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Salary
$105k – $214k per year (Estimated)
Location
Remote/Hybrid (Raleigh, United States)
Seniority
Principal · 10+ years exp
Employment
Full-Time
Overview
Company
Impact
Profile match
Veradigm is a healthcare technology company headquartered in Chicago, Illinois, which was originally founded in 1986 as Allscripts. The company provides a comprehensive suite of solutions including electronic health records, practice management software, revenue cycle management services, and real-world data analytics. It operates primarily within the United States, serving a vast network of healthcare providers, health plans, and life sciences organizations through its integrated data and technology platform.

Owns architecture, implementation, reliability, and lifecycle management of Veradigm’s database platform across multiple engines and cloud providers. Designs new database systems end-to-end - from inception through production - including engine and deployment-model selection, server and storage architecture, multi-cloud infrastructure, and high-availability and disaster-recovery posture. Owns 24×7 production reliability and serves as the final escalation point for major outages, complex performance incidents, and cross-team database 911s. Acts as senior technical authority and subject matter expert across multiple database technologies (SQL Server, PostgreSQL, MySQL, MongoDB, DynamoDB, Snowflake) and across AWS and Azure. Sets technical direction for major platform initiatives, including AI-augmented database operations

  • Determines database architecture for new business use cases - including engine selection, deployment model (IaaS vs. PaaS), topology, sizing, integration patterns, and availability targets up to 99.99% (4 nines) - across SQL Server, PostgreSQL, MySQL, MongoDB, DynamoDB, and Snowflake.
  • Designs and implements multi-cloud database infrastructure across AWS and Azure, including server, storage, and network architecture tuned for top engine performance. Authors and reviews database infrastructure-as-code (Terraform) for provisioning, configuration management, and lifecycle automation.
  • Oversees the security, integrity, and performance of databases across the production estate - including access controls, encryption at rest and in transit, audit logging, HIPAA-aligned PHI protection, vulnerability management, and database integrity validation.
  • Implements monitoring, observability, and alerting across all database systems and cloud platforms, delegates alert response to team members, and audits incident resolution. Leads complex performance triage and 911 response across product engineering teams.
  • Provides technical leadership for peers and delegates tasks for both major and minor projects.
  • Independently implements and documents enhancement requests.
  • Independently reviews and approves technical design specifications.
  • Designs, audits, and tests high-availability and disaster-recovery architectures engineered to meet 99.99% (4 nines) availability SLAs - including cross-region failover, replication topology, RPO/RTO planning, immutable and air-gapped backup architectures for ransomware protection, point-in-time recovery, and validated restore drills.
  • Serves as final escalation point for database issues escalated by Database Engineers and by partner engineering teams - including production 911 incidents, complex performance investigations, and cross-team database-rooted problems across the full Veradigm engineering organization.
  • Independently owns multiple, concurrent minor or major database platform projects from concept to completion - including requirements gathering, architectural design, implementation, task delegation, schedule creation, deployment, testing, and handoff of the technology solution to the business.
  • Independently owns and is subject matter expert in multiple database technologies and cloud platforms - including SQL Server, PostgreSQL, MySQL, MongoDB, DynamoDB, and Snowflake - and across managed (PaaS) and self-managed (IaaS) deployment models on both AWS and Azure. Sets technical direction for AI-augmented database operations, including LLM-assisted design, ML-driven anomaly detection, automated performance tuning, and natural-language operational tooling.

Job Requirements

Education Level Education

Bachelor's Degree or equivalent Technical / Business experience

Masters Degree - Preferred

Work Experience

10+ years relevant work experience; 2-3 years at the Expert level or equivalent experience - Preferred

Preferred Certifications

ITIL Foundations

MTA Database Fundamentals

MCSA Database Administrator

Azure Fundamentals Azure Data Fundamentals

Microsoft Certified Azure Data Engineer Associate

Knowledge, Skills and Abilities

  • Ability to work collaboratively with a team and receive constructive feedback from senior engineers
  • Ability to provide excellent partnership and consultation to product and engineering teams who may not have deep database expertise.
  • Expert knowledge of multiple database engines spanning relational (SQL Server, PostgreSQL, MySQL), document and key-value stores (MongoDB, DynamoDB), and cloud data warehousing (Snowflake), including engine internals, configuration, and operational characteristics under production load.
  • Expert knowledge of database performance monitoring, tuning, and triage at the engine, server, and storage layers across multiple platforms.
  • Expert knowledge of database scripting and automation languages (T-SQL, PowerShell, Python, Bash) and of infrastructure-as-code (Terraform) for database provisioning and lifecycle management.
  • Expert knowledge of multi-cloud database engineering across AWS and Azure, including managed database services (RDS, Aurora, Azure SQL, Cosmos DB, DynamoDB, Snowflake) and self-managed engine deployments on cloud compute. Expert knowledge of database server and storage architecture tuned for engine performance - instance class and CPU/memory profile selection, NUMA awareness, OS-level tuning, IOPS planning, volume type selection, and network architecture. Expert knowledge of designing database systems to high-availability SLAs of 99.99% (4 nines) and above, including cross-region failover automation, replication topology, RPO/RTO planning, ransomware-resilient backup architectures, and recovery validation.
  • Expert knowledge of change management principles and the ability act as a proactive change agent
  • Expert knowledge of project management

Working Arrangements

  • Standard work week or as defined by assignment requirements
  • Primarily works in standard office environment or remotely
  • May require after-hours, on-call support and/or holidays
  • On-call and after hours work during peak times including end of month/quarter/year; during this time PTO is limited to meet business needs

Travel

  • Up to 10% travel may be required

Compensation for this job is subject to market conditions, geographic considerations, the candidate’s unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates’ unique contributions and support their professional growth.

Enhancing Lives and Building Careers

Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network. Interested in learning more?

Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings.

Visa Sponsorship is not offered for this position.

At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.

Veradigm’s policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.

From a "VEVRAA Federal Contractor" We request Priority Referral of Protected Veterans

This is an official Veradigm Job posting. To avoid identity theft, please only consider applying to jobs posted on our official corporate site.

Thank you for reviewing this Veradigm opportunity. Does this look like a great match for your skill set? If so, scroll on down and tell us more about yourself!

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