Senior Database Engineer

MCG Health · Remote · Engineering

Posted 2026-10-15

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***Preferred Candidate Identified***

The Senior Database Engineer is responsible for the configuration, deployment, optimization, and support of MCG Health’s core products across onsite and hosted customer environments. This role requires deep, hands-on experience supporting mission-critical web applications in a Windows, IIS, SQL Server, and Azure ecosystem.

This role requires strong communication skills and the ability to translate complex technical concepts for both technical and non-technical audiences, including occasional direct interaction with customers. The ideal candidate is highly self-directed, passionate about automation, and comfortable owning database reliability, performance, and scalability within a healthcare environment.

This role partners closely with:

Support and Operations teams

Software development and Security teams

Internal MCG stakeholders, Hearst Corporate and Service Center teams

External customers and vendors

Success depends on strong cross-functional collaboration and proactive communication.

You Will:

Design, deploy, maintain, and optimize SQL Server environments hosted on Azure

Administer and support a large fleet of production SQL Server instances

Diagnosing and resolving complex database and application performance issues

Perform database upgrades, patching, backups, restores, and disaster recovery

Support data extracts, data scrubbing, and maintenance activities

Deploy and configure customer environments and application components

Partner with Engineering and Support teams to resolve advanced application issues in Windows, IIS, and SQL Server environments

Drive automation initiatives, including:

Infrastructure scalability improvements

Performance tuning and optimization

Elimination of manual operational processes

Utilize AI-driven and advanced analytics tools to enhance database development, proactively detect issues, monitor and optimize performance, and improve operational efficiency.

Serve as a technical escalation point and mentor for support team members

Develop deep expertise in application provisioning, deployment, and ongoing support

Track, document, and proactively manage customer issues using ticketing systems

Communicate effectively with stakeholders at all levels of the organization

Operate independently while owning outcomes end-to-end

What We're Looking For:

Bachelor’s degree in computer science or related field (or equivalent experience)

5+ years of Windows Server (2019+) administration

5+ years of SQL Server (2019+) administration and database design

5+ years of T-SQL development, including stored procedures and database design.

5+ years of SQL Server performance tuning and optimization

5+ years supporting and optimizing SQL Server 2019 clusters on an Azure VM

5+ years supporting web applications in an n-tier architecture

Experience supporting production systems in Azure-hosted environments

Experience in APM (Application Performance Monitoring), such as Azure Monitor, Datadog, New Relic, etc.

Strong analytical, troubleshooting, and problem-solving skills

Excellent written and verbal communication skills

Preferred Qualifications

Experience with automation and scripting (PowerShell, Python, ARM, Terraform, etc.)

Experience working with APIs and application integrations

Healthcare or HIPAA-regulated environmental experience

Prior experience in customer-facing technical roles

Pay Range: $136,00 - $190,400

Other compensation: Bonus Eligible

Perks & Benefits:

💻 Remote work

✈️ Travel expected 3-4 times per year for company-sponsored events

🩺 Medical, dental, vision, life, and disability insurance

📈 401K retirement plan; flexible spending and health savings account

🏝️ 15 days of paid time off + additional front-loaded personal days

🏖️ 14 company-recognized holidays + paid volunteer days

👶 up to 8 weeks of paid parental leave + 10 weeks of paid bonding leave

🌈 LGBTQ+ Health Services

🐶 Pet insurance

📣 Check out more of our benefits here: https://www.mcg.com/about/careers/benefits/

Remote with Occasional Travel (1–3 trips per year)

MCG Health is a Seattle, Washington-based company and is considering remote candidates with some travel for company-sponsored events.

The ideal candidate should be comfortable balancing the independence of remote work with the collaborative opportunities offered by periodic in-person engagements.

We embrace diversity and equal opportunity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. Only with diverse thoughts and ideas will we be able to create the change we want in healthcare. The more inclusive we are, the better our work will be for it.

All roles at MCG are expected to engage in occasional travel to participate in team or company-sponsored events for the purposes of connection and collaboration.

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