{"id":4285252,"url":"https://alion.io/job/accanto-health-database-administrator","title":"Database Administrator","company":{"id":669489,"name":"Accanto Health","domain":"accanto.com","url":"https://alion.io/company/accanto","size_band":"11-50","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Greenhouse","truth_index":null},"role":"Data Science","role_family":"Data Science","seniority":"senior","employment_type":null,"work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Roseville, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":150414,"max":184970,"currency":"USD","period":"year","gross":null,"usd_annual":184970},"salary_estimate":null,"experience_years_min":5,"visa_sponsorship":true,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Azure","optional":false},{"name":"Azure SQL Database","optional":false},{"name":"ETL/ELT","optional":false},{"name":"HIPAA","optional":false},{"name":"Least Privilege","optional":false},{"name":"Microsoft Fabric","optional":false},{"name":"Power BI","optional":false},{"name":"SQL","optional":false}],"status":"live","first_seen_at":"2026-11-13T20:28:09Z","employer_posted_date":"2026-11-13","last_verified_at":"2026-11-13T21:35:40Z","board_verified":true,"closed_at":null,"days_open":0,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":0},"description":"Our vision is a world of peaceful relationships with food, weight, and body image, where everyone with an eating disorder can experience recovery. We believe that exceptional, individualized care leads to lasting recovery from eating disorders. That’s why our teams are comprised of compassionate, dedicated professionals from a variety of backgrounds who collaborate to provide the very best evidence-based care for our clients at all levels of care. \nPosition Overview: \nThe Database Administrator is responsible for the reliability, performance and security of Accanto Health's Azure data platform, which integrates data from the electronic health record, Salesforce and financial systems to support enterprise reporting and analytics. As the organization's first dedicated database administrator, this position establishes and maintains platform standards, monitoring, backup and recovery, access controls and documentation. The role administers Azure SQL and data warehouse environments, ensures the reliability of data ingestion from source systems, tunes database and reporting performance, and safeguards protected health information in accordance with HIPAA. This position partners with the Data Architect, Data Developers, and the EHR and application teams, and reports to the Director of Health Data Analytics.\nSchedule\n8am-5pm, Monday to Friday\nSalary Range:\n$150,414- $184,970 commensurate with experience\nLocation:\nRemote- Must be US based, and able to work with no restrictions in the US in a remote home office.\nTravel up to 10%\nVisa / work permit sponsorship is not available for this position\nHow Database Administrators Empower Recovery:\nPlatform and environments\nAzure SQL and warehouse environments across development, test and production - compute and storage sizing, performance tiers, and platform cost.\nEnvironment lifecycle, including scheduled refreshes of non-production from production so that test data is current enough to surface real edge cases. This is currently unowned and refreshes have lapsed; you will own the cadence, the vendor request process, and the cost conversation that goes with it.\nIngestion reliability from the EHR, Salesforce and financial systems - monitoring, alerting, failure triage, and documented re-run procedures.\nPerformance\nTune ETL/ELT transformations and reporting queries (SSRS, Power BI).\nOwn indexing, statistics and partitioning strategy for large tables such as claims, transactions and encounters.\nEstablish performance baselines, so that “the report is slow” becomes a measurement rather than an argument.\nSecurity and compliance\nRole-based access control, least-privilege design, and periodic access review.\nPHI safeguards under HIPAA: encryption in transit and at rest, data masking, audit logging.\nVendor and contractor access management, including access paths covered by business associate agreements.\nParticipation in incident response for data-related events.\nReliability\nBackup, restore and disaster recovery - including published RPO and RTO targets and restore tests that are actually performed, not just documented.\nDetection and resolution of source-to-warehouse synchronization gaps.\nRoot-cause analysis of data inconsistencies, including cases where the source system holds several conflicting copies of the same fact.\nDocumentation and continuity\nPlatform documentation, runbooks, and data lineage from source through to the reporting layer. This is a first-class responsibility, not an afterthought - undocumented dependencies are our single largest operational risk today.\nCross-training and written procedures, so no critical process depends on one person.\nPartnership\nData Architect, Data Modelers, Data Developers and Analytics leadership.\nThe EHR and application teams, and our EHR vendor's technical staff. Configuration changes are made in the application land in our warehouse, so this role is one of the few that has to see both sides. These teams currently plan separately; helping to close that gap is part of the job.\nFinance, on platform cost and forecasting.\nEducation Qualifications:\nBachelor’s degree required in information technology, Healthcare Administration, Health Information Management, Healthcare Informatics, Computer Science, Business, or related field preferred; Associate Degree and 7 years equivalent experience may be considered in lieu of degree.\nProfessional Qualifications:\nFive or more years administering relational databases in production, including SQL Server or Azure SQL.\nDemonstrated performance tuning on large transactional datasets.\nHands-on experience with Azure data services, including pipeline monitoring and failure triage.\nTroubleshooting synchronization between a source system and a downstream warehouse.\nComfort working with source data that is poorly documented, denormalized or hierarchically structured - and the discipline to write down what you learn.\nWorking knowledge of HIPAA safeguards as they apply to database and platform administration.\nHealthcare (EHR or revenue cycle) or financial systems experience preferred.\nMicrosoft Fabric and/or Synapse preferred.\nExperience supporting a site or entity consolidation - merging, mapping or retiring facility-level data preferred.\nInfrastructure-as-code or scripted deployment, and source control for database objects preferred.\nCompetencies:\nAdministers relational database platforms in production - backup and recovery, high availability, capacity and storage planning, patching and upgrades\nDiagnoses performance problems using execution plans, indexing, statistics and partitioning; establishes baselines rather than reacting to complaints\nWrites and tunes SQL fluently, and reads code written by others\nImplements database security: role-based access control, least privilege, encryption, masking, audit logging and periodic access review\nSafeguards protected health information in accordance with HIPAA at the database and platform layer\nMonitors data pipelines and integrations (APIs/web services, SFTP/file feeds, middleware), triages failures, and documents re-run and remediation steps\nWorks effectively with poorly documented source systems - infers structure, validates findings with subject-matter experts, and records what is learned\nOwns platform reliability end to end, including escalation and incident response\nApplies change control discipline: release readiness, testing coordination, backout planning and deployment standards\nTreats documentation as a deliverable - runbooks, data lineage, interface and architecture diagrams, knowledge base articles\nManage competing priorities with sound judgment, follow-through and appropriate escalation\nExplains technical constraints, configuration options, access controls and data considerations to technical and non-technical audiences\nBuilds credibility and influences without authority across business owners, super users, clinical and operational staff, InfoSec/Compliance and leadership\nManages vendor technical relationships, including holding a vendor to a commitment\nTransfers knowledge so that no critical procedure depends on one person\n Accanto’s Commitment to Equal Opportunity: Accanto is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status, or other characteristics protected by law. \nWhat we offer: \nEmployee Benefits: We understand the importance of a well-rounded benefits package. That’s why we’re dedicated to providing a range of plans to meet your needs. \nFor full-time employees, we offer: \nHSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield) \nDental insurance (Delta Dental)\nVision insurance (EyeMed) \nShort-term and long-term disability insurance \nCompany-paid life insurance \n401(k) plan available two months after start date\nCompany 401(k) matching for up to 50% of your contribution, up to 6% of your compensation \nPaid time off is a crucial part of maintaining work and life balance. Our generous PTO plan accrues annually and begins with your first whole pay period. Eligible employees enjoy seven paid holidays and one floating holiday in addition to their regular PTO.","description_format":"text","description_chars":8263,"description_truncated":false,"requirements":{"experience_years_min":5,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"associate","optional":false},"security_clearance":false,"languages":[]},"benefits":["Dental insurance","Home office","Life insurance","Vision insurance"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Psychotherapy & Counseling","Psychiatric Care"],"lifecycle":[{"event":"open","at":"2026-11-13T21:35:40Z"}],"visa":[],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":0,"expected_fill_days":27,"reasons":["conf:1","win:early"],"computed_at":"2026-11-13T23:20:51Z"},"pay":{"stated_usd_annual":184970,"is_top_pay":true},"html_url":"https://alion.io/job/accanto-health-database-administrator","json_url":"https://alion.io/job/accanto-health-database-administrator.json","meta":{"generated_at":"2026-11-13T23:20:51Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":46518,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-14T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.1,"usd":0.01,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":669489},"rest":"https://alion.io/mcp/rest/get_company?id=669489"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Faccanto-health-database-administrator"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"free","price":{"credits":0,"usd":0},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Faccanto-health-database-administrator"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.1,"usd":0.01},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Faccanto-health-database-administrator"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/accanto-health-database-administrator\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Faccanto-health-database-administrator"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":4285252}},{"tool":"search_jobs","arguments":{"company":"accanto.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":4285252},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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