Tech Stack
AzureCloudETLPythonSQLTerraform
About the role
- Architect and maintain HIPAA-compliant database environments across Azure SQL, Managed Instances, and SQL Server on VMs
- Design and optimize T-SQL queries, stored procedures, and ETL processes for high-volume healthcare data
- Implement high-availability, geo-redundancy, and disaster recovery strategies to support client clinical operations
- Collaborate with DevOps and Security teams to integrate database deployments into CI/CD pipelines and enforce data governance policies
- Monitor and tune performance using Query Store, Extended Events, and Azure Monitor, ensuring sub-second response times for clinical applications
- Lead data migration and transformation efforts from legacy systems to cloud-native architectures
- Ensure PHI protection through encryption, access controls, and audit logging aligned with HITECH and SOC 2 standards
- Design and implement pipelines to support our Enterprise Analytics and Reporting Lakehouse
- Mentor junior engineers and contribute to a culture of engineering excellence and continuous improvement
Requirements
- 7+ years of experience with SQL Server and Azure SQL in production environments, ideally within healthcare or regulated industries
- Deep understanding of cloud database architecture, PaaS vs IaaS, and hybrid cloud models
- Strong command of T-SQL, PowerShell, and optionally Python or C# for automation and scripting
- Experience with infrastructure-as-code tools like Terraform, Bicep, or ARM templates
- Familiarity with FHIR, HL7, or other healthcare data standards is a plus
- Proven ability to work cross-functionally with product, compliance, and clinical teams
- Excellent communication and documentation skills, especially around data lineage and auditability
- Generous **annual bonus** opportunity
- **401(k)** with **Employer Match**
- **Flexible Time Off:** take time off when you need it without worrying about available hours
- 10 paid holidays
- Volunteer Time Off
- **Insurance:** Choice of **Medical, Dental, and Vision plans**
- Health Savings Account with employer match
- Flexible Spending Account
- 100% Company-Paid Parental leave
- 100% Company-Paid Life Insurance and Short/Long Term Disability Insurance
- **Nextech Luminary Peer** Recognition Program
- Wellness Program including discounts on medical premiums
- Employee Assistance Program with free counseling sessions available
- Corporate Discounts on Retail, Travel, and Entertainment
- Pet Insurance options
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
SQL ServerAzure SQLT-SQLPowerShellPythonC#ETLdata migrationdisaster recoveryinfrastructure-as-code
Soft skills
communicationdocumentationmentoringcollaborationcross-functional teamworkengineering excellencecontinuous improvement