Mach7 Technologies

Role Description 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 PostgreSQL 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. Qualifications - 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 Requirements - Proactively use AI tools to accelerate root cause analysis - Automate repetitive operational tasks - Improve system monitoring and predictive insights - Continuously replace manual DBA workflows with intelligent automation - Contribute to building an AI-driven operations model Preferred Qualifications - 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