Job description
Job detailsApplication formOur MissionHealthie is an AI-Native, ONC Certified EHR for modern outpatient healthcare. Healthie is proud to power clinically excellent healthcare for over 40,000 providers who deliver clinically excellent healthcare - longitudinal and collaboratively, with patient and provider experiences at the center. Both healthcare and technology are undergoing unparalleled industry innovation, and it’s incredible to see the momentum - from consumers, from providers, and from reimbursement for this type of healthcare - grow exponentially. We provide the powerful infrastructure every care delivery organization needs. On the surface this includes EHR, Scheduling, Engagement, Billing, Data, and much more. Underneath the iceberg are thousands of configurations, settings, widgets, automations, and limitless capabilities because we are an API-first platform. Our fully brandable platform makes it easy for clinics and organizations of any size to scale and never reach a limit. Today, over 3 billion API calls are made to Healthie every month, as thousands of organizations who work with more than 21 million patients in total, rely on Healthie to deliver clinically excellent healthcare in over 35 specialties, from behavioral healthcare to complex chronic care management and personalized medicine.We believe in the power of technology to improve access to healthcare and we’re building the rails that make this a reality. We work fast and with quality because we provide business-critical, healthcare-critical software that clinicians and patients need for a better healthcare system. We’re customer-obsessed, operate with lightning-fast processes and responses, and always share our product roadmap publicly- so customers can see what we’re building, and remain relentlessly focused on how care gets delivered.Healthie is backed by leading investors, and while we've $42M raised to date, more importantly, we operate with fiscal responsibility and have been profitable for more than half of our time as a company. We know that building an ONC-Certified EHR is a lifetime’s body of work, and we are here to build for our customers forever.Learn more at https://www.gethealthie.com/About the roleWe’re hiring a Staff Database Engineer - PostgreSQL to join our Platform Engineering team at Healthie. You’ll be a key contributor to one of the most important pieces of digital infrastructure in the healthcare space. Our platform is growing rapidly, and we need someone who can ensure our databases scale, perform, and remain reliable.You’ll be responsible for database infrastructure administration across production, QA, and development environments, ensuring smooth operation, monitoring performance, and maintaining automation scripts. Your expertise in PostgreSQL will help shape how we deploy, scale, monitor, and refine our data model. Strong familiarity with ORMs (especially Rails/ActiveRecord) is a big plus!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. Your role will include measuring and optimizing system performance, capacity planning, and security instrumentation, as well as collaborating with feature teams to support schema and query improvements. Observing application behavior to prioritize query optimizations will also be a key aspect of this position.At Healthie, we’re all about building high-quality, reliable infrastructure that enables better healthcare. If you’re passionate about database performance, scalability, and impact-driven work, we’d love to hear from you.At Healthie, we are AI-enabled and AI-accelerated in how we build. We are looking for team members who actively leverage AI-powered development tools, embrace automation, and help teams adopt modern, AI-assisted engineering practices to increase velocity and quality.About youYou have deep expertise in Amazon AWS RDS Aurora, Postgres replication, partitioning, clustering, high availability, backup, and disaster recovery strategies.You have experience in mission-critical environments, ensuring database reliability, performance, and scalability.Bonus points for experience in healthcare or other regulated industries.You come with a strong foundation in designing, scaling, and optimizing Postgres deployments.You have a strong ability to prioritize platform needs, balancing short-term fixes with long-term scalability.You are a collaborative leader who influences without authority—people enjoy working with you because you communicate clearly and support your colleagues.You have very strong interpersonal, collaboration, and communication skills, embodying Healthie’s core values of Respect, Reliability, and Resilience without ego.You have a 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.You thrive in fast-paced, problem-solving environments, constantly improving and optimizing database performance.You are Mission-driven, excited about building infrastructure that improves patient outcomes.You have strong proficiency in tools like Terraform, PG Bouncer, scripting, and postgres monitoring systems.You are experienced in building and maintaining infrastructure for critically important applications.You take initiative and problem-solve effectively, asking the right questions and finding solutions.Details, detailsThis is a full-time, remote position within the United States.U.S. work authorization is required.Interview ProcessQuick chat with Talent team (15 minutes)Interview with Matt, Engineering Manager, Platform (30 minutes)Technical Assessment with CJ (60 minutes)Executive Interview with Cavan, CTO + cofounder (20 minutes)Reference checksLearn more at gethealthie.com/careers.Healthie is subject to HIPAA and other security and privacy frameworks, and this job entails training and conformance to expectations regarding security and compliance.Healthie participates in e-verify.Healthie is committed to equal employment opportunity. All qualified applicants will receive consideration for employment without regard to and will not be discriminated against based on age, race, gender, color, religion, national origin, sexual orientation, gender identity, veteran status, disability or any other protected category. We're proud to be building a diverse and inclusive environment that encourages collaboration, creativity, and growth. Whatever your background, please apply if this is a role that would make you excited to come into work every day. Apply for this positionAutofill from resumeSave time by uploading your resume. (Only PDF or DOCX format supported)Upload filePersonal InformationFirst name*Last name*Email*Phone*🇺🇸+1LinkedIn URL*Github URLStackoverflow URLWebsite URLAddress*No options availablePhotoDrag and drop files or click to uploadSupported files: .pdf & .docx, up to 10 MBProfileEducationAddExperienceAddResume*Drag and drop files or click to uploadSupported files: .pdf & .docx, up to 20 MBCover LetterDrag and drop files or click to uploadSupported files: .pdf & .docx, up to 20 MBQuestionsThis is a W-2 position and requires physical location in the United States along with U.S. work authorization. Are you located in the U.S. and authorized to work in the U.S.? (Healthie does not provide sponsorship and Healthie does participate with e-veri*YesNoDo you have experience with Ruby on Rails?*YesNoWhat experience do you have debugging low-level postgres problems, such as with vacuum falling behind, a bad configuration going unnoticed, or sudden high memory usage?*A secondary responsibility is working with other engineers on schema design and query improvement - what is your experience with this at other organizations?*LinkedIn Profile*Equal Opportunity EmployerHelp us be an equal opportunity employerYou are requested (but not required) to fill in the personal data below. This information is used solely for government reporting and will not influence our hiring decisions.Race or ethnicitySelect...GenderSelect...Self-identification of Veteran status(Completion is voluntary and will not subject you to adverse treatment)Healthie is a Government contractor subject to the Section 4212 of the Vietnam Era Veterans's Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, which requires Government contractors to take affirmative action to employ and advance in employment: (1) Disabled veterans - A veteran who served on active duty in the U.S. military and is entitled to disability compensation (or who but for the receipt of military retired pay would be entitled to disability compensation) under laws administered by the Secretary of Veterans Affairs, or was discharged or released from active duty because of a service-connected disability; (2) Recently separated veteran - A veteran separated during the three-year period beginning on the date of the veteran's discharge or release from active duty in the U.S military, ground, naval, or air service; (3) Active duty wartime or campaign badge veteran - A veteran who served on active duty in the U.S. military during a war, or in a campaign or expedition for which a campaign badge was authorized under the laws administered by the Department of Defense; (4) Armed forces service medal veteran - A veteran who, while serving on active duty in the U.S. military ground, naval, or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985 (61 Fed. Reg. 1209). If you believe that you belong to any of the categories of protected veterans, please indicate by making the appropriate selection.Veteran StatusSelect...PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.Healthie does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.Note: This organization uses AI to screen applications for fraud. By applying, you agree to have your data processed.Apply for this positionJob detailsApplication form