Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: HealthIT Cogito Sys & Epic ODBA Job Summary: The Epic Operational Database Administrator (ODBA) is responsible for the administration, optimization, and ongoing maintenance of Epic IRIS databases to ensure data integrity, system stability, security, and high performance across all Epic environments. This role works closely with application teams, developers, system administrators, and infrastructure teams to support Epic operations, upgrades, and optimization initiatives in a healthcare environment. . Key Responsibilities - Perform core Epic database administration functions, including monitoring, maintenance, and troubleshooting of IRIS databases - Support Epic upgrades, environment refreshes, and routine system health checks - Manage database performance, security, and data integrity across multiple Epic environments (Production, Test, Training, etc.) - Collaborate with Epic application teams and technical partners to quickly resolve system and performance issues - Execute, document, and follow standard change management procedures - Provide proactive recommendations to improve performance, reliability, and environment stability - Test, validate, and document disaster recovery and business continuity procedures - Maintain accurate operational documentation and runbooks Required Qualifications - Epic Operational Database Administration (ODBA) Certification (required) - Bachelor’s degree or 5–7 years of equivalent professional experience - Minimum of 5 years of hands-on experience as an Epic Database Administrator in a healthcare IT environment - Strong experience supporting large-scale Epic production environments Technical Skills - Strong Linux/Unix administration skills - Proficiency in shell scripting - Experience using command-line tools and utilities such as awk, sed, and Perl - Knowledge of Epic IRIS database architecture and administration - Experience with Epic ECP (Enterprise Cache Protocol) is a plus, but not required About the Department: Health IT HealthIT provides the best health information technology tools that support Vanderbilt University Medical Center’s mission of: - Delivering distinctively personalized care - Improving the health care of individuals and communities regionally, nationally and internationally - Providing transformative learning programs - Supporting compelling discoveries Our tools, which form the digital arteries of VUMC, are either developed in-house by our innovative product teams or selected from the most cutting-edge solutions available in today’s ever-changing marketplace. Our 500 colleagues provide ongoing support over each product’s entire lifespan, ensuring that the tools are meeting the evolving needs of the Medical Center’s 24,000 colleagues. Our solutions are driven by the incredible work and research of our colleagues throughout Vanderbilt and supported through a close partnership with VUMC Information Technology (VUMC IT). The strong collaboration among our teams means that VUMC can respond to clinical and operational issues with agility and innovation. Together, we ensure VUMC remains a leader in its pioneering use of healthcare information technology. Underscoring our entire department are our core values of accountability, transparency and execution, delivered with a strong Partner Promise. Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more. At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose. Core Accountabilities: Organizational Impact: Delivers projects/assignments that have a direct impact on goals/objectives of the unit/department that the job is in. Problem Solving/ Complexity of work: Conducts extensive analysis of situations or data to resolve numerous, complex issues; may involve the input/work of others. Breadth of Knowledge: Has in-depth level of knowledge within a professional area and working knowledge of other areas. Team Interaction: May lead mid-sized projects; coaches and guides team members. Core Capabilities : Supporting Colleagues: - Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas. - Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships. - Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Service: - Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them. - Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions. - Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly. - Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure. - Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area. - Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation: - Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches. - Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges. - Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements. Position Qualifications: Responsibilities: Certifications: Work Experience: Relevant Work Experience Experience Level: 5 years Education: Bachelor's (Required) Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.

Role Description The Database Administrator 3 (Cloud Database Administrator) implements, maintains, and secures the operational aspects of CSM databases, including MS SQL Server and Azure SQL Database. This role is dedicated to optimizing query performance, ensuring high availability, and managing data storage to meet complex organizational requirements. You will work closely with the Cloud Architect to ensure database resources are updated, secure, and performant across cloud environments. Responsibilities - Database Operations & Maintenance - Coordinate with the Azure Cloud Architect SME to implement and maintain the operational aspects of CSM databases. - Manage and execute updates, storage configurations, security protocols, and troubleshooting for Microsoft SQL Server and Azure SQL Database. - Monitor and optimize operational resources to ensure consistent database health and performance. - Performance & Optimization - Augment query performance through systematic monitoring and tuning. - Optimize operational resources as needed to support application efficiency and minimize latency. - Resilience & Continuity - Design and maintain High Availability (HA) and Disaster Recovery (DR) environments for all database resources to ensure mission continuity. - Implement redundant database architectures that align with organizational uptime requirements. - Data Security & Integrity - Secure and store CSM data within relational databases to meet strict organizational and security requirements. - Ensure all data storage solutions are compliant with CSM needs and federal security standards. Qualifications - Education: Bachelor’s degree in Computer Science or a related technical field. - Experience: 2–4 years of cloud engineering experience with a focus on database management. - Technical Skills: - Proficiency in database management, security, and troubleshooting for MS SQL and Azure SQL. - Experience designing redundant and highly available database architectures. - Strong skills in data aggregation and database development. - Familiarity with CI/CD and DevSecOps toolchains. - Certification: Security+ certification. - Security Clearance: U.S. Citizenship and the ability to obtain a DoD Top Secret clearance. Preferred Qualifications - Active DoD Top Secret clearance. - Cloud-specific certifications (e.g., Microsoft Certified: Azure Associate). - Certification: Active Security+ certification. - Experience implementing DISA STIG configurations for databases. - Knowledge of DoD SRG and NIST SP 800-53 security controls. Location - Ventura, CA or Remote Benefits - Customizable health benefits program including medical, dental, and vision insurance. - Life insurance, long and short-term disability and other insurance products. - Health Savings Account, Flexible Spending Account. - 401K Retirement Plan options. - Tuition Reimbursement. - Assorted voluntary benefits. Company Description Join the VSolvit Team! Founded in 2006, VSolvit (pronounced 'We Solve It') is a technology services provider that specializes in cybersecurity, cloud computing, geographic information systems (GIS), business intelligence (BI) systems, data warehousing, engineering services, and custom database and application development. VSolvit is an award-winning WOSB, CA CDB, MBE, WBE, and CMMI Level 3 certified company. Our goal is to grow together and enjoy the work that we do as a team. VSolvit LLC is an Equal Opportunity/Affirmative Action employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

Company Description Our Story & Purpose At Burwood Group, we’re more than a technology consulting firm, we’re a team of innovators, problem-solvers, and collaborators who help organizations turn technology into meaningful business outcomes. Founded in 1997 and headquartered in Oak Brook, IL, we’ve grown into a nationwide team of experts committed to making a real difference. Our purpose starts with Customer Focus. We put our clients at the center of everything we do - listening, understanding their challenges, and delivering solutions that drive impact. We believe in ownership, collaboration, and growth. Our people aren’t just employees; they are innovators shaping the future of our clients’ success. At Burwood, you’ll work alongside talented professionals, tackle exciting challenges, and develop skills that elevate your career. If you’re ready to make an impact, learn continuously, and grow within a culture that values your unique strengths, Burwood Group is the place for you. Job Description Summary Type: W2 Contract Project Duration: up to 30 hours Start Date: 4/14/2026 Houtly: up to $75/hr. This is a U.S.-based remote position and is open to U.S. Citizens and Green Card holders. This position is not open to 3rd party representation. We are seeking a highly experienced SQL Architect to support a short-term consulting engagement. This project involves partnering with our consulting firm team members and our client, who is a local government entity, to evaluate and provide guidance on enterprise-level database resilience strategies. Key Responsibilities - Participate in scheduled meetings and serve as a subject matter expert on SQL Server architecture, enterprise backup strategies, and disaster recovery planning. - Assess the current database infrastructure and use of Rubrik for backup and restore. Provide training on best practices and hands-on labs using Rubrik. - Collaborate with stakeholders to answer technical questions and provide strategic insight. - Deliver actionable recommendations that the project team can operationalize. Qualifications - Deep expertise in SQL Server architecture, including high availability, backup/recovery, and disaster recovery strategies (e.g., Always On, clustering, replication) - Proven hands-on experience with Rubrik for enterprise backup, restore, and data protection, including the ability to guide and train teams. - Strong ability to assess existing environments and deliver actionable, strategic recommendations while effectively communicating with both technical and business stakeholders. - Demonstrated ability to develop and deliver structured training sessions and hands-on labs to upskill teams on best practices and tools. Additional Information Our Commitment to Diversity & Inclusion We are not intended to be the largest company; but rather, the best. These are the words we live by. This means we welcome all the best talent - regardless of gender, race, ethnicity, sexual orientation, disability, religion, and age. Being open to all cultural backgrounds, life experiences, thoughts, and ideas not only strengthens company culture but also encourages different-in-kind thinking and promotes economic success. - Team: DevOps - Department: Data & Application Cloud Services - Compensation: USD 60 - USD 75 - hourly

About Us TherapyNotes is the go-to superhero for behavioral health Practice Management and EHR software! Our top-notch SaaS solution handles scheduling, billing, documenting, telehealth, and more so clinicians can focus on awesome patient care. We're a dynamic team of pros who love to innovate and push the envelope, keeping our software cutting-edge. Join us, and let's revolutionize behavioral health software together while making a real difference! About the Position We are seeking a Database Site Reliability Engineer who demonstrates a strong skill set in managing PostgreSQL. In this role, you will own the reliability and operability of our PostgreSQL services supporting a growing 24x7 SaaS platform, with an emphasis on availability, performance, observability, incident response, and automation. You will partner with cross-functional teams—including developers, operations, and infrastructure—to ensure that our database services run smoothly and efficiently. If you are passionate about operational excellence and continuous improvement, we want to hear from you. What You'll Do - Responsible to design, implement, and maintain high-availability, high throughput, data and compute intensive, critical database systems running PostgreSQL which supports a growing 24x7 SaaS platform. - Define and improve database service reliability through monitoring/alerting, SLO-oriented metrics, and operational readiness. - Participate in and help drive incident response, root cause analysis, and post-incident corrective actions for database-related production events. - Partner with other technical leaders to ensure all newly introduced systems are supportable and maintainable by both development and operations. - Provides escalated technical guidance and support to other technology teams throughout the organization - Provides on-call coverage for production support and other duties as required. - Accountable for complying with HIPAA security policies within the database platform - Ensure all solutions and operational activities adhere to the security and operating policies established by the organization - Own and continuously improve our Datadog database observability by building actionable dashboards, alerts, and service-level views using an observability stack (e.g., Prometheus, Grafana, New Relic, or equivalent). Familiarity with PGAnalyze or Percona a plus. - Automate system maintenance tasks using Bash, Powershell, Python, or Ansible. Manage infrastructure as code (IaC) writing Ansible playbooks. Some exposure to Terraform a plus. - Experience with writing & designing ETL pipelines using Python a plus - Understand and maintain various PostgreSQL ecosystem components like: PgBouncer, PgBackrest, HaProxy, RepMgr a plus - Excellent communication and interpersonal skills.  What We're Looking For - BS degree in Information Systems, Engineering, or equivalent experience - 7-10+ years of Engineering experience with Database Engineering, Systems Engineering, DevOps and/or SRE - Experience in cloud-based compute, storage, and containerization solutions (Azure & Kubernetes preferred) - Proficiency with operating PostgreSQL in a Linux environment is a plus - Expertise with an observability/monitoring platform (e.g., Prometheus/Grafana, New Relic, Datadog, or equivalent); Datadog experience is a plus. - Experience working in Agile/DevOps environments and operating production services with ITSM practices where applicable What We Offer - Competitive salary - $120,000-160,000 - Employer sponsored health, dental, vision, life, and disability insurance - Retirement plan with company contribution - Annual company profit sharing - Personal development/training budget - Open, collaborative work environment - Extensive 2-week onboarding plan - Comprehensive mentorship program Equal Opportunity Employer Statement & Applicant Rights TherapyNotes LLC is an Equal Opportunity Employer and does not discriminate based on race, color, religion, sex, national origin, age, disability, genetic information, or any other protected status under federal, state, or local law. We are committed to providing a workplace free of discrimination and harassment. For more information about your rights under federal employment laws, please review the following: - Know Your Rights: Workplace Discrimination is Illegal - Family and Medical Leave Act (FMLA): Employee Rights Under FMLA If you require a reasonable accommodation during the application process, please contact humanresources@therapynotes.com #LI-Remote #LI-RH1 3/5/2026