Senior Database Engineer (PostgreSQL)

Our mission

Healthie powers virtual-first care delivery while improving access to healthcare and enabling better healthcare outcomes through technology.

We build infrastructure that all healthcare organizations need to perform virtual-first care. Between our EHR, scheduling, and patient engagement solutions, Healthie’s API-first approach makes it easy for organizations of every size to build, customize, and scale their business.

Today, we power thousands of organizations ranging from small private practices, to digital health startups and multi-billion-dollar healthcare companies. Leveraging Healthie, our customers deliver care to millions of patients, across the full spectrum of healthcare services—from preventative health and wellness to complex chronic care management. We believe that the future of healthcare delivery is virtual-first, longitudinal, and collaborative.

Learn more at https://www.gethealthie.com/

About the role

We’re hiring a Senior Database Engineer - PostgreSQL to join our Platform Engineering team at Healthie. You’ll be a key contributor to one of the most important pieces of digital infrastructure in the healthcare space. Our platform is growing rapidly, and we need someone who can ensure our databases scale, perform, and remain reliable.

You’ll be responsible for database infrastructure administration across production, QA, and development environments, ensuring smooth operation, monitoring performance, and maintaining automation scripts. Your expertise in PostgreSQL will help shape how we deploy, scale, monitor, and refine our data model. Strong familiarity with ORMs (especially Rails/ActiveRecord) is a big plus!

You will own our Aurora databases, managing database setup, configuration, upgrades, monitoring, and troubleshooting. You will design and execute zero or minimal downtime upgrades and disaster recovery solutions while implementing best practices for partitioning, archiving, and accessing archived data. Measuring and optimizing system performance, capacity planning, and security instrumentation will be part of your role, along with collaborating with feature teams to facilitate schema and query improvements. Observing application behavior to prioritize query optimizations will also be a key aspect of this position.

At Healthie, we’re all about building high-quality, reliable infrastructure that enables better healthcare. If you’re passionate about database performance, scalability, and impact-driven work, we’d love to hear from you.

Details, details

• This is a full-time, remote position and U.S. work authorization is required.
• The salary range is $160,000 - $185,000.

About you

• You have deep expertise in Amazon AWS RDS Aurora, Postgres replication, partitioning, clustering, high availability, backup, and disaster recovery strategies.
• You have experience in mission-critical environments, ensuring database reliability, performance, and scalability.
• Bonus points for experience in healthcare or other regulated industries.
• You come with a strong foundation in designing, scaling, and optimizing Postgres deployments.
• You have a strong ability to prioritize platform needs, balancing short-term fixes with long-term scalability.
• You are a collaborative leader who influences without authority—people enjoy working with you because you communicate clearly and support your colleagues.
• You have very strong interpersonal, collaboration, and communication skills, embodying Healthie’s core values of Respect, Reliability, and Resilience without ego.
• You have a bias toward execution—you focus on getting things done and don’t let obstacles slow you down. You are full of grit and not afraid to roll up your sleeves and move quickly.
• You thrive in fast-paced, problem-solving environments, constantly improving and optimizing database performance.
• You are Mission-driven, excited about building infrastructure that improves patient outcomes.
• You have strong proficiency in tools like Terraform, PG Bouncer, scripting, and postgres monitoring systems.
• You are experienced in building and maintaining infrastructure for critically important applications.
• You take initiative and problem-solve effectively, asking the right questions and finding solutions.

Interview Process

• Quick chat with Katie, Director of Talent (15 minutes)
• Interview with John, Director of Engineering (30 minutes)
• Complete our Technical Assessment (asynchronous)
• Talk technical with Chris M (30 minutes)
• Meet with Andrew from the Platform team (30 minutes)
• Interview with Cavan, CTO + cofounder (20 minutes)
• Reference checks

To learn more about Working at Healthie & our benefits, click here.

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