Job description
About Us:
Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at www.meduitrcm.com.
About the Role:
The Database Engineer is responsible for designing, optimizing, and evolving large-scale MySQL database environments in a high-volume production setting. This role ensures scalable data structures, high-performance query execution, and reliable database operations across multi-terabyte systems. The Database Engineer partners with engineering, data, and analytics teams to modernize database architecture and support downstream reporting and data platforms.
Title: Database Engineer
Location: Remote – United States
Schedule: Full-time, First Shift, Monday – Friday
Department: Technology/Engineering
Compensation: $95,000 to $120,000
Key Responsibilities:
Design and evolve MySQL schemas to support scalable, multi-tenant architectures
Define and enforce database design standards including indexing, partitioning, and performance optimization
Optimize complex SQL queries and resolve systemic database performance issues
Implement and automate database change management, schema deployments, and migrations
Maintain replication, failover, and disaster recovery processes to ensure high availability
Monitor performance, troubleshoot production issues, and ensure data integrity
Support cross-platform environments including MSSQL and Snowflake integrations
Collaborate with engineering and BI teams to align data structures with reporting and analytics needs
Work within Jira workflows and use GitHub for version control and documentation
Required Qualifications:
Bachelor’s degree in Computer Science, Information Systems, or a related field (or equivalent experience)
Minimum 5 years of experience working with relational databases
Strong experience with MySQL design, performance tuning, and optimization
Experience supporting large-scale or multi-terabyte database environments
Strong SQL skills with a focus on query performance and optimization
Experience with replication, high availability, and disaster recovery
Experience with automation and Git-based workflows
Preferred Qualifications:
Experience with database migration and change management tools (e.g., Flyway, Liquibase, Grate)
Familiarity with Snowflake and MSSQL environments
Experience designing multi-tenant database architectures
Scripting experience (Python, Bash, or similar)
Experience in healthcare or revenue cycle management
Experience supporting high-volume production systems
Employment eligibility:
Candidates must be legally authorized to work in the United States at the time of hire
The company does not provide employment visa sponsorship for this position
As a condition of employment, a pre-employment background check will be conducted
At this time, we are unable to consider candidates residing in the state of New York for this position
What We Offer:
Comprehensive paid training
Medical, dental, and vision insurance
HSA and FSA available
401(k) with company match
Paid Wellness Time and Holidays
Employer paid life insurance and long-term disability
Internal growth opportunities
Meduit is an Equal Opportunity Employer. We do not discriminate based on any protected class and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.
Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.