Staff Database Engineer (PostgreSQL)

Our Mission We’re building infrastructure for modern healthcare delivery. Traditional healthcare is plagued with outdated, monolithic EHRs designed to maximize billing outcomes. Patient outcomes and provider experiences have been afterthoughts, as these systems have bolted on non-API-first solutions. None of this is built for how clinically excellent healthcare is actually delivered—longitudinally and collaboratively, with the patient at the center. Healthie is the world’s leading API-first, ONC-Certified EHR for healthcare delivery outside of the hospital. We provide the powerful infrastructure every scaling organization needs—EHR, scheduling, patient engagement, billing, and more—all accessible via modern APIs and a white-labeled UI. Our platform makes it simple for organizations of any size to launch, customize, and scale their care delivery models without reinventing the wheel. Today, over 2 billion API calls are made to Healthie every month, as thousands of organizations—working with more than 20 million patients in total—rely on Healthie to deliver clinically excellent healthcare in over 35 specialties, from preventative medicine to complex chronic care management. We believe in the power of technology to improve access to healthcare—and we’re building the rails that make this a reality. We work fast and with quality because we provide business-critical, healthcare-critical software that clinicians and patients need for a better healthcare system. We’re customer-obsessed, operate with lightning-fast processes and responses, make our product roadmap public so customers can see what we’re building, and remain relentlessly focused on how care gets delivered. Healthie is backed by leading investors, and while we've raised $42M to date, more importantly, we operate with fiscal responsibility and have been profitable for more than half of our time as a company. Learn more at https://www.gethealthie.com/ About the role We’re hiring a Staff Database Engineer - PostgreSQL to join our Platform Engineering team at Healthie. You’ll be a key contributor to one of the most important pieces of digital infrastructure in the healthcare space. Our platform is growing rapidly, and we need someone who can ensure our databases scale, perform, and remain reliable. You’ll be responsible for database infrastructure administration across production, QA, and development environments, ensuring smooth operation, monitoring performance, and maintaining automation scripts. Your expertise in PostgreSQL will help shape how we deploy, scale, monitor, and refine our data model. Strong familiarity with ORMs (especially Rails/ActiveRecord) is a big plus! You will own our Aurora databases, managing database setup, configuration, upgrades, monitoring, and troubleshooting. You will design and execute zero or minimal downtime upgrades and disaster recovery solutions while implementing best practices for partitioning, archiving, and accessing archived data. Measuring and optimizing system performance, capacity planning, and security instrumentation will be part of your role, along with collaborating with feature teams to facilitate schema and query improvements. Observing application behavior to prioritize query optimizations will also be a key aspect of this position. At Healthie, we’re all about building high-quality, reliable infrastructure that enables better healthcare. If you’re passionate about database performance, scalability, and impact-driven work, we’d love to hear from you. At Healthie, we are increasingly AI-enabled and AI-accelerated in how we build. We are looking for team members who actively leverage AI-powered development tools, embrace automation, and help teams adopt modern, AI-assisted engineering practices to increase velocity and quality. About you You have deep expertise in Amazon AWS RDS Aurora, Postgres replication, partitioning, clustering, high availability, backup, and disaster recovery strategies. You have experience in mission-critical environments, ensuring database reliability, performance, and scalability. Bonus points for experience in healthcare or other regulated industries. You come with a strong foundation in designing, scaling, and optimizing Postgres deployments. You have a strong ability to prioritize platform needs, balancing short-term fixes with long-term scalability. You are a collaborative leader who influences without authority—people enjoy working with you because you communicate clearly and support your colleagues. You have very strong interpersonal, collaboration, and communication skills, embodying Healthie’s core values of Respect, Reliability, and Resilience without ego. You have a bias toward execution—you focus on getting things done and don’t let obstacles slow you down. You are full of grit and not afraid to roll up your sleeves and move quickly. You thrive in fast-paced, problem-solving environments, constantly improving and optimizing database performance. You are Mission-driven, excited about building infrastructure that improves patient outcomes. You have strong proficiency in tools like Terraform, PG Bouncer, scripting, and postgres monitoring systems. You are experienced in building and maintaining infrastructure for critically important applications. You take initiative and problem-solve effectively, asking the right questions and finding solutions. Details, details This is a full-time, remote position within the United States. U.S. work authorization is required. The base salary range is $205,000 - $235,000 plus equity, annual bonus + benefits Interview Process Quick chat with Talent team (15 minutes) Interview with Matt, Engineering Manager, Platform (30 minutes) Technical Assessment with CJ (60 minutes) Executive Interview with Cavan, CTO + cofounder (20 minutes) Reference checks Learn more at gethealthie.com/careers Healthie participates in e-verify Healthie is committed to equal employment opportunity. All qualified applicants will receive consideration for employment without regard to and will not be discriminated against based on age, race, gender, color, religion, national origin, sexual orientation, gender identity, veteran status, disability or any other protected category. We're proud to be building a diverse and inclusive environment that encourages collaboration, creativity, and growth. Whatever your background, please apply if this is a role that would make you excited to come into work every day.