Database Engineer

Develop, construct, test and maintain architectures such as databases and large-scale processing systems

Job Summary

We're looking for a Database Developer to own and evolve the data layer of a cloud-hosted healthcare SaaS platform. You'll design and optimize stored procedures, build reporting pipelines, tune performance in a high-concurrency environment, and collaborate with application developers on data access patterns — while also helping migrate legacy T-SQL logic into modern .NET services.

What You'll Do

• Design, develop, and optimize stored procedures, functions, views, and triggers in SQL Server
• Own database schema design, migrations, and deployments for a multi-tenant SaaS application
• Build and maintain T-SQL reporting data warehouses — aggregation logic and scheduled jobs
• Performance tune slow queries — execution plan analysis, index strategy, statistics management, blocking/deadlock resolution
• Write operational data scripts for migrations, corrections, and bulk operations
• Collaborate with .NET developers to design efficient data access patterns (Entity Framework 6 and EF Core)
• Support data flows for third-party integrations — staging tables, validation, reconciliation
• Implement audit trails, row-level security, and compliance controls for healthcare (HIPAA/PHI) data
• Participate in CI/CD for database changes — DACPAC deployments, scripted migrations, pull request reviews

Must-Have

• 4–6 years hands-on experience with SQL Server (2016+)
• Expert-level T-SQL — complex stored procedures, CTEs, window functions, dynamic SQL, temp tables, cursor optimization
• Performance tuning — execution plans, index design, Query Store, statistics, concurrency management
• Database design — normalization, denormalization for reporting, multi-tenant schema patterns
• SSDT / SQL Server Data Tools — database projects, schema compare, DACPAC deployments
• Entity Framework 6 or EF Core — understanding ORM-generated SQL, N+1 detection, migrations
• Git-based workflow — pull requests, code review for SQL, branching strategies
• Strong debugging skills — tracing data flow from application through ORM to stored procedures

Good-to-Have

• Data warehousing — star/snowflake schemas, reporting aggregation
• C# / .NET basics — ability to read service/repository code and understand data access layer patterns
• Healthcare domain — HL7, clinical data models, HIPAA compliance
• Azure Pipelines or Jenkins for database CI/CD
• AWS services (Lambda, S3, SQS) for data integration scenarios
• MongoDB (document store syncing to SQL Server)
• Experience migrating stored procedure logic into application-layer code (DDD, Clean Architecture)
• Terraform for infrastructure provisioning

#India

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Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post-offer candidates are required to successfully complete a pre-employment background check, which is provided at Netsmart’s sole expense.