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Senior Database Engineer

MCG Health
UKRemotefull_timeVerifiedPosted 23 Feb 2026
💰 $190,400/yr

About the role

At MCG, we lead the healthcare community to deliver patient-focused care. We have a mission-driven team of talented physicians and technical experts developing our evidence-based content and innovating our products to accelerate improvements in healthcare. If you are driven to enhance the US healthcare system, MCG is eager to have you join our team. We cultivate a work environment that nurtures personal and professional growth, and this is a thrilling time to become a part of our organization. With dynamic roles that offer meaningful impact, you'll be able to fully realize your potential. Plus, you'll enjoy world-class benefits and the security, stability, and resources of our parent company, Hearst, with over 100 years of experience.

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 f

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Company

MCG Health

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