Database Engineer

Job Title: Database Engineer

Location: Scottsdale, AZ (Hybrid role, must be willing to relocate to Phoenix, AZ area to be considered)

Company Overview: Savas Health is a leading provider of transdisciplinary pain management patient care and is launching electronic health record (EHR) software focused on coordinating multidisciplinary care. We are committed to providing exceptional patient care and dedicated to improving healthcare delivery through innovative technology.

Position Overview: We are seeking a Database Engineer to develop, optimize, and maintain scalable database solutions that power our mission-critical Electronic Health Records (EHR) application. The ideal candidate will have deep expertise in Microsoft SQL Server and experience supporting large-scale, performance-intensive healthcare systems. You will play a key role in ensuring our database infrastructure scales seamlessly as we expand, while maintaining strict compliance with healthcare regulations like HIPAA.

Key Responsibilities:

Database Engineering & Optimization

Develop, Design, and implement scalable, high-performance database architectures for EHR systems in Azure Cloud environments.

Leverage Azure SQL technologies such as Azure SQL Managed Instance, Hyperscale, and Elastic Pools to support data growth and application scalability.

Collaborate with development teams to ensure database structures align with application design and growth goals.

Drive performance optimization initiatives, including indexing strategies, query tuning, and efficient schema design to support expanding workloads.

Oversee the performance tuning and monitoring of databases to ensure optimal efficiency.

Implement high-availability and disaster recovery solutions.

EHR System Support

Optimize databases to ensure seamless performance of mission-critical EHR applications as user volumes scale.

Provide database solutions that support real-time transactional data processing and historical data warehousing needs.

Work with product and engineering teams to align database strategy with EHR-specific workflows, regulatory requirements, and healthcare industry standards.

Data Security & Compliance

Establish and follow data security policies and procedures. Implement encryption, access controls, and auditing to ensure data confidentiality and integrity.

Ensure database solutions adhere to HIPAA and HITECH regulations, maintaining patient data confidentiality, integrity, and availability.

Implement secure, de-identified research databases with appropriate data synchronization processes.

Enable external partners and authorized users to securely access research and operational data through Azure Private Link and secure APIs.

Standardization & Best Practices

Define and enforce SQL coding standards for queries, stored procedures, and other artifacts.

Conduct regular code reviews and provide training to ensure SQL best practices are followed.

Experience with unit testing frameworks for SQL, such as tSQLt, DbFit, or SQL Server Data Tools (SSDT), to validate stored procedures, queries, and functions.

Collaborate with analytics and BI teams to implement optimized database structures for reporting and analytics.

Continuous Improvement

Stay up to date on SQL advancements, database technologies, and performance optimization tools.

Actively recommend improvements to existing systems, processes, and technologies to ensure readiness for growth.

Qualifications

Bachelors or Masters degree in Computer Science, Information Technology, or a related field.

3 years of experience as a Database Engineer with a focus on Microsoft SQL Server and Azure SQL.

Experience with EHR systems or other healthcare applications, including familiarity with workflows and compliance requirements.

Proven expertise in SQL query optimization, performance tuning, indexing strategies, and schema design.

Hands-on experience with Azure Cloud tools like:

o Azure SQL Database, Managed Instances, Hyperscale

o Azure Monitor, Query Store, and Automated Tuning

o Azure Synapse Analytics, Data Lake, and Power BI

Strong knowledge of data security best practices, including encryption, access controls, and compliance with HIPAA and HITECH.

Experience implementing high-availability and disaster recovery solutions.

Excellent problem-solving, analytical, and communication skills.

Proven ability to collaborate cross-functionally with engineering, analytics, and product teams.

Preferred Skills

Experience with Big Data technologies and healthcare interoperability solutions (e.g., FHIR, HL7).

Familiarity with tools like Flyway for database migrations and version control.

Understanding of healthcare data warehousing and reporting solutions.

What Sets Us Apart: Our team is mission-driven and united by a common purpose: healing humanity through a revolutionary transdisciplinary model. The model addresses the quadruple aim of healthcare: enhancing patient experience, improving patient health, reducing healthcare costs, and increasing employee satisfaction. We thrive on collaboration, and each member is a self-starter, empowered to unblock themselves and move forward with confidence. If you are passionate about impacting healthcare, enjoy taking initiative, and are comfortable with ambiguity, youll find a great fit with us.

Job Type: Full-time

Salary: $80,000- $120,000

Benefits:

• 401(k)
• Health, Dental, Vision insurance (PPO - 90% paid by employer)
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Life insurance
• Paid time off

Schedule:

• Day shift
• Monday to Friday
• 8AM - 5PM

Work setting:

• Hybrid (must be willing to relocate to Phoenix, AZ area to be considered)