
1001 - 5000 employees
Founded 1998
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
💰 Venture Round on 2015-02
Healthcare • Consulting • Healthcare Insurance
NextGen Healthcare is a company that provides integrated health IT solutions to ambulatory practices. Their services include electronic health records (EHR), practice management, interoperability, patient engagement, and telehealth solutions. They aim to enhance the patient and provider experience through innovative technologies such as AI-driven workflows and mobile solutions. NextGen Healthcare also offers tailored solutions for various specialties and focuses on improving clinical and financial outcomes for their clients. They support practices of all sizes, from small offices to large enterprises, and emphasize the importance of interoperability and data exchange to enhance healthcare delivery.
🔥 0 minutes ago
Ansible
AWS
Azure
Cloud
EC2
Google Cloud Platform
Grafana
MS SQL Server
Postgres
Prometheus
Python
SQL
Terraform
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1001 - 5000 employees
Founded 1998
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
💰 Venture Round on 2015-02
Healthcare • Consulting • Healthcare Insurance
NextGen Healthcare is a company that provides integrated health IT solutions to ambulatory practices. Their services include electronic health records (EHR), practice management, interoperability, patient engagement, and telehealth solutions. They aim to enhance the patient and provider experience through innovative technologies such as AI-driven workflows and mobile solutions. NextGen Healthcare also offers tailored solutions for various specialties and focuses on improving clinical and financial outcomes for their clients. They support practices of all sizes, from small offices to large enterprises, and emphasize the importance of interoperability and data exchange to enhance healthcare delivery.
• Serve as global Tier-3 escalation authority and database Subject Matter Expert • Monitor, triage, and action advanced SQL and database alerts across AWS and GCP production environments • Lead Sev-1/Sev-2 production database incident mitigation, diagnostics, and stabilization • Analyze recurring alert patterns and partner with SRE and engineering teams on automated self-healing • Execute and validate database performance tuning requests • Conduct execution plan analysis, DMV/DMF audits, index maintenance, and query recompilation • Diagnose and remediate blocking chains, deadlocks, lock escalation, latch contention, and tempdb bottlenecks • Provide optimization guidance and query refactoring standards • Execute database maintenance including index maintenance, statistics updates, partition management, and DBCC CHECKDB • Validate backup integrity, snapshot consistency, and cross-region replication health against RPO/RTO objectives • Perform point-in-time restores, schema deployments, storage expansions, failover drills, and configuration changes • Support database upgrades, security patches, and parameter group modifications • Create automation scripts using PowerShell, Python, Bash, and T-SQL • Author diagnostic runbooks, SOPs, and self-service troubleshooting tools • Lead post-incident reviews and write RCA documentation • Partner with Platform Engineering on database release pipelines, schema migrations, and CI/CD tooling
• Bachelor’s Degree in Computer Science, Information Technology, Computer Applications (MCA), or a related technical discipline; or an equivalent combination of education, relevant certifications, and extensive professional experience • 10+ years of progressive experience in enterprise relational database administration and engineering, supporting mission-critical, high-availability 24/7 cloud production systems • Proven experience operating as a Principal or Lead Database Engineer/SME and handling off-hours/overnight incident response • Extensive hands-on experience with enterprise databases on AWS or GCP, including RDS, Aurora, Cloud SQL, or EC2/Compute Engine • Deep mastery of Microsoft SQL Server 2016 through 2022, including AlwaysOn Availability Groups, query optimizer behaviors, locking/latching mechanics, and storage engine architecture • Strong operational proficiency in PostgreSQL or equivalent open-source relational database engines • Expertise in query performance tuning, index optimization, wait-event analysis, and dynamic tracing • Experience with Dynatrace, Datadog, Prometheus/Grafana, or similar APM and observability platforms • Microsoft Certified: Azure Database Administrator Associate or legacy MCSE: Data Management and Analytics • AWS Certified Database – Specialty or AWS Certified Solutions Architect – Professional • Google Cloud Professional Cloud Database Engineer • Practical familiarity with Terraform and Ansible • Prior experience in Healthcare IT, HIPAA/HITRUST compliance, or EHR/PM clinical data systems • ITIL Foundation or SRE/DevOps certifications • Expert knowledge of SQL Server and PostgreSQL storage engines, transaction logging, buffer pool management, ACID properties, isolation levels, and execution plan operators • Deep understanding of AlwaysOn AG failover, replica management, DR replication topologies, and cloud automated failover • Strong comprehension of cloud compute, provisioned IOPS storage, VPC networking, security groups, and IAM least-privilege controls • High proficiency in PowerShell, Python, T-SQL, or Bash • Exceptional written and verbal communication skills • Ability to exercise sound judgment independently during off-hours shifts
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