integrity and normalization
Review and optimize database designs for performance, scalability, and maintainability.
Support incremental schema changes tied to application and integration requirements.
Manage and execute database schema changes using Infrastructure as Code (IaC) practices, leveraging Terraform and CI/CD pipelines to ensure versionâcontrolled, auditable, and repeatable deployments across environments.
Administer and support nonârelational and modern data systems including document databases (e.g., Azure Cosmos DB) and other cloudânative data stores used by production applications and AI workloads.
Manage operational aspects of vector databasesand vectorâenabled data stores that support:
AI/ML workflows
Semantic search
Retrievalâaugmented generation (RAG)
Embedding storage and indexing
Support and maintain knowledge graph and graphâbased data systems, including:
Schema design and evolution
Data integrity and relationship management
Performance tuning and query optimization for graphâstyle access patterns
Security, Compliance & Governance
Implement database security best practices including:
Roleâbased access controls
Encryption at rest and in transit
Auditing and logging
Support compliance initiatives related to healthcare and security standards (e.g., HIPAA, SOC 2).
Participate in security reviews, audits, and incident investigations related to data systems.
Collaboration & Support
Partner with application engineering, DevOps, and data teams to support releases and production operations.
Assist with database troubleshooting and incident response.
Contribute to documentation for database standards, operational procedures, and recovery processes.
Technology Environment (Representative)
Databases: Microsoft SQL Server, Azure SQL Database (PaaS), SQL Managed Instance, Azure Cosmos DB
Cloud Platform: Microsoft Azure
Storage & Backup: Azure Blob Storage, Azure Backup, geoâredundant storage
ETL / Data Movement:
TâSQL, stored procedures
Scheduled jobs, pipelines, or integration services
Monitoring & Operations:
Azure Monitor
Alerting and performance diagnostics tools
Source Control / CIâCD:
Azure DevOps or similar tooling
Integration Context:
Healthcare systems, APIs, and downstream reporting platforms
Required Qualifications
4+ years of experience as a Database Administrator or similar role.
Strong expertise in relational database administration and SQL.
Handsâon experience with database backup, recovery, and performance tuning.
Experience supporting ETL or data movement processes between systems.
Solid understanding of data modeling, indexing strategies, and query optimization.
Experience operating databases in a cloud environment (Azure preferred).
Familiarity with security best-practices for data systems.
Preferred Qualifications
Experience supporting healthcare or regulated environments.
Familiarity with SOC 2, HIPAA, or similar compliance frameworks.
Experience working with production SaaS applications.
Exposure to data warehousing or analytics environments.
Understanding of highâavailability and disaster recovery architectures.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to speak, hear, read, and type. This is largely a sedentary role; however, some shipping may be required. This position requires the ability to occasionally lift office products and supplies up to 40 pounds.
Work Environment
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time, with or without notice.
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