Site Reliability Specialist III - MS SQL / Medical Imaging Systems

Company Description

At Intelerad, we believe the path to answers in healthcare should be clear-whether you are waiting for a diagnosis or trying to expedite one. Our medical imaging solutions streamline the flow of information, simplifying complex processes, maximizing efficiencies, and shining a light on the unknown. We empower physicians to get patients the answers they need faster and improve outcomes for everyone. With more accessible imaging, we are getting patients out of the dark.  

Headquartered in Raleigh, NC and Montreal, Intelerad has nearly 800 employees located in offices across four countries. The company empowers nearly 2,000 healthcare organizations around the world with the speed, scalability, and simplicity needed to increase business performance while, most importantly, improving patient outcomes. Intelerad’s modern enterprise solutions have been acknowledged by a Best in KLAS recognition, ranking #1 for PACS Asia/Oceania in the 2021 Best in KLAS: Global Software (Non-US) report.

Job Description

The Site Reliability Specialist III plays a critical role in maintaining the performance, availability, and scalability of Intelerad's mission-critical healthcare imaging platforms. This position combines deep technical expertise in SQL database administration, system administration, software deployments, and cloud infrastructure to ensure our PACS, RIS, and enterprise imaging solutions deliver the reliability that healthcare providers depend on 24/7. In addition to core database responsibilities, the role includes hands-on system administration tasks and software deployment activities typically performed by a system administrator. As healthcare IT continues its evolution toward cloud-based architectures, this role will be instrumental in supporting and advancing our cloud transformation initiatives while maintaining the high standards of system performance our clients expect.

Key Responsibilities

• Ensure system reliability and performance across production environments by proactively monitoring infrastructure health (servers, OS, databases, and applications), identifying performance bottlenecks, and implementing solutions that maintain 99.9%+ uptime for mission-critical healthcare imaging systems
• Optimize SQL database performance and maintenance by analyzing query execution plans, implementing indexing strategies, performing database tuning, and executing maintenance routines that ensure fast, reliable access to imaging data across multiple SQL Server-based applications
• Perform software deployments, including planning, testing, and executing application and system updates, patches, and new releases across on-premises and cloud environments, while minimizing downtime and ensuring compatibility with existing healthcare imaging workflows
• Execute core system administration tasks such as server provisioning, OS patching and hardening (Windows/Linux), user account and access management, security configuration, file system maintenance, and backup/recovery operations beyond just databases
• Support cloud infrastructure operations by managing and maintaining cloud-based deployments (AWS, Azure, or GCP), implementing infrastructure-as-code practices, and contributing to the migration of on-premises systems to cloud environments
• Lead incident response and troubleshooting by diagnosing complex system, database, and deployment issues, coordinating resolution efforts across teams, conducting root cause analysis, and implementing preventive measures to reduce future incidents
• Drive continuous improvement initiatives by identifying automation opportunities (including deployment pipelines and routine sysadmin tasks), documenting system configurations and procedures, implementing monitoring and alerting enhancements, and collaborating with development teams to improve application reliability, performance, and deploy-ability
• Work on weekends, after hours and holidays as needed to support our clients; participate in an on-call rotation to aid in troubleshooting or execute emergency changes

Travel Requirements: Occasional travel may be required for client escalations or team collaboration (up to 10%)

This job description is not a comprehensive list of tasks or requirements and Intelerad reserves the right to change it at any time.

Qualifications

Required Qualifications & Experience

• Bachelor's degree in Computer Science, Information Technology, or equivalent experience
• 5+ years of experience in system administration, site reliability engineering, database administration, or similar technical operations roles supporting enterprise production environments
• Strong SQL Server experience including performance tuning, query optimization, index management, backup/recovery pr