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MCG Health
Engineering & Architecture 4h ago

Senior Database Engineer

MCG Health
United StatesUnited States
Remote with Occasional Travel
$136,000 - $190,400
Senior-Level
VT

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Job Description

Key Skills Required

Master these to land this role

AzureAPMWindows ServerSQL ServerAutomation EngineerPerformance TuningDatabase DesignT-SQL

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At MCG, we lead the healthcare community to deliver patient-focused care. We have a mission-driven team of talented physicians and technical experts developing our evidence-based content and innovating our products to accelerate improvements in healthcare.

The Senior Database Engineer is responsible for the configuration, deployment, optimization, and support of MCG Health’s core products across onsite and hosted customer environments. This role requires deep, hands-on experience supporting mission-critical web applications in a Windows, IIS, SQL Server, and Azure ecosystem.

This role requires strong communication skills and the ability to translate complex technical concepts for both technical and non-technical audiences, including occasional direct interaction with customers. The ideal candidate is highly self-directed, passionate about automation, and comfortable owning database reliability, performance, and scalability within a healthcare environment.

This role partners closely with:

  • Support and Operations teams
  • Software development and Security teams
  • Internal MCG stakeholders, Hearst Corporate and Service Center teams
  • External customers and vendors

Success depends on strong cross-functional collaboration and proactive communication.

You Will:

  • Design, deploy, maintain, and optimize SQL Server environments hosted on Azure
  • Administer and support a large fleet of production SQL Server instances
  • Diagnose and resolve complex database and application performance issues
  • Perform database upgrades, patching, backups, restores, and disaster recovery
  • Support data extracts, data scrubbing, and maintenance activities
  • Deploy and configure customer environments and application components
  • Partner with Engineering and Support teams to resolve advanced application issues in Windows, IIS, and SQL Server environments
  • Drive automation initiatives, including:
    • Infrastructure scalability improvements
    • Performance tuning and optimization
    • Elimination of manual operational processes
  • Utilize AI-driven and advanced analytics tools to enhance database development, proactively detect issues, monitor and optimize performance, and improve operational efficiency.
  • Serve as a technical escalation point and mentor for support team members
  • Develop deep expertise in application provisioning, deployment, and ongoing support
  • Track, document, and proactively manage customer issues using ticketing systems
  • Communicate effectively with stakeholders at all levels of the organization
  • Operate independently while owning outcomes end-to-end

What We’re Looking For:

  • A Bachelor’s degree in computer science or related field (or equivalent experience)
  • 5+ years of Windows Server (2019+) administration
  • 5+ years of SQL Server (2019+) administration and database design
  • 5+ years of T-SQL development, including stored procedures and database design
  • 5+ years of SQL Server performance tuning and optimization
  • 5+ years supporting and optimizing SQL Server 2019 clusters on an Azure VM
  • 5+ years supporting web applications in an n-tier architecture
  • Experience supporting production systems in Azure-hosted environments
  • Experience in APM (Application Performance Monitoring), such as Azure Monitor, Datadog, New Relic, etc.
  • Strong analytical, troubleshooting, and problem-solving skills
  • Excellent written and verbal communication skills

Preferred Qualifications:

  • Experience with automation and scripting (PowerShell, Python, ARM, Terraform, etc.)
  • Experience working with APIs and application integrations
  • Healthcare or HIPAA-regulated environmental experience
  • Prior experience in customer-facing technical roles

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MCG Health (operating under mcg.com), part of the Hearst Health network, is a pioneer and market leader in evidence-based clinical guidelines, healthcare analytics, and care management software. Originally established in 1988 under the actuarial firm Milliman (formerly Milliman Care Guidelines) before its acquisition by Hearst in 2012, MCG provides objective, scientifically vetted clinical decision support used by over 2,000 hospitals, government agencies, and a majority of major U.S. health plans. The platform continuously analyzes thousands of medical research studies annually to aggregate evidence across the full continuum of care, including ambulatory, inpatient, general recovery, behavioral health, and home care. MCG's suite of software products—such as Indicia for Providers and Cite for Payers—leverages advanced artificial intelligence (including cari™ and NoteGuardAI solutions) to streamline prior authorizations, optimize hospital length-of-stay, reduce readmissions, and minimize payer-provider friction. Headquartered in Seattle, Washington, MCG Health plays an indispensable role in standardizing healthcare quality, utilization management, and value-based care delivery across the United States.

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