Aeroflow Health – Developer DBA
Aeroflow Health is a national leader in home medical equipment and clinical services. We combine technology, operational excellence, and compassionate expertise to deliver essential products and care directly to patients’ homes. At Aeroflow Health, we make healthcare accessible by taking a holistic approach to how we care for our patients.
We are equally passionate about taking care of our employees. Recognized as one of the fastest-growing healthcare companies in the U.S., an Inc. 5000 honoree, and a certified Great Place to Work®, Aeroflow continues to seek ways to be one of the nation’s top employers. As we continue to grow, we remain committed to building an exceptional workplace where talented professionals are empowered, supported, and inspired to make a meaningful impact every day.
The Opportunity
Aeroflow’s Internal SQL Engineering team is comprised of approximately 10 SQL Engineers and works closely with our Database Administration, Application Engineering, Analytics Engineering, and Product teams. The team owns the database logic, schema architecture, and T-SQL development behind business-critical internal applications and customer-facing web systems.
We are seeking a Developer DBA who can help define what great database engineering looks like at Aeroflow. This is not a traditional production DBA role centered primarily on backups, recovery, or disaster planning. Instead, this position sits at the intersection of senior SQL engineering, database architecture, code quality, and technical mentorship.
You’ll help establish engineering standards, review and improve SQL code, guide architectural decisions, and modernize our database environment thoughtfully—without treating “new” as automatically better than stable, maintainable, and valuable.
Hybrid candidates are preferred; however, remote candidates will absolutely be considered and are encouraged to apply. For a remote hire, we anticipate more frequent travel to our Asheville, NC office during the first few months to build relationships with the SQL Engineering team, with travel decreasing significantly thereafter.
Your Primary Responsibilities
As our Developer DBA, your work will generally span four key areas:
• Code Review (~30%): Review SQL engineering work and help establish clear standards for high-quality, maintainable T-SQL, database design, and development practices.
• Architecture & Technical Consulting (~30%): Serve as a senior database resource to our Technology teams, helping engineers make sound decisions around schema design, implementation, performance, and database architecture.
• Coaching & Mentoring (~20%): Help raise the technical capability of the SQL Engineering team through practical guidance, feedback, knowledge sharing, and technical mentorship.
• Hands-On Development (~20%): Remain close to the code through T-SQL development, optimization, database modeling, and targeted platform improvements.
• Partner closely with Database Administration while maintaining a development-focused scope centered on query performance, T-SQL logic, schema architecture, and reliability.
• Improve database engineering practices around source control, peer review, testing, documentation, CI/CD, deployment automation, and post-deployment validation.
• Modernize thoughtfully by reducing technical debt, operational risk, and unnecessary manual effort while protecting production stability.
• Reduce recurring performance and reliability issues through root-cause analysis, T-SQL optimization, observability, and durable engineering improvements.
• Partner with Analytics Engineering and Product teams to define and maintain reliable data contracts, helping ensure database changes do not unexpectedly disrupt downstream systems or data pipelines.
• Employee has an individual responsibility for knowledge of and compliance with applicable laws, regulations, and company policies.
• Compliance is a condition of employment and is considered an element of job performance.
• Maintain HIPAA and patient confidentiality.
• Maintain regular and reliable attendance as assigned by your schedule.
• Other duties may be assigned.
Skills for Success
• Deep SQL expertise: You understand Microsoft SQL Server beyond simply writing queries and can recognize the difference between code that works and database engineering that will remain performant and maintainable at scale.
• Systems thinking: You understand how database architecture, application behavior, deployment practices, and downstream systems affect one another.
• Pragmatic technical judgment: You can distinguish meaningful modernization from unnecessary complexity and clearly explain the tradeoffs.
• Technical influence: You can establish credibility with experienced engineers, provide thoughtful code-review feedback, and help raise engineering standards without relying on formal authority.
• Operational discipline: You improve reliability through repeatable practices, automation, observability, documentation, and prevention rather than hero-driven firefighting.
• Collaborative mentorship: You enjoy helping other engineers improve and can translate deep technical knowledge into practical, actionable guidance.
Required Qualifications
• 5+ years of professional SQL engineering experience or 3+ years of development-focused DBA experience; equivalent combinations of SQL engineering and DBA experience will also be considered.
• Deep production expertise with Microsoft SQL Server, including database architecture, data modeling, T-SQL development, query optimization, and index optimization.
• Demonstrated experience reviewing SQL code and establishing or improving engineering and development standards.
• Hands-on experience with database deployments and modern database engineering workflows, including source control, CI/CD, deployment automation, testing, and monitoring.
• Experience with database modeling and designing maintainable schemas for production applications.
• Experience with database engineering and operational tooling such as DataDog, DPA, Flyway, Redgate, Liquibase, Azure DevOps, GitHub Actions, or comparable technologies.
• Experience implementing or working with data contracts, APIs, or other defined interfaces between transactional databases and downstream consumers.
• Clear written and verbal communication skills with the ability to influence and mentor technical peers.
You Might Also Have
• Experience working with large-scale databases of approximately 1TB or greater , where database organization, performance, and tuning require additional scale-specific considerations.
• Experience leading or contributing significantly to a database modernization or platform transformation initiative across legacy and modern systems.
• Experience with Azure SQL, AWS RDS for SQL Server, managed database platforms, Infrastructure as Code, or DevOps automation.
• Knowledge of data warehousing, ETL, data integration, analytics platforms, or Microsoft Access applications in enterprise environments.
• Experience establishing database development standards across a team or organization.
• Experience coaching or mentoring SQL Engineers or other technical professionals.
• Experience using AI-assisted engineering tools responsibly to improve analysis, documentation, development, or code review.
What We Look For
We’re looking for a highly motivated, experienced SQL professional who enjoys making both systems and the engineers working within them better.
The right person will bring strong technical judgment without unnecessary rigidity. You should be comfortable looking at an existing environment, understanding why it evolved the way it did, and determining what genuinely needs to change rather than modernizing simply for the sake of modernization.
You’ll thrive in this role if you:
• Enjoy being the person other engineers turn to for difficult database questions.
• Can respectfully challenge existing approaches and clearly articulate a better path.
• Care deeply about clean, maintainable code and repeatable engineering practices.
• Enjoy coaching others and raising the technical bar of a team.
• Balance technical excellence with pragmatism and production stability.
• Are comfortable operating with autonomy while collaborating closely with other Technology teams.
• Approach technical debt and modernization with a business-minded understanding of risk, value, and impact.
What Success Looks Like
In your first year, success will look like:
• More consistent, maintainable, and high-quality SQL across the engineering organization.
• Stronger code-review and database development standards that improve quality, predictability, and deployment confidence.
• Improved platform stability and fewer recurring database performance issues.
• Meaningful, prioritized progress against technical debt and database modernization initiatives.
• A SQL Engineering team that benefits from stronger technical mentorship and clearer engineering standards.
• Database architecture and development practices that are increasingly scalable, repeatable, and easier to maintain.
What Aeroflow Offers
Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!!
Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:
• Family Forward Certified
• Great Place to Work Certified
• Inc. 5000 Best Place to Work award winner
• HME Excellence Award
• Sky High Growth Award
If you’ve been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you!
Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
We value transparency and candidate safety throughout the hiring process. Aeroflow recruiters may reach out through platforms such as LinkedIn or Indeed; however, all interviews and/or offer coordination and sensitive information requests will occur only through our official communication channels. You will never be asked to provide personal data outside our secure application portal, and all interview or offer details will come from an @aeroflowinc.com email address. We do not conduct interviews via text message or instant-messaging apps. If you have concerns, please contact our Talent Acquisition team for verification