Staff Database Engineer (PostgreSQL)

Healthie•,

1d•$205,000 - $235,000•Remote

About The Position

We’re hiring a Staff Database Engineer - PostgreSQL to join our Platform Engineering team at Healthie. You’ll be a key contributor to one of the most important pieces of digital infrastructure in the healthcare space. Our platform is growing rapidly, and we need someone who can ensure our databases scale, perform, and remain reliable. You’ll be responsible for database infrastructure administration across production, QA, and development environments, ensuring smooth operation, monitoring performance, and maintaining automation scripts. Your expertise in PostgreSQL will help shape how we deploy, scale, monitor, and refine our data model. Strong familiarity with ORMs (especially Rails/ActiveRecord) is a big plus! You will own our Aurora databases, managing database setup, configuration, upgrades, monitoring, and troubleshooting. You will design and execute zero or minimal downtime upgrades and disaster recovery solutions while implementing best practices for partitioning, archiving, and accessing archived data. Measuring and optimizing system performance, capacity planning, and security instrumentation will be part of your role, along with collaborating with feature teams to facilitate schema and query improvements. Observing application behavior to prioritize query optimizations will also be a key aspect of this position. At Healthie, we’re all about building high-quality, reliable infrastructure that enables better healthcare. If you’re passionate about database performance, scalability, and impact-driven work, we’d love to hear from you. At Healthie, we are increasingly AI-enabled and AI-accelerated in how we build. We are looking for team members who actively leverage AI-powered development tools, embrace automation, and help teams adopt modern, AI-assisted engineering practices to increase velocity and quality.

Requirements

Deep expertise in Amazon AWS RDS Aurora, Postgres replication, partitioning, clustering, high availability, backup, and disaster recovery strategies
Experience in mission-critical environments, ensuring database reliability, performance, and scalability
Strong foundation in designing, scaling, and optimizing Postgres deployments
Strong ability to prioritize platform needs, balancing short-term fixes with long-term scalability
Very strong interpersonal, collaboration, and communication skills, embodying Healthie’s core values of Respect, Reliability, and Resilience without ego
Bias toward execution—focusing on getting things done and not letting obstacles slow you down
Grit and willingness to roll up your sleeves and move quickly
Thriving in fast-paced, problem-solving environments, constantly improving and optimizing database performance
Mission-driven, excited about building infrastructure that improves patient outcomes
Strong proficiency in tools like Terraform, PG Bouncer, scripting, and postgres monitoring systems
Experience in building and maintaining infrastructure for critically important applications
Taking initiative and problem-solving effectively, asking the right questions and finding solutions
U.S. work authorization

Nice To Haves

Familiarity with ORMs (especially Rails/ActiveRecord)
Experience in healthcare or other regulated industries

Responsibilities

Database infrastructure administration across production, QA, and development environments
Ensuring smooth operation, monitoring performance, and maintaining automation scripts
Shaping how we deploy, scale, monitor, and refine our data model
Owning Aurora databases, managing database setup, configuration, upgrades, monitoring, and troubleshooting
Designing and executing zero or minimal downtime upgrades and disaster recovery solutions
Implementing best practices for partitioning, archiving, and accessing archived data
Measuring and optimizing system performance, capacity planning, and security instrumentation
Collaborating with feature teams to facilitate schema and query improvements
Observing application behavior to prioritize query optimizations
Actively leveraging AI-powered development tools, embracing automation, and helping teams adopt modern, AI-assisted engineering practices