{"id":132926,"url":"https://alion.io/job/prompthealth-senior-database-reliability-engineer","title":"Senior Database Reliability Engineer","company":{"id":14771,"name":"Prompt Health","domain":"prompthealth.com","url":"https://alion.io/company/prompthealth","size_band":"51-200","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":{"grade":"A","score":85,"open_postings":37,"ghost_share":0.243,"stale_share":0,"repost_share":0,"time_to_fill_p50_days":51,"computed_at":"2026-10-29T05:49:05Z"}},"role":"Data Science","role_family":"Data Science","seniority":"senior","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":[],"countries":[],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":220000,"max":240000,"currency":"USD","period":"year","gross":null,"usd_annual":240000},"salary_estimate":null,"experience_years_min":6,"visa_sponsorship":false,"relocation_package":false,"has_equity":true,"technologies":[{"name":"Amazon Aurora","optional":false},{"name":"AWS","optional":false},{"name":"Datadog","optional":false},{"name":"Grafana","optional":false},{"name":"HIPAA","optional":false},{"name":"MySQL","optional":false},{"name":"Prometheus","optional":false},{"name":"Python","optional":false},{"name":"Terraform","optional":false},{"name":"Agile","optional":true},{"name":"Amazon Redshift","optional":true},{"name":"Databricks","optional":true},{"name":"PHP","optional":true},{"name":"Snowflake","optional":true}],"status":"live","first_seen_at":"2026-08-25T23:11:32Z","employer_posted_date":"2026-08-25","last_verified_at":"2026-10-29T03:35:43Z","board_verified":true,"closed_at":null,"days_open":64,"trust":{"level":"ok","repost_count":0,"flags":["company_stale"],"days_open":64},"description":"Job Title: Senior Database Reliability Engineer\nCompany Overview\nPrompt Health is revolutionizing healthcare by delivering highly automated and modern B2B enterprise software to rehab therapy businesses, the teams within, and the patients they serve. We have established ourselves as the go-to platform in the space, are setting a new standard in healthcare technology, and rapidly growing our market share.\nWe're constantly identifying new challenges across outpatient therapy and the broader healthcare space. As a Senior Database Reliability Engineer at Prompt, you'll own the health, performance, and cost-efficiency of the databases that power our EMR (electronic medical record) and every product and team built on top of it. This is a role for someone who doesn't just respond to alerts, but gets to the root of problems, prevents them from recurring, and shapes the architecture so the platform scales cleanly as we grow. If you're a database expert who thinks in query plans, replication topologies, and dollars-per-workload, we want you on our team!\nWhy work for Prompt?\nBig Challenges: Here at Prompt, we are solving complex and unique problems that have plagued the healthcare industry since the dawn of time.\n\nTalented People: Prompt didn't happen by chance, it's a team of incredibly talented and proven individuals who all made their mark before joining forces to build the greatest software on the planet for rehab therapists.\n\nHealthy Approach: This isn't an investment bank. At Prompt you own your workload and the entire organization takes a liking to smart work (over hard work).\n\nPositive Impact: Prompt helps outpatient rehab organizations treat more patients and deliver better care with less environmental waste. That means less surgery and less narcotic-based pain treatment, all while turning a paper-heavy industry digital.\n\nKey Responsibilities\nOwn the reliability, performance, and availability of all production databases (Aurora MySQL on AWS) across our EHR, Data, and AI teams.\n\nManage database alerting end to end - build and maintain the observability pipeline that feeds database metrics and alerts into Datadog, and fold after-hours database alerts into the DevOps on-call rotation.\n\nEducate and train the various engineering teams about proper database hygiene and best-performing queries\n\nImplement automated safeguards, including automatic termination of long-running and runaway queries, and fast, always-available visibility into what's currently executing on any instance.\n\nAuthor and maintain database runbooks so that first responders can act on incidents quickly and consistently.\n\nDive deep into problematic queries - diagnose, optimize, and re-index - and drive down both latency and the load that forces us to scale out.\n\nReview new EMR and application queries before release, acting as the performance gate that keeps inefficient queries out of production.\n\nArchitect and continuously right-size our Aurora reader topology and read-routing strategy, matching capacity to real workload and eliminating over-provisioning.\n\nOwn database cost efficiency: instance right-sizing, reserved-capacity/Savings Plan strategy, and storage tiering.\n\nManage replication health, backups, restore testing, failover, and disaster recovery.\n\nEstablish safe schema-change and migration practices across teams.\n\nPartner with the Platform Architect to determine the best path forward for new and existing database workloads\n\nHandle protected health information (PHI) responsibly within a HIPAA-compliant environment.\n\nQualifications\n6+ years in database reliability engineering, database administration, or database engineering, including ownership of production systems at scale.\n\nDeep MySQL expertise - query optimization, execution-plan analysis, indexing strategy, and replication. Aurora MySQL experience strongly preferred.\n\nHands-on experience operating large, multi-reader Aurora or RDS clusters at terabyte scale, including read-routing and connection management.\n\nStrong command of database observability tooling (Datadog, Percona Monitoring and Management (PMM), Performance Insights, Prometheus/Grafana).\n\nProficiency in a scripting language (Python, Bash, or similar) for automation, and comfort with infrastructure-as-code (Terraform).\n\nSolid AWS operational depth around RDS/Aurora, including cost optimization (instance sizing, reserved capacity, storage types).\n\nExperience with on-call/incident response and authoring runbooks.\n\nExcellent communication skills and the ability to collaborate across engineering teams.\n\nPreferred Skills\nExperience standing up or operating a cloud data warehouse (Snowflake, Databricks, Redshift) and moving analytical workloads off OLTP databases.\n\nExperience in a HIPAA-regulated or other compliance-heavy environment handling sensitive data.\n\nFamiliarity with query auto-remediation tooling (pt-kill / Percona Toolkit, statement timeouts, custom killers).\n\nApplication-side familiarity (PHP) to collaborate effectively on query review.\n\nKnowledge of security best practices for database and cloud environments.\n\nPrevious experience with agile methodologies and working in fast-paced environments.\n\nPerks - What you can expect\nCompetitive salaries\n\nRemote/hybrid environment\n\nPotential equity compensation for outstanding performance\n\nFlexible PTO\n\nCompany-wide sponsored lunches\n\nCompany paid disability and life insurance benefits\n\nCompany paid family and medical leave\n\nMedical, dental, and vision insurance benefits\n\nDiscounted pet insurance\n\nFSA/DCA and commuter benefits\n\n401k\n\nCredits for online fitness classes/gym memberships\n\nRecovery suite at HQ - includes a cold plunge, sauna, and shower\n\nHere at Prompt, we are committed to fostering a fair and respectful work environment. As part of this commitment, it is our policy not to hire individuals from Prompt Customers unless they have obtained their current employer's explicit consent. We believe in upholding strong professional relationships and respecting the agreements and commitments our customers have with their employees. We appreciate your understanding and cooperation regarding this policy. If you have any questions or concerns, please don't hesitate to reach out to our People Department.\nPrompt Therapy Solutions, Inc is an equal opportunity employer, indiscriminate of race, color, religion, ethnicity, ancestry, national origin, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, disability, medical condition, or any other protected characteristic. We celebrate diversity and are committed to creating an inclusive environment for all employees.\nPrompt Therapy Solutions, Inc is an E-Verify Employer.","description_format":"text","description_chars":6695,"description_truncated":false,"requirements":{"experience_years_min":6,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["401k plan","Equity","Gym membership","Life insurance","Vision insurance"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["EHR & Clinical Software","Practice Management Software","Revenue Cycle & Medical Billing"],"lifecycle":[{"event":"open","at":"2026-08-25T23:11:32Z"}],"visa":[],"liveness":{"score":36,"band":"fade","label":"Fading","p_open":1,"p_active":0.814,"p_room":0.44,"age_days":64,"expected_fill_days":51,"reasons":["conf:2","win:tail","crowd:"],"computed_at":"2026-10-29T05:49:05Z"},"pay":{"stated_usd_annual":240000,"is_top_pay":true},"html_url":"https://alion.io/job/prompthealth-senior-database-reliability-engineer","json_url":"https://alion.io/job/prompthealth-senior-database-reliability-engineer.json","meta":{"generated_at":"2026-10-29T06:16:52Z","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":9537,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-30T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"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":14771},"rest":"https://alion.io/mcp/rest/get_company?id=14771"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fprompthealth-senior-database-reliability-engineer"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"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%2Fprompthealth-senior-database-reliability-engineer"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"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%2Fprompthealth-senior-database-reliability-engineer"},{"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/prompthealth-senior-database-reliability-engineer\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fprompthealth-senior-database-reliability-engineer"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":132926}},{"tool":"search_jobs","arguments":{"company":"prompthealth.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":132926},"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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