Senior Database Engineer

Job Title: Senior Database Engineer (Healthcare)

Location: India (Remote) Experience: 7+ Years

Timing: US Central Standard Time (CST) – India Night Hours Job Summary: We are seeking a highly experienced

Senior Database Engineer with deep expertise in

Microsoft SQL Server to design, optimize, and support mission-critical database systems in a healthcare analytics environment. This role is heavily focused on database architecture, performance tuning, high availability, and data integrity, with additional responsibilities supporting ETL, reporting, and analytics workloads.

Key Responsibilities, Skills & Qualifications:

• Architect, deploy, and maintain enterprise-grade SQL Server databases supporting high-volume transactional and analytical workloads
• Proficient in PL/SQL with strong knowledge of RDBMS fundamentals, data modeling, and query optimization
• Design and optimize database schemas, tables, indexes, views, functions, and stored procedures
• Perform advanced query optimization, execution plan analysis, and performance troubleshooting
• Implement and manage partitioning, compression, indexing strategies, and resource governance
• Monitor database health, capacity, and performance using native and third-party tools
• Manage database upgrades, patching, and version migrations with minimal downtime
• Develop and optimize SQL-based ETL/ELT processes supporting data warehouses and reporting systems
• Work with healthcare and radiology data sources including RIS, PACS, DICOM metadata
• Support integration of healthcare interoperability standards such as HL7 and FHIR into SQL Server–based data platforms
• Ensure accurate modeling and storage of clinical and imaging-related data
• Ensure HIPAA compliance through data masking, secure access, and audit logging
• Troubleshoot and resolve complex performance, availability, and data issues
• Collaborate with application, ETL, and BI teams to ensure end-to-end data reliability
• Exposure to Azure SQL, Managed Instance, or SQL Server on Azure VMs
• Familiarity with Power BI and SQL Server–optimized reporting models
• Familiarity with NoSQL databases such as MongoDB, Cassandra, or DynamoDB is a plus
• Provide production database support during US Central Time business hours