SQL Database Engineer, Healthcare Platform

. Build and maintain ETL pipelines using T-SQL stored procedures, PowerShell and Python, orchestrated through JAMS and SQL Agent .

Posted 10/15/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Tools & technologies

AzureETLMS SQL ServerPythonSQL

Key responsibilities & impact

Build and maintain ETL pipelines using T-SQL stored procedures, PowerShell and Python, orchestrated through JAMS and SQL Agent
Develop and support bidirectional Salesforce ↔ SQL Server synchronization and secure file-based integrations via SFTP / GoAnywhere MFT
Create and evolve database schemas, views, stored procedures and indexing strategies
Diagnose and fix slow queries and jobs using execution plans, Query Store, wait statistics and index analysis
Build validation and reconciliation checks to ensure data quality; investigate and resolve discrepancies
Develop and maintain SSRS reports and Power BI datasets
Build HIPAA-compliant solutions for protecting PHI through least-privilege access, secure transfer and auditability
Monitor scheduled jobs, troubleshoot failures and drive root-cause fixes
Participate in an on-call rotation for after-hours monitoring of critical jobs
Use Azure DevOps Git repositories, participate in code reviews and follow change-management processes for production deployments
Write and maintain technical documentation and runbooks
Work with operations leaders, analysts and clinical teams to clarify requirements and explain technical tradeoffs
Report to the Director of Database Development & Operations and join a small team of experienced engineers

What you’ll need

Permanent work status required: USC or GC
Employees must reside and work within the continental U.S.
3+ years of hands-on T-SQL development on Microsoft SQL Server
Strong command of stored procedures, query tuning, indexing and data modeling
Experience building and supporting production ETL processes, including scheduling, error handling and restartability
Scripting experience in PowerShell and/or Python for automation and integration
Experience working with healthcare data and an understanding of HIPAA obligations for PHI
Experience with SSRS and/or Power BI
Comfort with source control and working in a code-review culture
Bachelor's degree in Computer Science, Information Systems or a related field, or equivalent practical experience
Ability to work at a computer terminal for 6-8 hours a day
Ability to lift and move material weighing up to 20 lbs. infrequently
Nice to have: Utilization management, clinical review, CDI, claims, denials or appeals data
Nice to have: Salesforce data integration (DBAmp, Relational Junction or similar)
Nice to have: JAMS or another enterprise job scheduler
Nice to have: Azure data services
Nice to have: Managed file transfer (GoAnywhere or similar)

Comp & perks