Database Engineer

Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at www.meduitrcm.com. 

The Database Engineer is responsible for designing, optimizing, and evolving large-scale MySQL database environments in a high-volume production setting. This role ensures scalable data structures, high-performance query execution, and reliable database operations across multi-terabyte systems. The Database Engineer partners with engineering, data, and analytics teams to modernize database architecture and support downstream reporting and data platforms.

• →Design and evolve MySQL schemas to support scalable, multi-tenant architectures
• →Define and enforce database design standards including indexing, partitioning, and performance optimization
• →Optimize complex SQL queries and resolve systemic database performance issues
• →Implement and automate database change management, schema deployments, and migrations
• →Maintain replication, failover, and disaster recovery processes to ensure high availability
• →Monitor performance, troubleshoot production issues, and ensure data integrity
• →Support cross-platform environments including MSSQL and Snowflake integrations
• →Collaborate with engineering and BI teams to align data structures with reporting and analytics needs
• →Work within Jira workflows and use GitHub for version control and documentation

• Bachelor’s degree in Computer Science, Information Systems, or a related field (or equivalent experience)
• Minimum 5 years of experience working with relational databases
• Strong experience with MySQL design, performance tuning, and optimization
• Experience supporting large-scale or multi-terabyte database environments
• Strong SQL skills with a focus on query performance and optimization
• Experience with replication, high availability, and disaster recovery
• Experience with automation and Git-based workflows

• Experience with database migration and change management tools (e.g., Flyway, Liquibase, Grate)
• Familiarity with Snowflake and MSSQL environments
• Experience designing multi-tenant database architectures
• Scripting experience (Python, Bash, or similar)
• Experience in healthcare or revenue cycle management
• Experience supporting high-volume production systems

• Candidates must be legally authorized to work in the United States at the time of hire
• The company does not provide employment visa sponsorship for this position
• As a condition of employment, a pre-employment background check will be conducted
• At this time, we are unable to consider candidates residing in the state of New York for this position