Database SRE Specialist

Company Description

At Intelerad, we believe the path to answers in healthcare should be clear-whether you are waiting for a diagnosis or trying to expedite one. Our medical imaging solutions streamline the flow of information, simplifying complex processes, maximizing efficiencies, and shining a light on the unknown. We empower physicians to get patients the answers they need faster and improve outcomes for everyone.

With more accessible imaging, we are getting patients out of the dark.

Headquartered in Raleigh, NC and Montreal, Intelerad has nearly 800 employees located in offices across four countries. The company empowers nearly 2,000 healthcare organizations around the world with the speed, scalability, and simplicity needed to increase business performance while, most importantly, improving patient outcomes. Intelerad’s modern enterprise solutions have been acknowledged by a Best in KLAS recognition, ranking #1 for PACS Europe UK/Ireland in the 2026 Best in KLAS:
Global Software (Non-US) report.

The Site Reliability Engineer (Database) plays a critical role in maintaining the performance, availability, and scalability of Intelerad's mission‑critical healthcare imaging platforms.

This position combines deep technical expertise in system administration, database performance optimization, and infrastructure to ensure our PACS, RIS, and enterprise imaging solutions deliver the reliability that healthcare providers depend on 24/7.

The SRE (Database) will provide advanced knowledge in database performance tuning, system reliability engineering, and automated deployment practices. The role takes the lead in maintaining and optimizing complex database environments, ensuring consistent performance, stability, and operational health across mission‑critical systems. It also places a strong emphasis on ongoing support activities, including proactive monitoring, incident response, routine maintenance, and database housekeeping, to prevent performance degradation and ensure long‑term system integrity.

• Ensure high system reliability and performance across production environments by proactively monitoring infrastructure health, identifying bottlenecks, and implementing solutions that support 99.9%+ uptime for mission‑critical healthcare imaging systems.
• Continuously monitor customer databases to detect issues, performance degradation, and anomalies; maintain dashboards, alerts, and tuning strategies; and support incident response and root‑cause analysis for database‑related events.
• Optimize SQL database performance by analyzing execution plans, implementing indexing strategies, tuning queries, and performing maintenance routines to ensure fast and reliable access to imaging data across multiple SQL Server applications.
• Lead deployment rollouts and system migrations from planning through execution, ensuring smooth transitions and thorough validation.
• Provide expertise in capacity planning and growth forecasting to maintain system scalability and stability.
• Drive effective incident management by diagnosing complex database and system issues, coordinating resolution across teams, performing root‑cause analysis, and implementing preventive measures to reduce recurrence.
• Promote continuous improvement by identifying automation opportunities, enhancing monitoring and alerting, documenting system configurations and procedures, and working with development teams to improve application reliability and performance.

• 5+ years of expert-level experience SQL, database engineering, Database reliability engineering or similar technical operations roles supporting enterprise production environments.
• Strong Sybase/SQL Server experience including performance tuning, query optimization, index management, backup/recovery procedures, and database maintenance in production environments.
• Experience with SQL Server high availability solutions (Always On, clustering, replication).
• Proficiency with Windows and/or Linux server administration, including scripting and automation (Power Shell, Bash, Python).
• Experience with monitoring and observability tools (PRTG monitor, Prometheus, Grafana,…