• You will be a key member of our DBA team at Cambio, working closely with four experienced colleagues responsible for operating and maintaining our medical records system — a business-critical service delivered to healthcare customers. • In this position, you will play a central role in operating large scale database platforms within a 24/7 healthcare environment, where performance, stability, and high availability are essential. • You will work hands-on with mission critical areas such as clustering, performance optimization, capacity planning, availability, administration, and the management of both internal and external environments. • If you are interested, there may also be an opportunity to take on team‑lead responsibilities over time, acting as a point of contact for collaboration and communication within the team and towards key stakeholders.

Design, develop, and maintain MSSQL databases, perform capacity planning, and ensure database performance and integrity. Collaborate with stakeholders to implement security measures and support development teams in optimizing database queries.

• Own the availability, incident response, and operational health of the company’s PostgreSQL platform databases (Eng, QA, and Production) • Ensure high availability and disaster recovery processes are tested and functioning. • Implement PostgreSQL changes with minimal service interruption. • Perform live schema updates and patches in coordination with Engineering and DevOps. • Plan for database growth, execute tuning analysis, and conduct performance optimization. • Review and assist with SQL query optimization, identify and resolve deadlocks. • Coordinate schema deployments with DevOps. • Support ad hoc query needs from Customer Success, Sales, and Marketing teams. • Ensure all PostgreSQL security best practices are applied and monitored. • Help restructure or re-architect current and future databases to support performance and scalability. • Lead data integration projects that centralize company data from multiple systems into one or more centralized data pools (e.g., BigQuery). • Architect and implement data pipelines (ETL/ELT) from systems such as Salesforce (CRM), Zuora (billing and revenue management), PostgreSQL (service data), Pendo.io (product analytics), Freshdesk (customer support/ticketing), Jira (work management and issue tracking). • Partner closely with Business Operations analysts to: Align on data models and schema designs that support reporting and analytics as well as build performant queries and transformations for ongoing business intelligence. • Ensure centralized data repositories are clean, consistent, and optimized for analysis. • Implement monitoring and alerting for data pipeline health and performance.

• Ensure the integrity, security, and performance of our databases. • Monitor and optimize SQL queries. • Verify database configurations. • Perform database migrations and upgrades. • Collaborate closely with development and operations teams for smooth database operations.