Database Developer

Image Trend, LLC. is dedicated to connecting life’s most important data in the healthcare and emergency response community. We deliver software solutions, data analytics and services for EMS, hospitals, community paramedicine (CP), critical care, fire, and preparedness to enable fully integrated patient-centric healthcare and public safety. Our commitment to innovation, its clients, and providing world-class implementation and support is unsurpassed. Based in Eagan, MN, Image Trend combines business analysis, creative design and data driven architecture to offer scalable solutions and strategies for today and the future.

Employment at Image Trend is not just about doing a job; it's about being a part of a community. We are top-notch talent, passionate about making a difference through the work we do together!

Under the direction of the Manager, Systems Engineering, the Database Developer is responsible for improving the performance, reliability, security, and maintainability of Image Trend product databases. This role serves as a key partner to Development and DBA teams by proactively reviewing database changes prior to release, monitoring production database performance, optimizing queries and execution plans, and implementing effective indexing and database design strategies.

The Database Developer helps ensure database environments are scalable, secure, recoverable, and operationally reliable while supporting continuous improvement through automation, documentation, monitoring, and best practices. This role also provides database administration and operational support, including incident response, maintenance, backup and recovery, compliance support, capacity planning, and platform optimization across SQL Server and Azure-based data platforms.

• Review SQL queries, stored procedures, schema changes, and database deployment scripts before application releases, with emphasis on performance, scalability, correctness, and operational risk
• Assess execution plans and analyze query performance using estimated and actual row counts, join strategies, statistics, parameter sensitivity, blocking risks, memory grants, I/O, and CPU utilization
• Monitor query performance across production environments using approved monitoring and observability tools to identify regressions, recurring bottlenecks, high-resource workloads, and opportunities for optimization
• Partner with developers and DBAs to rewrite and tune queries, improve data-access patterns, validate changes using representative workloads, and provide database-focused review and performance guidance
• Recommend, test, and implement indexing strategies in coordination with Development and DBA stakeholders while balancing performance, storage utilization, maintenance costs, and overall database efficiency
• Provide database design guidance related to tables, keys, constraints, partitioning, data types, indexing strategies, data distribution, and database development standards
• Support performance testing and post-release validation activities by documenting findings, recommendations, tradeoffs, performance baselines, and release-readiness criteria
• Coach developers on SQL development best practices, execution-plan interpretation, and database performance principles
• Monitor and maintain the health, availability, security, capacity, and reliability of production and non-production database environments
• Administer and support SQL Server and Azure data platforms, including Azure SQL Managed Instance, Azure SQL Database, Hyperscale, Microsoft Fabric, and Azure Databricks
• Support backup and recovery, disaster recovery, high availability, maintenance, patching, and recovery validation activities
• Investigate database incidents involving performance degradation, blocking, deadlocks, resource saturation, failed jobs, connectivity issues, storage concerns, and data integrity issues
• Support database recommendations with execution plans, monitoring data, testing results, workload evidence, and documented operational risk assessments
• Automate database maintenance, monitoring, validation, and reporting processes using approved tools and scripting technologies
• Maintain technical documentation related to database configurations, operational procedures, performance decisions, and recovery processes
• Support database security, access controls, encryption requirements, audit activities, compliance obligations, and HIPAA-related controls
• Contribute to capacity planning and cost…