SQL Database Developer

ProArch•Atlanta, GA

About The Position

We are seeking an experienced SQL Database Developer to design, develop, and maintain complex SQL Server databases supporting enterprise healthcare applications. This role involves creating and optimizing database schemas, ensuring structures support evolving business and regulatory requirements, and analyzing/resolving performance bottlenecks. The developer will also focus on scalability, capacity planning, healthcare data integrations (including FHIR standards), reporting, and data security/compliance (HIPAA).

Requirements

8+ years of SQL Server development experience.
5+ years working on enterprise-scale applications.
Experience supporting systems with high transaction volumes and large datasets.
Proven track record of database performance tuning and optimization.
Experience working closely with application development teams.
Microsoft SQL Server 2016/2019/2022
T-SQL Programming
Stored Procedures
Views
Triggers
Functions
Query Optimization
Index Tuning
Database Performance Monitoring
Performance & Scalability
Execution Plan Analysis
Database Partitioning
Index Strategy Design
Locking and Blocking Analysis
Deadlock Resolution
Capacity Planning
High Availability and Disaster Recovery
Development & Integration
SQL Server Integration Services (SSIS)
ETL Development
REST API Data Integrations
Data Migration Strategies
CI/CD for Database Deployments
SQL Reporting Services (SSRS)
Power BI
Operational Reporting
Data Warehousing Concepts

Nice To Haves

Healthcare industry experience.
Knowledge of HL7 and FHIR standards.
Experience with Electronic Health Record (EHR/EMR) platforms.
Expertise in Azure SQL and cloud database architectures.
Experience supporting care management, population health, or patient engagement platforms.
Familiarity with Azure Data Factory and modern data platform technologies.

Responsibilities

Design, develop, and maintain complex SQL Server databases supporting enterprise healthcare applications.
Create and optimize database schemas, tables, indexes, views, stored procedures, functions, and triggers.
Develop scalable data models supporting patient, provider, care management, clinical, and operational workflows.
Ensure database structures support evolving business and regulatory requirements.
Analyze and resolve database performance bottlenecks.
Optimize complex T-SQL queries and stored procedures.
Design indexing strategies to improve application response times.
Perform execution plan analysis and SQL code optimization.
Monitor database performance and proactively identify areas for improvement.
Support high-volume transactional workloads while maintaining performance SLAs.
Assess current database limitations and recommend scalability improvements.
Design solutions capable of supporting increased user concurrency and transaction volumes.
Implement partitioning, archiving, caching, and data lifecycle strategies.
Optimize database architecture for future platform growth and new feature rollouts.
Collaborate with Technical Architects to define long-term database modernization strategies.
Support healthcare interoperability initiatives using FHIR standards.
Develop and optimize ETL processes for healthcare data exchange.
Design database structures supporting FHIR resources and healthcare integrations.
Work with API and integration teams to ensure efficient data access patterns.
Ensure compliance with healthcare data governance and security requirements.
Design and optimize reporting databases and operational data stores.
Develop SQL-based reporting solutions and data extracts.
Support Power BI and enterprise reporting initiatives.
Create scalable reporting mechanisms that minimize application performance impact.
Implement database security best practices.
Manage data access controls and encryption strategies.
Ensure compliance with HIPAA and healthcare data privacy regulations.
Participate in audits and compliance reviews.