Senior DBA Engineer - Fuze Care Services

About Fuze Health

At Fuze Health, 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.

Role Overview

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 strategic migration from self-managed SQL Server on EC2 to AWS RDS, executing database cost optimization, and upskilling the existing Hospice SQL DBA team on cloud database operations.

Key Responsibilities

• Lead the planning and execution of the migration from self-managed SQL Server on EC2 to AWS RDS (SQL Server)
• 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
• Experience with AWS RDS (SQL Server) setup, migration, monitoring, Multi-AZ
• Experience with database migration projects (on-premises or EC2 to RDS)
• 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)
• 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)