Senior Database Engineer

About Medical Guardian:

Medical Guardian is a fast-growing digital health and safety company on a mission to help people live a life without limits. With 14 consecutive years on the Inc. 5000 list of Fastest Growing Companies, we are redefining what it means to age confidently and independently.

We support over
625,000 members nationwide with life-saving emergency response systems and remote patient monitoring solutions. Trusted by families, healthcare providers, and care managers, our work is powered by a culture of innovation, compassion, and purpose.

The Senior Database Engineer is Medical Guardian's primary owner and steward of the enterprise database platform, accountable for the availability, performance, recoverability, security, and operational health of the organization's data infrastructure, including Microsoft SQL Server, Azure Cosmos DB, and future database technologies.

As Medical Guardian's dedicated database subject matter expert, this individual owns database administration, performance optimization, backup and recovery, disaster recovery readiness, operational automation, database security, and incident response for critical data systems supporting members, caregivers, internal operations, applications, analytics, and emerging technology initiatives, including Medical Guardian's Nexus platform migration and ongoing data platform consolidation across Azure Data Warehouse, Azure Data Lake, Databricks, and Salesforce Data Cloud.

This role works closely with the Data Operations, AI/ML, and Infrastructure teams, providing databaseexpertiseand engineering support across initiatives that depend on Medical Guardian's enterprise data platforms. It also partners with Security, Compliance, and Architecture to ensure database servicesremainresilient, scalable, recoverable, secure, and operationally sound.

This is a dedicated database engineering role. Database availability, security, integrity, performance, and recoverability are the sole primary accountability of this position.

Database Administration and Platform Ownership

• Serve as Medical Guardian's primary database subject matter expert and technical owner for enterprise database platforms.
• Establish andmaintaindatabase operational standards, governance practices, maintenance procedures, lifecycle management processes, and engineering best practices.
• Own the strategic roadmap for database platforms, including modernization, upgrades, migrations, and cloud adoption, including database components of the Nexus transformation.
• Administer and support Microsoft SQL Server across production, development, testing, and disaster recovery environments, and Azure Cosmos DB and future cloud-native database technologies asthe platform footprint evolves.
• Manage database installations, upgrades, patching, migrations, configuration management, and version control.
• Maintain database maintenance schedules including backups, integrity checks, index maintenance, statistics updates, and patch management.
• Provide technical guidance to Engineering, Data Operations, AI/ML, Infrastructure, and Architecture on database design, scalability, performance, security, and operational readiness.
• Evaluate emerging database technologies, tools, and operating practices against business and technical objectives.

Performance, Reliability, and Capacity

• Monitor, analyze, and continuously improve database performance across business-critical applications and services, including index strategy, execution plans, blocking, deadlocks, and resource utilization.
• Partner with Engineering, Data Operations, and AI/ML teams tooptimizeapplication data-access patterns, SQL performance, data models, and analytics/AI workloads.
• Develop performance baselines, conduct proactive assessments, and remediate issues before they affect production.
• Build andmaintainobservability, including dashboards, alerting, health checks, and operational reporting, for database availability, health, and capacity.
• Manage database file structures, file groups, partitioning, and storage growth; forecast capacity requirements and remediate constraints ahead of impact.
• Identify recurring operational issues and implement sustainable engineering fixes rather than manual workarounds.

Backup, Recovery, and Business Continuity

• Own enterprise database backup, retention, restoration, and recovery strategy across supported platforms.
• Define and maintain
  
  Recovery Point Objectives (RPO) and Recovery Time Objectives (RTO) in partnership with Technology leadership, and report status against these targets on a defined cadence.
• Execute and document routine backup restoration testing to verify integrity andrecoveryreadiness,retaining evidence for audit purposes.
• Partner with Infrastructure on disaster recovery architecture, failover processes, and resiliency planning; support DR exercises and business continuity events.

Incident Response and Operational Readiness

• Serve as the primary database subject matter expert in Technology's incident response…