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# Database Administrator

- **Company:** Fuze
- **Location:** United States (Remote available)
- **Experience:** Expert
- **Salary:** $125,600.0 - $157,000.0
- **Contract:** Permanent contract
- **Skills:** Amazon Web Services, Amazon Elastic Compute Cloud, Audit Trail, Cloud Database, Databases, Computer Terminals, Data Infrastructure, Extract Transform Load (ETL), Data Migration, DevOps, Disaster Recovery, Monitoring of Systems, PostgreSQL, Microsoft SQL Server, Windows Servers, Query Optimization, SQL Stored Procedures, SQL Databases, SQL Server Reporting Services, SQL Server Integration Services, Database Engines, Transact-SQL, Datadog, Database Migration, Amazon Relational Database Service, Infrastructure Automation Frameworks, AWS Glue, Tools for Reporting, Cloud Optimization, Database Monitoring, Cloudwatch, Terraform
- **Published:** October 30, 2026
- **Apply:** https://startup.jobs/senior-database-administrator-alto-pharmacy-company-9894020

## About the Role

* 8+ years of experience in database administration
 * Deep expertise with Microsoft SQL Server (2016+) performance tuning, high availability, disaster recovery
 * Hands-on experience with SQL Server version upgrades and end-of-support migrations (e.g., off SQL Server 2016), including compatibility-level and upgrade testing
 * Strong hands-on experience with SSIS (building, maintaining, and migrating ETL packages) and SSRS (report development and administration)
 * Experience with AWS RDS (SQL Server) setup, migration, monitoring, Multi-AZ
 * Experience with AWS-native ETL and data migration tooling (AWS DMS, AWS Glue) and/or a clear plan for modernizing SSIS-based ETL in AWS
 * Experience with database migration projects (on-premises or EC2 to RDS, and in-place EC2 version upgrades)
 * Strong understanding of backup/restore strategies, point-in-time recovery, cross-region replication
 * Experience with monitoring tools (Datadog, CloudWatch, SQL Server DMVs)
 * Proficiency in T-SQL, stored procedures, and query optimization
 * Experience working in regulated environments (HIPAA, HITRUST, SOC2)

Preferred Qualifications:

 * Experience with AWS Backup, AWS DMS (Database Migration Service), and AWS Glue
 * Experience migrating or modernizing SSIS/SSRS workloads to AWS-native ETL and reporting services
 * Experience with Terraform for database infrastructure management
 * Experience with other database engines (PostgreSQL, Aurora) for future modernization
 * Experience with Windows Server administration
 * AWS certifications (Database Specialty, Solutions Architect)
 * Experience mentoring junior DBAs or application developers on database best practices, Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions.

## Description

We are seeking a Senior Database Administrator - Fuze Care Services to join our Technology Platform team, dedicated to the Hospice business unit. You will lead the AWS database modernization effort for a recently migrated healthcare platform - driving the strategy for self-managed SQL Server on EC2 (migration to AWS RDS and/or version upgrade off SQL Server 2016 as it approaches end of support), modernizing the existing SSIS ETL and SSRS reporting estate, executing database cost optimization, and upskilling the existing Hospice SQL DBA team on cloud database operations. This is a high-impact role shaping the database strategy for critical healthcare applications serving hospice patients across the United States., * Lead the planning and execution of the SQL Server modernization on EC2: migration to AWS RDS (SQL Server) and/or in-place version upgrade off SQL Server 2016 ahead of end of support, including compatibility and upgrade testing

 * Assess, migrate, and maintain the existing SSIS ETL packages and SSRS reports - either re-platforming to AWS-native ETL and reporting services (e.g., AWS Glue, DMS) or retaining and upgrading them on SQL Server on EC2
 * Drive database cost optimization: right-sizing instances, evaluating Reserved Instances, storage tiering, and eliminating unnecessary licensing costs
 * Upskill and mentor the existing Hospice SQL DBA team on AWS database operations, RDS management, and cloud best practices
 * Establish cloud-native database monitoring, alerting, and performance baselines using Datadog and CloudWatch
 * Design and implement automated backup, restore, and disaster recovery processes using AWS Backup
 * Perform query optimization, index management, and capacity planning
 * Collaborate with the DevOps team on infrastructure automation (Terraform for RDS)
 * Ensure HITRUST E1 compliance for all database systems (encryption, access controls, audit logging)
 * Support the Hospice application team with database-related development needs
 * Evaluate future database modernization opportunities (PostgreSQL, Aurora) for the 2027 roadmap