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Responsibilities
Key ResponsibilitiesDatabase Design & DevelopmentDesign, develop, and maintain complex SQL Server databases supporting enterprise healthcare applications.Create and optimize database schemas, tables, indexes, views, stored procedures, functions, and triggers.Develop scalable data models supporting patient, provider, care management, clinical, and operational workflows.Ensure database structures support evolving business and regulatory requirements.Performance OptimizationAnalyze and resolve database performance bottlenecks.Optimize complex T-SQL queries and stored procedures.Design indexing strategies to improve application response times.Perform execution plan analysis and SQL code optimization.Monitor database performance and proactively identify areas for improvement.Support high-volume transactional workloads while maintaining performance SLAs.Scalability & Capacity PlanningAssess current database limitations and recommend scalability improvements.Design solutions capable of supporting increased user concurrency and transaction volumes.Implement partitioning, archiving, caching, and data lifecycle strategies.Optimize database architecture for future platform growth and new feature rollouts.Collaborate with Technical Architects to define long-term database modernization strategies.Healthcare Data & IntegrationsSupport healthcare interoperability initiatives using FHIR standards.Develop and optimize ETL processes for healthcare data exchange.Design database structures supporting FHIR resources and healthcare integrations.Work with API and integration teams to ensure efficient data access patterns.Ensure compliance with healthcare data governance and security requirements.Reporting & AnalyticsDesign and optimize reporting databases and operational data stores.Develop SQL-based reporting solutions and data extracts.Support Power BI and enterprise reporting initiatives.Create scalable reporting mechanisms that minimize application performance impact.Data Security & ComplianceImplement database security best practices.Manage data access controls and encryption strategies.Ensure compliance with HIPAA and healthcare data privacy regulations.Participate in audits and compliance reviews.RequirementsRequired QualificationsExperience8+ years of SQL Server development experience.5+ years working on enterprise-scale applications.Experience supporting systems with high transaction volumes and large datasets.Proven track record of database performance tuning and optimization.Experience working closely with application development teams.Microsoft SQL Server 2016/2019/2022T-SQL ProgrammingStored ProceduresViewsTriggersFunctionsQuery OptimizationIndex TuningDatabase Performance MonitoringPerformance & ScalabilityExecution Plan AnalysisDatabase PartitioningIndex Strategy DesignLocking and Blocking AnalysisDeadlock ResolutionCapacity PlanningHigh Availability and Disaster RecoveryDevelopment & IntegrationSQL Server Integration Services (SSIS)ETL DevelopmentREST API Data IntegrationsData Migration StrategiesCI/CD for Database DeploymentsSQL Reporting Services (SSRS)Power BIOperational ReportingData Warehousing ConceptsPreferred QualificationsHealthcare industry experience.Knowledge of HL7 and FHIR standards.Experience with Electronic Health Record (EHR/EMR) platforms.Expertise in Azure SQL and cloud database architectures.Experience supporting care management, population health, or patient engagement platforms.Familiarity with Azure Data Factory and modern data platform technologies.Key DeliverablesDuring the first 90 days, the successful candidate will:Complete a database health and performance assessment.Identify and resolve critical performance bottlenecks.Optimize high-impact stored procedures and queries.Establish database monitoring and performance baselines.Create a database scalability roadmap.Implement indexing and data access optimization strategies.Support new healthcare integration and reporting initiatives.Improve data quality and reliability across the platform.Success MetricsReduction in database response times.Improved application performance and user experience.Increased concurrent user capacity.Reduction in production database incidents.Faster reporting and analytics execution.Improved scalability to support future platform growth.High data quality, security, and system reliability.
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