Database Administrator

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🔥 2 minutes ago

⛷️ Utah – Remote

⛷️ Utah – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📀 Database Administrator

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Medical Review Institute of America, LLC

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501 - 1000 employees

Founded 1983

🛡️ Insurance

💼 Consulting

⚖️ Legal

Insurance • Consulting • Legal

Medical Review Institute of America, LLC is a company specializing in clinical and utilization review services. They offer a comprehensive suite of data-driven solutions, including prior authorization optimization, second opinions, and specialty drug reviews, aimed at ensuring the right care is delivered at the right time and in the right place. MRIoA provides services to health plans, pharmacy benefit managers, government entities, and self-insured employers, among others. They leverage technology and a network of professionals to streamline clinical decisions, enhance provider performance, and ensure compliance with regulatory requirements across all 50 states. Their tools and platforms are designed to optimize clinical reviews, reduce costs, and improve patient outcomes through evidence-based care pathways and telehealth solutions.

📋 Description

• Own the health, performance, security, and architecture of relational and NoSQL/document database platforms across on-premises and cloud environments • Keep on-premises SQL Server stable while leading transactional workload migration to Azure and supporting the move to Microsoft Fabric • Serve as primary technical owner and escalation point for production and non-production databases and data stores • Lead database architecture, design standards, and Azure migration strategy • Partner with Software Development, QA, Infrastructure, Enterprise Architecture, Information Security, Business Intelligence, and vendors • Administer, patch, secure, and support on-premises SQL Server, including SQL Agent, SSIS, and linked servers • Inventory databases, dependencies, and data flows; sequence migrations and decommission servers after workload migration • Design Azure transactional environments, including tiers, sizing, HA, networking, and security • Oversee migrations from assessment through cutover, validation, and rollback; manage consumption and cost • Support cloud database workloads including Cloud SQL, BigQuery, and PostgreSQL • Advise on Microsoft Fabric source design, data movement, and Lakehouse and warehouse integration • Administer NoSQL and document databases including Azure Cosmos DB and MongoDB • Maintain monitoring, alerting, health checks, performance baselines, auditing, backup, HA, and DR standards • Tune queries and indexes and drive root cause analysis • Configure auditing to Information Security's SIEM and support HIPAA, SOC 2, HITRUST, and URAC audits • Partner with developers and BI on data modeling, schema design, query patterns, database code reviews, and release changes • Guide QA on database testing standards and partner on acceptance criteria, masked test data, unit testing, and defect triage • Manage database change control and deployments across environments • Establish database standards, runbooks, and documentation; automate routine tasks and advise on licensing and emerging tools • Participate in on-call rotation and occasional after-hours or weekend maintenance, migration, and incident work

🎯 Requirements

• Expert SQL Server administration and T-SQL, including performance tuning, indexing, and query plan analysis • Strong OLTP and analytical data modeling and database design • Deep knowledge of Azure database services, including security, networking, HA, and cost • Familiarity with Google Cloud data services • Database security, encryption, and auditing, including PHI/HIPAA protection, Entra ID, Key Vault, and Defender for SQL • Working knowledge of NoSQL/document databases such as Cosmos DB and MongoDB, including data modeling, partitioning, and consistency • Scripting with PowerShell and Python • Source control and CI/CD for database changes using Git, Azure DevOps, SSDT, and Flyway • Prevention-first mindset, strong documentation habits, and clear communication with technical and non-technical audiences • 5+ years as a SQL Server DBA supporting business-critical production systems • 2+ years administering and designing databases in Microsoft Azure • Led or played a key role in at least one database migration • Production experience with at least one NoSQL/document database platform preferred • Experience supporting development, QA, and BI teams within an Agile SDLC and formal change management • Healthcare or regulated-environment experience strongly preferred • Microsoft Fabric experience strongly preferred • Bachelor's degree in computer science, information systems, or a related field, or equivalent education and experience • Background Screen required before beginning employment • Drug Screen required for newly hired employees • Must adhere to applicable HIPAA regulations and company policies regarding confidentiality, privacy, and security of sensitive health information

🏖️ Benefits

• A competitive compensation package • Healthcare, vision, and dental insurance • Generous 401(k) match • Paid vacation, PTO, and holidays • Growth and training opportunities • Award-winning remote work environment

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