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At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources and needed treatments - and enable care providers, employers, health plans and life sciences companies to meaningfully enhance quality, outcomes and value. We are dedicated to helping our partners evolve and modernize to meet emerging patient and marketplace needs.
Fuze Health's foundation is built upon the strategic combination of several proven, technology-powered innovators in the digital health, diagnostics, and pharmacy sectors. Our growing portfolio brings together the capabilities of industry leaders including LetsGetChecked, Truepill, and Alto Pharmacy, to create a distinctive, unified force in healthcare. Together, we have the shared vision, advanced capabilities and talented teams to deliver next-generation solutions that patients and healthcare partners need today and into the future.
We are seeking a Senior Database Administrator to join our Technology Platform team, dedicated to the Hospice business unit. You will lead the AWS database modernization effort for a recently migrated healthcare platform driving the strategic migration from self-managed SQL Server on EC2 to AWS RDS, executing database cost optimization, and upskilling the existing Hospice SQL DBA team on cloud database operations. This is a high-impact role shaping the database strategy for critical healthcare applications serving hospice patients across the United States.
Key Responsibilities

• Lead the planning and execution of the migration from self-managed SQL Server on EC2 to AWS RDS (SQL Server)
• Drive database cost optimization: right-sizing instances, evaluating Reserved Instances, storage tiering, and eliminating unnecessary licensing costs
• Upskill and mentor the existing Hospice SQL DBA team on AWS database operations, RDS management, and cloud best practices
• Establish cloud-native database monitoring, alerting, and performance baselines using Datadog and CloudWatch
• Design and implement automated backup, restore, and disaster recovery processes using AWS Backup
• Perform query optimization, index management, and capacity planning
• Collaborate with the DevOps team on infrastructure automation (Terraform for RDS)
• Ensure HITRUST E1 compliance for all database systems (encryption, access controls, audit logging)
• Support the Hospice application team with database-related development needs
• Evaluate future database modernization opportunities (PostgreSQL, Aurora) for the 2027 roadmap

Required Experience & Qualifications
Minimum Qualifications:

• 8+ years of experience in database administration
• Deep expertise with Microsoft SQL Server (2016+) performance tuning, high availability, disaster recovery
• Experience with AWS RDS (SQL Server) setup, migration, monitoring, Multi-AZ
• Experience with database migration projects (on-premises or EC2 to RDS)
• Strong understanding of backup/restore strategies, point-in-time recovery, cross-region replication
• Experience with monitoring tools (Datadog, CloudWatch, SQL Server DMVs)
• Proficiency in T-SQL, stored procedures, and query optimization
• Experience working in regulated environments (HIPAA, HITRUST, SOC2)

Preferred Qualifications:

• Experience with AWS Backup, AWS DMS (Database Migration Service)
• Experience with Terraform for database infrastructure management
• Experience with other database engines (PostgreSQL, Aurora) for future modernization
• Experience with Windows Server administration
• AWS certifications (Database Specialty, Solutions Architect)
• Experience mentoring junior DBAs or application developers on database best practices

Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions.
Consistent with the Americans with Disabilities Act (ADA) and similar applicable state laws, it is Fuze Health's policy to provide reasonable accommodation to enable qualified individuals with disabilities to perform essential job functions, unless such accommodation would cause an undue hardship.
This position requires occasional travel therefore you must be able to sit for extended periods of time on airplanes and/or in vehicles, lift and carry luggage independently, navigate long distances through airports and other travel locations independently, and adjust to different time zones and climates.
Salary and Benefits
Salary Range: $125,600 - $157,000
Commission Eligible: No
Travel: No
Location Requirement:

• FuzeRx is limited to individuals residing in the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, Washington (WA), Wisconsin

Employment Authorization Requirement: Applicants must be authorized to work for any employer in the U.S.
Benefits:
Full-time employee benefits include: dental, vision, and multiple group medical plans to choose from, a 401(k) retirement savings plan, group life insurance, accidental death and dismemberment (AD&D) insurance, flexible spending account (FSA) and health savings account (HSA), commuter benefits, employer-paid short-term (STD) and long-term disability (LTD) insurance, and additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program). Employees are also provided flexible vacation time, accrued paid sick time, 10 paid holidays, (2 floating holidays for full time non-exempt employees) , and eight weeks of paid parental leave for eligible employees, additional paid weeks for the birthing parent, 4 weeks paid caregiver leave, and a Lifestyle Spending Account allowance each month.
More Benefits Information Here: Fuze Health Benefits Site
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At Fuze Health, we are committed to fostering an inclusive environment that celebrates diversity in all its forms. We believe that the diversity of thought, background, and experience strengthens our teams and drives innovation. We are an equal-opportunity employer and do not discriminate on the basis of race, ethnicity, religion, color, place of birth, sex, gender identity or expression, sexual orientation, age, marital status, military service status, or disability status. Our goal is to ensure that everyone feels valued and empowered to thrive.
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