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Senior DBA Engineer - Fuze Care Services

Alto Pharmacy (Fuzehealthcareersite)

Remote · US$126k – $157k

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About this role

Job Summary  

About Fuze Health

At Fuze Health/FuzeRx Care Services we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources and needed treatments – and enable care providers, employers, health plans and life sciences companies to meaningfully enhance quality, outcomes and value. We are dedicated to helping our partners evolve and modernize to meet emerging patient and marketplace needs.

Fuze Health’s foundation is built upon the strategic combination of several proven, technology-powered innovators in the digital health, diagnostics, and pharmacy sectors. Our growing portfolio brings together the capabilities of industry leaders including LetsGetChecked, Truepill, and Alto Pharmacy, to create a distinctive, unified force in healthcare. Together, we have the shared vision, advanced capabilities and talented teams to deliver next-generation solutions that patients and healthcare partners need today and into the future.

Job Description

We are seeking a Senior Database Administrator to join our Technology Platform team, dedicated to the Hospice business unit. You will lead the AWS database modernization effort for a recently migrated healthcare platform — driving the strategy for self-managed SQL Server on EC2 (migration to AWS RDS and/or version upgrade off SQL Server 2016 as it approaches end of support), modernizing the existing SSIS ETL and SSRS reporting estate, executing database cost optimization, and upskilling the existing Hospice SQL DBA team on cloud database operations. This is a high-impact role shaping the database strategy for critical healthcare applications serving hospice patients across the United States.

Job Description   Key Responsibilities • Lead the planning and execution of the SQL Server modernization on EC2: migration to AWS RDS (SQL Server) and/or in-place version upgrade off SQL Server 2016 ahead of end of support, including compatibility and upgrade testing

• Assess, migrate, and maintain the existing SSIS ETL packages and SSRS reports — either re-platforming to AWS-native ETL and reporting services (e.g., AWS Glue, DMS) or retaining and upgrading them on SQL Server on EC2

• Drive database cost optimization: right-sizing instances, evaluating Reserved Instances, storage tiering, and eliminating unnecessary licensing costs

• Upskill and mentor the existing Hospice SQL DBA team on AWS database operations, RDS management, and cloud best practices

• Establish cloud-native database monitoring, alerting, and performance baselines using 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 the DevOps team on infrastructure automation (Terraform for RDS)

• Ensure HITRUST E1 compliance for all database systems (encryption, access controls, audit logging)

• Support the Hospice application team with database-related development needs

• Evaluate future database modernization opportunities (PostgreSQL, Aurora) for the 2027 roadmap

Required Experience & Qualifications 

Minimum Qualifications: • 8+ years of experience in database administration

• Deep expertise with Microsoft SQL Server (2016+)  performance tuning, high availability, disaster recovery

• Hands-on experience with SQL Server version upgrades and end-of-support migrations (e.g., off SQL Server 2016), including compatibility-level and upgrade testing

• Strong hands-on experience with SSIS (building, maintaining, and migrating ETL packages) and SSRS (report development and administration)

• Experience with AWS RDS (SQL Server)  setup, migration, monitoring, Multi-AZ

• Experience with AWS-native ETL and data migration tooling (AWS DMS, AWS Glue) and/or a clear plan for modernizing SSIS-based ETL in AWS

• Experience with database migration projects (on-premises or EC2 to RDS, and in-place EC2 version upgrades)

• Strong understanding of backup/restore strategies, point-in-time recovery, cross-region replication

• Experience with monitoring tools (Datadog, CloudWatch, SQL Server DMVs)

• Proficiency in T-SQL, stored procedures, and query optimization

• Experience working in regulated environments (HIPAA, HITRUST, SOC2)

Preferred Qualifications: • Experience with AWS Backup, AWS DMS (Database Migration Service), and AWS Glue • Experience migrating or modernizing SSIS/SSRS workloads to AWS-native ETL and reporting services

• Experience with Terraform for database infrastructure management

• Experience with other database engines (PostgreSQL, Aurora) for future modernization

• Experience with Windows Server administration

• AWS certifications (Database Specialty, Solutions Architect)

• Experience mentoring junior DBAs or application developers on database best practices

Additional Information   Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions.

Consistent with the Americans with Disabilities Act (ADA) and similar applicable state laws, it is Fuze Health’s policy to provide reasonable accommodation to enable qualified individuals with disabilities to perform essential job functions, unless such accommodation would cause an undue hardship.

Salary and Benefits Salary Range : $125,600.00 - $157,000.00 Commission Eligible: No Travel : No Location Requirement:  • Fuze Health is limited to individuals residing in the foll

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