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Prescryptive Health, Inc. logo

Senior Database Administrator Reliability & Performance

Prescryptive Health, Inc.
Posted Jun 12, 2026, 1:29 AM UTC
🇺🇸United States🏠Remote📁Engineering & Development
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Title/Position : Senior Database Administrator Reliability & Performance Location : Redmond, WA or Remote Who is Prescryptive? Prescryptive is the healthcare technology company enabling the direct access marketplace for prescription drugs. Our platform aligns incentives, so affordability, choice, and patient access become the natural outcome of a functioning system. Learn more about us by following us on LinkedIn or visiting Prescryptive.com. About this role We are looking for a dedicated Senior Database Administrator to support a growing team managing diverse data environments. The ideal candidate will help maintain, optimize, and support multiple database systems across the organization, ensuring reliability, performance, compliance, and scalability as the platform continues to expand. As the database operations mature and key improvements are implemented, this role will evolve to include ownership of our observability strategy with a particular focus on monitoring, alerting, and operational visibility. This is a unique opportunity for someone who enjoys both deep database administration and proactive system monitoring, helping drive reliability across the entire technology platform. What you will do Manage and support multiple database platforms, including SQL Server, PostgreSQL and MongoDB Ensure database performance, availability, and reliability across environments Monitor, troubleshoot, and resolve database issues in production systems Implement best practices for database maintenance, backups, and recovery Collaborate with engineering teams to support application development and data needs Optimize queries and database structures for performance and scalability Support ongoing growth of data infrastructure as new data sources are introduced Design, implement, and maintain monitoring dashboards in Datadog. Create meaningful alerts that reduce noise and improve operational awareness. Define service-level indicators (SLIs), service-level objectives (SLOs), and alert thresholds. Develop monitoring strategies for databases, applications, infrastructure, and cloud services Build executive, operational, and engineering dashboards. Required skills, abilities, and education Strong experience as a Database Administrator (DBA), ideally in a senior-level role Hands-on experience with SQL Server, PostgreSQL and MongoDB databases Experience working with diverse data sources and environments Solid understanding of database performance tuning and optimization Experience with backup, recovery, and disaster recovery planning Strong troubleshooting and problem-solving skills Ability to work effectively in a growing, fast-paced team environment Excellent communication and collaboration skills Experience with Datadog monitoring and alerting. Experience designing operational dashboards and observability strategies. Knowledge of SRE principles and reliability engineering practices. What we have to offer The opportunity to grow alongside an early-stage company shaking up a big, old-fashioned industry Flexible time off, including 12 paid holidays 401k match plus 100% employer paid medical, dental, and vision premiums Company contribution to Health Savings Account Stock options Prescryptive is committed to fair pay practices. The projected annual salary for this position is $155,000 to $190,000. When preparing an offer, we consider the candidate’s resume, experience, interview feedback, internal equity, and location. Prescryptive is an Equal Opportunity Employer. Prescryptive does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.

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