{"id":2145772,"url":"https://alion.io/job/medical-guardian-senior-database-engineer","title":"Senior Database Engineer","company":{"id":6309,"name":"Medical Guardian","domain":"medicalguardian.com","url":"https://alion.io/company/medical-guardian","size_band":"201-500","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workable","truth_index":null},"role":"Data Science","role_family":"Data Science","seniority":"senior","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"explicit","locations":["Philadelphia, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":106000,"max_usd":202000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":1251},"experience_years_min":null,"visa_sponsorship":true,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Azure","optional":false},{"name":"Azure Cosmos DB","optional":false},{"name":"Bicep","optional":false},{"name":"CI/CD","optional":false},{"name":"Databricks","optional":false},{"name":"HIPAA","optional":false},{"name":"Least Privilege","optional":false},{"name":"MS SQL","optional":false},{"name":"PCI DSS","optional":false},{"name":"Platform Engineering","optional":false},{"name":"PowerShell","optional":false},{"name":"Python","optional":false},{"name":"Salesforce Data Cloud","optional":false},{"name":"SOC 2","optional":false},{"name":"SQL","optional":false},{"name":"Terraform","optional":false},{"name":"Apex","optional":true},{"name":"Azure SQL Database","optional":true},{"name":"Datadog","optional":true},{"name":"Git","optional":true},{"name":"GitHub Actions","optional":true},{"name":"Machine Learning","optional":true},{"name":"OpenTelemetry","optional":true},{"name":"Rest API","optional":true},{"name":"Vault","optional":true}],"status":"live","first_seen_at":"2026-08-27T00:00:00Z","employer_posted_date":"2026-08-27","last_verified_at":"2026-10-21T06:27:15Z","board_verified":true,"closed_at":null,"days_open":55,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":55},"description":"About Medical Guardian:\nMedical Guardian is a fast-growing digital health and safety company on a mission to help people live a life without limits. With 14 consecutive years on the Inc. 5000 list of Fastest Growing Companies, we are redefining what it means to age confidently and independently.\nWe support over 625,000 members nationwide with life-saving emergency response systems and remote patient monitoring solutions. Trusted by families, healthcare providers, and care managers, our work is powered by a culture of innovation, compassion, and purpose.\nRole Summary:\nThe Senior Database Engineer is Medical Guardian's primary owner and steward of the enterprise database platform, accountable for the availability, performance, recoverability, security, and operational health of the organization's data infrastructure, including Microsoft SQL Server, Azure Cosmos DB, and future database technologies.\nAs Medical Guardian's dedicated database subject matter expert, this individual owns database administration, performance optimization, backup and recovery, disaster recovery readiness, operational automation, database security, and incident response for critical data systems supporting members, caregivers, internal operations, applications, analytics, and emerging technology initiatives, including Medical Guardian's Nexus platform migration and ongoing data platform consolidation across Azure Data Warehouse, Azure Data Lake, Databricks, and Salesforce Data Cloud.\nThis role works closely with the Data Operations, AI/ML, and Infrastructure teams, providing database expertise and engineering support across initiatives that depend on Medical Guardian's enterprise data platforms. It also partners with Security, Compliance, and Architecture to ensure database services remain resilient, scalable, recoverable, secure, and operationally sound.\nThis is a dedicated database engineering role. Database availability, security, integrity, performance, and recoverability are the sole primary accountability of this position.\nKey Responsibilities:\nDatabase Administration and Platform Ownership\nServe as Medical Guardian's primary database subject matter expert and technical owner for enterprise database platforms. \nEstablish and maintain database operational standards, governance practices, maintenance procedures, lifecycle management processes, and engineering best practices. \nOwn the strategic roadmap for database platforms, including modernization, upgrades, migrations, and cloud adoption, including database components of the Nexus transformation. \nAdminister and support Microsoft SQL Server across production, development, testing, and disaster recovery environments, and Azure Cosmos DB and future cloud-native database technologies as the platform footprint evolves. \nManage database installations, upgrades, patching, migrations, configuration management, and version control. \nMaintain database maintenance schedules including backups, integrity checks, index maintenance, statistics updates, and patch management. \nProvide technical guidance to Engineering, Data Operations, AI/ML, Infrastructure, and Architecture on database design, scalability, performance, security, and operational readiness. \nEvaluate emerging database technologies, tools, and operating practices against business and technical objectives. \nPerformance, Reliability, and Capacity\nMonitor, analyze, and continuously improve database performance across business-critical applications and services, including index strategy, execution plans, blocking, deadlocks, and resource utilization. \nPartner with Engineering, Data Operations, and AI/ML teams to optimize application data-access patterns, SQL performance, data models, and analytics/AI workloads. \nDevelop performance baselines, conduct proactive assessments, and remediate issues before they affect production. \nBuild and maintain observability, including dashboards, alerting, health checks, and operational reporting, for database availability, health, and capacity. \nManage database file structures, filegroups, partitioning, and storage growth; forecast capacity requirements and remediate constraints ahead of impact. \nIdentify recurring operational issues and implement sustainable engineering fixes rather than manual workarounds. \nBackup, Recovery, and Business Continuity\nOwn enterprise database backup, retention, restoration, and recovery strategy across supported platforms. \nDefine and maintain Recovery Point Objectives (RPO) and Recovery Time Objectives (RTO) in partnership with Technology leadership, and report status against these targets on a defined cadence. \nExecute and document routine backup restoration testing to verify integrity and recovery readiness, retaining evidence for audit purposes. \nPartner with Infrastructure on disaster recovery architecture, failover processes, and resiliency planning; support DR exercises and business continuity events. \nIncident Response and Operational Readiness\nServe as the primary database subject matter expert in Technology's incident response process, including availability, performance, integrity, replication, and recovery events. \nParticipate in an on-call rotation and provide after-hours support for critical database incidents. \nCoordinate with Engineering, Data Operations, AI/ML, Infrastructure, Security, and vendors during active incidents to restore service safely and quickly. \nMaintain recovery runbooks, DR procedures, and incident response documentation; lead root cause analysis and drive corrective action. \nCoordinate with Microsoft and other technology vendors during escalated incidents and platform outages. \nAutomation and Database Engineering\nAutomate repetitive database administration and operational activities to improve reliability and reduce manual effort. \nDevelop scripts, tooling, and workflows supporting provisioning, maintenance, monitoring, recovery, deployment, and operational reporting (PowerShell, T-SQL, Python). \nCollaborate with Engineering and Infrastructure on database deployment automation, CI/CD, and release validation, and support Infrastructure-as-Code initiatives where they intersect with database platforms. \nMaintain database automation code using source control, peer review, and testing practices consistent with Engineering standards. \nUse AI-assisted engineering tools to accelerate troubleshooting, analysis, documentation, and administration, applying appropriate judgment and validation. \nSecurity, Compliance, and Data Protection\nImplement and maintain database security controls, including permissions, encryption, auditing, access governance, and data protection, in alignment with MG-SEC-DC-001 and applicable data classification requirements. \nPartner with Security and Compliance to support HIPAA, SOC 2 Type II, PCI-DSS, and HITRUST i1 obligations specific to database platforms, including control mapping and evidence collection for audits. \nMonitor and remediate database vulnerabilities within established risk and remediation timelines. \nEnsure database environments maintain logging, monitoring, auditing, and evidence retention sufficient for compliance assessments. \nApply least-privilege and secure-configuration principles to all database and automation solutions. \nKnowledge Continuity and Cross-Training\nMaintain current, accessible runbooks and architecture documentation sufficient for another qualified engineer to operate and recover database platforms in this individual's absence. \nPartner with Infrastructure and Engineering leadership to build secondary coverage (cross-training or a designated backup) for on-call and disaster recovery response. \nConduct periodic knowledge-transfer sessions with Infrastructure and Engineering to reduce concentration risk on a single individual. \nCross-Functional Collaboration\nWork closely with Data Operations to support data availability, movement, reporting/analytics needs, and reliable access to enterprise data platforms. \nPartner with the AI/ML team on database architecture, data access, performance, and data pipeline requirements for AI/ML solutions, and support ongoing efforts to reduce duplication across the Salesforce Data Cloud and Azure AI/data backend. \nCollaborate with Infrastructure on hosting, compute, storage, networking, high availability, DR, monitoring, and capacity planning. \nCollaborate with Architecture on database strategy, modernization, technical standards, and platform roadmap, including Nexus. \nSupport onboarding of new applications, data solutions, integrations, and AI/ML capabilities by ensuring database requirements are scalable, secure, performant, recoverable, and operationally supportable. \nRequired Skills and Experience:\nDatabase Administration Expertise\n7+ years of professional experience administering Microsoft SQL Server in enterprise production environments. \nDemonstrated expertise in performance tuning, indexing strategy, query optimization, and workload analysis. \nExperience owning database backup, recovery, disaster recovery, and business continuity processes. \nStrong understanding of SQL Server architecture, storage management, filegroups, partitioning, and high availability technologies. \nExperience supporting database upgrades, migrations, patching, and configuration/lifecycle management. \nDeep understanding of database security, permissions, encryption, auditing, and access management. \nAutomation and Platform Engineering\nStrong scripting and automation experience using PowerShell, T-SQL, and Python. \nExperience implementing CI/CD practices and deployment automation for database platforms. \nFamiliarity with Infrastructure-as-Code concepts and tooling such as Terraform, Bicep, or ARM templates. \nExperience supporting cloud database technologies within Microsoft Azure environments. \nUnderstanding of monitoring, observability, and logging tooling used to manage enterprise data platforms. \nReliability and Operations\nExperience leading incident response, root cause analysis, and service restoration for database platforms. \nExperience defining and tracking operational metrics for database performance, reliability, utilization, capacity, and recoverability. \nDemonstrated ability to develop operational documentation, recovery procedures, and runbooks. \nExperience supporting regulated environments with formal security, compliance, and audit requirements. \nFamiliarity with capacity planning, performance benchmarking, and operational risk management. \nCollaboration and Communication\nStrong written and verbal communication skills, able to explain technical concepts to technical and non-technical audiences. \nAbility to balance strategic database initiatives, operational responsibilities, and project commitments. \nStrong analytical, troubleshooting, and problem-solving capabilities. \nAbility to operate independently as the organization's primary database subject matter expert while collaborating effectively across teams. \nOther:\nCandidates must be able to work from Philadelphia, PA office on Tuesdays and Wednesdays.\nMust be legally authorized to work in the United States without current or future employer sponsorship. \nPreferred Qualifications:\nExperience administering Azure Cosmos DB. \nExperience with Azure SQL Database and Azure SQL Managed Instance. \nExperience supporting data engineering, analytics, or data operations teams. \nExperience supporting AI/ML platforms, data pipelines, or machine learning workloads. \nExperience supporting healthcare technology or other highly regulated environments. \nFamiliarity with HIPAA, SOC 2 Type II, PCI-DSS, or HITRUST requirements. \nExperience implementing database monitoring and observability platforms. \nMicrosoft SQL Server, Azure, or related industry certifications. \nExperience leveraging AI-assisted engineering and operational tools to improve troubleshooting and operational effectiveness. \nPreferred Technology Stack:\nMicrosoft SQL Server \nAzure Cosmos DB \nAzure SQL Database / Azure SQL Manage...","description_format":"text","description_chars":12743,"description_truncated":true,"requirements":{"experience_years_min":null,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["401k plan","Life insurance","Retirement plans"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Patient 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