Staff Database Engineer (PostgreSQL)

Healthie is the world’s leading API-first, ONC-Certified EHR for healthcare delivery outside of the hospital. They are hiring a Staff Database Engineer - PostgreSQL to join their Platform Engineering team, focusing on ensuring databases scale, perform, and remain reliable while managing database infrastructure across various environments.

Responsibilities:

• You'll be responsible for database infrastructure administration across production, QA, and development environments, ensuring smooth operation, monitoring performance, and maintaining automation scripts
• You will own our Aurora databases, managing database setup, configuration, upgrades, monitoring, and troubleshooting
• You will design and execute zero or minimal downtime upgrades and disaster recovery solutions while implementing best practices for partitioning, archiving, and accessing archived data
• Measuring and optimizing system performance, capacity planning, and security instrumentation will be part of your role, along with collaborating with feature teams to facilitate schema and query improvements
• Observing application behavior to prioritize query optimizations will also be a key aspect of this position

Requirements:

• Deep expertise in Amazon AWS RDS Aurora, Postgres replication, partitioning, clustering, high availability, backup, and disaster recovery strategies
• Experience in mission-critical environments, ensuring database reliability, performance, and scalability
• Strong foundation in designing, scaling, and optimizing Postgres deployments
• Strong ability to prioritize platform needs, balancing short-term fixes with long-term scalability
• Collaborative leader who influences without authority—people enjoy working with you because you communicate clearly and support your colleagues
• Very strong interpersonal, collaboration, and communication skills, embodying Healthie's core values of Respect, Reliability, and Resilience without ego
• Bias toward execution—you focus on getting things done and don't let obstacles slow you down. You are full of grit and not afraid to roll up your sleeves and move quickly
• Thrive in fast-paced, problem-solving environments, constantly improving and optimizing database performance
• Mission-driven, excited about building infrastructure that improves patient outcomes
• Strong proficiency in tools like Terraform, PG Bouncer, scripting, and postgres monitoring systems
• Experienced in building and maintaining infrastructure for critically important applications
• Take initiative and problem-solve effectively, asking the right questions and finding solutions
• Bonus points for experience in healthcare or other regulated industries