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Senior DBA Engineer

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Fuze Health

1001 - 5000 employees

🏥 Healthcare

☁️ SaaS

💊 Pharmaceuticals

Healthcare • SaaS • Pharmaceuticals

Fuze Health is a technology-led healthcare company that provides integrated pharmacy solutions, clinical services, and data-driven software to healthcare organizations, payers, employers, and life sciences partners. Through its FuzeRx digital pharmacy, Fuze Services clinical programs, and Fuze Technologies platform, it delivers API-powered prescription fulfillment, telehealth, diagnostics and genomics, patient engagement, and analytics to improve access, adherence, early identification of conditions, and outcomes at scale.

📋 Description

• Lead planning and execution of SQL Server modernization on EC2 • Migrate to AWS RDS and/or upgrade from SQL Server 2016, including compatibility and upgrade testing • Assess, migrate, and maintain SSIS ETL packages and SSRS reports • Re-platform ETL and reporting to AWS-native services such as AWS Glue and DMS, or retain and upgrade them on SQL Server EC2 • Drive database cost optimization through instance right-sizing, Reserved Instance evaluation, storage tiering, and licensing reduction • Upskill and mentor the Hospice SQL DBA team on AWS database operations, RDS management, and cloud best practices • Establish database monitoring, alerting, and performance baselines with 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 DevOps on Terraform-based RDS infrastructure automation • Ensure HITRUST E1 compliance through encryption, access controls, and audit logging • Support the Hospice application team with database development needs • Evaluate PostgreSQL and Aurora modernization opportunities for the 2027 roadmap

🎯 Requirements

• 8+ years of experience in database administration • Deep expertise with Microsoft SQL Server (2016+) performance tuning, high availability, and disaster recovery • Hands-on experience with SQL Server version upgrades and end-of-support migrations, including compatibility-level and upgrade testing • Strong hands-on experience with SSIS and SSRS • Experience with AWS RDS (SQL Server) setup, migration, monitoring, and Multi-AZ • Experience with AWS-native ETL and data migration tooling, including AWS DMS and AWS Glue, and/or a clear plan for modernizing SSIS-based ETL in AWS • Experience with database migration projects • Strong understanding of backup/restore strategies, point-in-time recovery, and cross-region replication • Experience with Datadog, CloudWatch, and SQL Server DMVs • Proficiency in T-SQL, stored procedures, and query optimization • Experience working in regulated environments such as HIPAA, HITRUST, and SOC2 • Preferred: AWS Backup, AWS DMS, AWS Glue, Terraform, PostgreSQL, Aurora, Windows Server administration, AWS certifications, and mentoring experience • Applicants must be authorized to work for any employer in the U.S. • Must reside in an eligible U.S. state

🏖️ Benefits

• Dental, vision, and multiple group medical plans • 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 • Supplemental spouse life insurance • Legal insurance • Employee assistance program • Home health testing kits • 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 • Monthly Lifestyle Spending Account allowance • No travel required • Visa sponsorship is not available

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