Database Engineer

As Database Engineer, you’ll design and maintain the robust, scalable databases that power our platform. You’ll ensure real-time ingestion, 99.99% uptime, compliance, and seamless integration with all our services, helping NHS teams work faster and smarter., * Database Design: Build scalable relational databases (e.g. Azure SQL), optimize performance, and enable high-volume data pipelines.

• Integration: Support full-stack platform integrations including data flows triggered by Power Automate connectors.
• Performance & Reliability: Ensure uptime, backup, replication, and disaster recovery.
• Security & Compliance: Enforce role-based access, encryption, and medical device compliance.
• Collaboration: Work closely with engineers, analysts, clinicians, and stakeholders to align with product goals.
• Documentation: Maintain clear schema/process documentation and contribute to long-term scaling strategy.

• 5+ years hands-on experience with SQL (SQL Server familiarity a plus)
• Strong proficiency with complex stored procedures incl. writing, debugging, and refactoring
• Proven experience with query optimisation incl. indexing strategies, execution plan analysis, query rewrites
• Experience with database performance tuning incl. partitioning, caching strategies, statistics management
• Experience implementing robust ETL/ELT processes with proper validation, error handling and audit trails
• Understanding of CDC and incremental loading strategies
• Understanding of data retention strategies and key rotation policies
• Experience with Azure SQL including backup configuration, failover strategies, and point-in-time recovery
• Strong communicator, proficient in spoken and written English, problem-solver, and collaborator.
• Comfortable working as the primary database specialist on a small team.

Nice-to-have

• Familiarity with Azure Hyperscale database
• Healthcare data security or high-compliance background
• Familiarity with Azure Data Factory, SSIS, or equivalent tooling
• Experience with Azure Key Vault, Transparent Data Encryption (TDE) and Always Encrypted

• Competitive salary
• Private healthcare for you & your family
• Flexible hours, hybrid model - 2 days in Central London Office location.
• High-impact work in real NHS practices
• Learning, growth & purpose-driven innovation