SQL Database Developer, AWS RDS; GC or USC Req'd; REMOTE

Overview

About Us:

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

Virtix Health is seeking a skilled SQL Database Developer to join our growing engineering team. In this role, you will be responsible for designing, developing, and optimizing SQL Server databases hosted on AWS RDS that power our healthcare data platform. You will work cross-functionally with software engineers, data analysts, and product teams to ensure our database layer is performant, reliable, and scalable.

This is a fully remote, mid-level position with opportunity to grow into a senior or lead role.

• Design, develop, and maintain SQL Server databases hosted on AWS RDS, ensuring reliability, availability, and data integrity.
• Perform query and index performance tuning — analyze execution plans, identify bottlenecks, and implement optimizations to support production workloads.
• Conduct load testing to simulate high-traffic scenarios, interpret results, and drive schema or configuration improvements.
• Collaborate with application developers to review and improve database-facing code, stored procedures, functions, and views.
• Develop and maintain data models, schema designs, and documentation following best practices for normalization and scalability.
• Build and maintain ETL/ELT pipelines and data transformation workflows using Python or similar tooling.
• Participate in CI/CD pipelines for database change management, including scripted migrations and version-controlled deployments.
• Ensure all data practices comply with HIPAA regulations and internal data governance standards for handling PHI/PII.
• Monitor database health, capacity, and performance metrics; proactively address issues before they impact end users.
• Contribute to peer code reviews and help establish database development standards across the team.

• Bachelor’s degree or equivalent; 3–5 years of hands-on experience as a SQL Server Database Developer or Database Engineer.
• Strong proficiency in T-SQL including complex queries, stored procedures, triggers, and views.
• Demonstrated experience with query performance tuning — reading execution plans, optimizing indexes, and resolving blocking/deadlock issues.
• Experience designing and managing databases on AWS RDS for SQL Server.
• Solid understanding of relational data modeling, normalization, and schema design principles.
• Experience with load testing methodologies and tools; ability to define test scenarios and interpret results.
• Working knowledge of ETL/ELT processes and experience with Python or similar scripting languages for data pipelines.
• Familiarity with CI/CD practices for database change management (e.g., Flyway, Liquibase, or equivalent).
• Understanding of HIPAA compliance requirements as they relate to data handling, access control, and audit logging.
• Strong communication skills and ability to collaborate effectively in a fully remote environment.

• Experience in healthcare or health-tech environment with exposure to clinical or claims data.
• Familiarity with AWS services such as Cloud Watch, Parameter Store, or Secrets Manager in a database context.
• Knowledge of HL7/FHIR data standards or healthcare interoperability concepts.
• Experience with reporting tools or analytics platforms (e.g., Power BI, SSRS, Tableau).
• Exposure to No
  
  SQL databases or hybrid data architectures.

SQL-Server (AWS RDS)
· T-SQL
· Python
· AWS
· CI/CD Tooling
· ETL/ELT Pipelines

Remote, full-time, M-F days within your timezone (EST, CT, MT, PST). Opportunities for career growth. Salary commensurate to skill level. Medical, Dental, Vision, long-term disability insurance, life insurance, and more. 401K with company match. Holidays, flexible/uncapped paid time…