A large healthcare technology organization is hiring two Senior Database Engineers to support a business-critical database environment while helping drive a longer-term cloud modernization strategy. This is a hands-on engineering role for someone with deep Microsoft SQL Server experience who also understands AWS database environments. You will support production systems today while helping modernize database workloads toward AWS-managed services and Postgr eSQL-based platforms over time. The position combines database engineering, performance tuning, production support, cloud modernization, observability, automation, and migration work. RESPONSIBILITIES Engineer and support business-critical Microsoft SQL Server environments.Diagnose complex database performance, availability, locking, blocking, resource, and production issues.Tune SQL queries, execution plans, stored procedures, indexes, statistics, schemas, and database configurations.Support modernization and migration of legacy database workloads into AWS.Contribute to future adoption of Amazon RDS, PostgreSQL, and Aurora PostgreSQL.Build and improve database monitoring, telemetry, alerting, backup, recovery, and resiliency capabilities.Automate repeatable database operations using scripting, Infrastructure as Code, source control, and CI/CD practices.Partner closely with application and engineering teams to improve database performance and reliability. Role Requirements Extensive hands-on Microsoft SQL Server DBA/database engineering experience.Strong production database troubleshooting experience.Advanced SQL Server performance tuning capabilities.Hands-on AWS experience supporting database workloads.Experience with database migrations, upgrades, modernization, or re-platforming.Experience supporting highly available, business-critical production databases.Ability to automate database administration and engineering activities.Comfortable working broadly across database, cloud, application, and operational concerns.Ability to work EST hours.Willingness to participate in an off-hours production-support rotation. PREFERRED EXPERIENCE PostgreSQL.Amazon RDS.Amazon Aurora PostgreSQL.SQL Server-to-PostgreSQL migration experience.Azure SQL.IDERA or comparable database monitoring platforms.Infrastructure as Code and CI/CD.Experience using AI-assisted engineering tools.