Database Engineer

About Us: 

Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at www.meduitrcm.com. 

About the Role: 

The Database Engineer is responsible for designing, optimizing, and evolving large-scale MySQL database environments in a high-volume production setting. This role ensures scalable data structures, high-performance query execution, and reliable database operations across multi-terabyte systems. The Database Engineer partners with engineering, data, and analytics teams to modernize database architecture and support downstream reporting and data platforms.

Title: Database Engineer

Location: Remote – United States

Schedule: Full-time, First Shift, Monday – Friday

Department: Technology/Engineering

Compensation: $95,000 to $120,000

Key Responsibilities: 

Design and evolve MySQL schemas to support scalable, multi-tenant architectures

Define and enforce database design standards including indexing, partitioning, and performance optimization

Optimize complex SQL queries and resolve systemic database performance issues

Implement and automate database change management, schema deployments, and migrations

Maintain replication, failover, and disaster recovery processes to ensure high availability

Monitor performance, troubleshoot production issues, and ensure data integrity

Support cross-platform environments including MSSQL and Snowflake integrations

Collaborate with engineering and BI teams to align data structures with reporting and analytics needs

Work within Jira workflows and use GitHub for version control and documentation

Required Qualifications: 

Bachelor’s degree in Computer Science, Information Systems, or a related field (or equivalent experience)

Minimum 5 years of experience working with relational databases

Strong experience with MySQL design, performance tuning, and optimization

Experience supporting large-scale or multi-terabyte database environments

Strong SQL skills with a focus on query performance and optimization

Experience with replication, high availability, and disaster recovery

Experience with automation and Git-based workflows

Preferred Qualifications: 

Experience with database migration and change management tools (e.g., Flyway, Liquibase, Grate)

Familiarity with Snowflake and MSSQL environments

Experience designing multi-tenant database architectures

Scripting experience (Python, Bash, or similar)

Experience in healthcare or revenue cycle management

Experience supporting high-volume production systems

Employment eligibility: 

Candidates must be legally authorized to work in the United States at the time of hire

The company does not provide employment visa sponsorship for this position

As a condition of employment, a pre-employment background check will be conducted

At this time, we are unable to consider candidates residing in the state of New York for this position

What We Offer: 

Comprehensive paid training 

Medical, dental, and vision insurance 

HSA and FSA available 

401(k) with company match 

Paid Wellness Time and Holidays 

Employer paid life insurance and long-term disability 

Internal growth opportunities 

Meduit is an Equal Opportunity Employer. We do not discriminate based on any protected class and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation. 

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. 

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