Senior Data Base Administrator

Location:

Remote or Hybrid in Burlington, VT About the Role

We are seeking a Senior Database Administrator (DBA) to take ownership of performance, reliability, and evolution of mission‑critical healthcare data platforms.

This is not a traditional DBA role. You will operate at the intersection of customer environments and product engineering, spending approximately:

• 60% working directly with healthcare customers
• 40% partnering with R&D and engineering teams

You will work across SQL Server and Postgre

SQL environments deployed in hybrid architectures (on‑prem + cloud), ensuring healthcare providers have fast, reliable, and secure access to critical patient data.

An AI‑first mindset is required—you will be expected to leverage AI tools to automate operations, accelerate troubleshooting, and improve system intelligence.

• Act as a trusted technical advisor to customers on database performance, architecture, and reliability
• Troubleshoot and resolve production issues in high‑pressure healthcare environments
• Optimize systems supporting clinical imaging and patient data workflows
• Guide customers through best practices for hybrid database deployments
• Support upgrades, migrations, and environment stabilization efforts

• Partner with R&D to improve database architecture, scalability, and observability
• Contribute to modernization initiatives, including Postgre
  
  SQL adoption and cloud optimization
• Build automation for monitoring, alerting, backup, and recovery workflows
• Influence product design by bringing real‑world customer challenges into engineering decisions

• 5+ years of hands‑on DBA experience in production environments
• Strong expertise in Microsoft SQL Server and PostgreSQL
• Proven experience managing hybrid environments (on‑prem + cloud)
• Experience in customer‑facing or production support roles
• Deep knowledge of performance tuning, high‑availability/disaster recovery, and backup/recovery strategies
• Ability to operate effectively in 24/7, mission‑critical environments
• Proactively use AI tools to accelerate root cause analysis
• Improve system monitoring and predictive insights
• Continuously replace manual DBA workflows with intelligent automation
• Contribute to building an AI‑driven operations model

• Experience in healthcare IT environments
• Familiarity with DICOM, HL7, or FHIR
• Experience with clinical imaging systems (VNA, PACS)
• Experience with large‑scale data systems (TB‑scale and beyond)
• Exposure to cloud‑native architectures and containerization/Kubernetes
• Experience with database migration and modernization initiatives

Mach7 Technologies is proud to be an Equal Opportunity Employer. We are committed to creating an inclusive environment for all employees and applicants, regardless of race, ethnicity, religion, sex, sexual orientation, gender identity or expression, age, national origin, disability, veteran status, genetic information, or any other protected status under the law.