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Salary
$145k – $165k per year
Location
Hybrid (Mount Laurel, United States)
Seniority
Staff · 8+ years exp
Employment
Full-Time

Confirmed on the employer's own hiring board on Oct 11, 2026. First seen by Alion on Oct 1, 2026.

Overview
Company
Impact
Profile match
RhythMedix is a healthcare technology company focused on cardiac rhythm monitoring. It provides wearable ECG monitoring devices with built-in cellular connectivity that transmit ECG data directly so clinicians and patients can get faster arrhythmia results (claims of results in under two days and end-of-wear reports up to three weeks faster). The company appears to offer patient and provider portals, billing and support resources, and targets clinicians and healthcare providers for remote cardiac monitoring and diagnostics.

JOB SPECIFICATION - AZURE DATABASE ENGINEER

Reports to: Director, Software Development

Classification: Exempt, Full-Time

Location: On Site in Mount Laurel, NJ

COMPANY OVERVIEW:

RMX Holdco, Inc. and Subsidiaries (AKA “RhythMedix” or the “Company”) is a rapidly growing provider of remote cardiac monitoring services. The Company focuses on improving patient care through the use of patient-friendly devices and mobile communications to diagnose and treat heart disease faster.

POSITION SUMMARY:

We are seeking an experienced Azure Database Engineer with strong expertise in Microsoft SQL Server and Azure SQL environments. The ideal candidate will have a passion for database performance optimization, query tuning, and application data architecture, while working closely with software development teams to ensure scalable and reliable data solutions.

KEY RESPONSIBILITIES:

  • Design, implement, maintain, and optimize databases hosted on Azure SQL and Microsoft SQL Server.
  • Develop, troubleshoot, and optimize complex T-SQL queries, stored procedures, views, and functions.
  • Analyze and improve database performance through index optimization, execution plan analysis, and query tuning.
  • Monitor database health, capacity, availability, and security.
  • Collaborate with software development teams to optimize data access patterns and application performance.
  • Review and improve Entity Framework Core (EF Core) data access code, LINQ-to-Entities queries, and ORM implementations.
  • Participate in database design, schema changes, migrations, and deployment processes.
  • Troubleshoot production issues related to data access, performance, and scalability.
  • Implement and maintain data archival, backup, and recovery strategies.
  • Support cloud-based data solutions and contribute to data platform modernization initiatives.

REQUIRED QUALIFICATIONS:

  • 8-10 years of hands-on database administration and development experience.
  • Strong experience with Azure SQL Database and/or Microsoft SQL Server.
  • Advanced knowledge of T-SQL development and performance tuning.
  • Proven experience with database indexing strategies, query optimization, and execution plan analysis.
  • Experience working with Entity Framework Core (EF Core) and LINQ to Entities.
  • Solid understanding of ORM concepts and data access optimization techniques.
  • Experience troubleshooting and improving application and database performance in production environments.
  • Able to work a hybrid schedule and commute to Headquarters on required weekdays.

PREFERRED QUALIFICATIONS:

  • Experience with Azure Storage, including Table Storage and/or Cosmos DB.
  • Experience with Data Warehouse and/or Data Lake architecture.
  • Knowledge of Data API Builder (DAB), Model Context Protocol (MCP), or modern SQL-based API solutions.
  • Experience in healthcare, medical software, or regulated environments.
  • Familiarity with Azure cloud services, monitoring, and automation tools.

TECHNICAL SKILLS:

  • Azure SQL Database
  • Microsoft SQL Server
  • T-SQL
  • Database Performance Tuning
  • Index Analysis and Optimization
  • Query Execution Plans
  • Entity Framework Core (EF Core)
  • LINQ to Entities
  • ORM Design and Optimization
  • Azure Storage (Table Storage, Cosmos DB)
  • Data Warehouse / Data Lake (Preferred)
  • DAB / MCP for SQL (Preferred)

BENEFITS:

  • Competitive salary and bonus structure
  • Health, dental, and vision insurance
  • Retirement savings plan - 401(k) - with company match
  • Paid time off (PTO) and holidays
  • Professional development and training opportunities
  • Employee wellness programs

RMX Monitoring, LLC is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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