Saviance · 2 hours ago
Database Engineer – Voice Agents for Healthcare Applications
United States
Full-time
Remote
Senior Level
5+ years expBigRio is a Boston-based, remote-first technology consulting firm specializing in advanced data and software solutions. They are seeking a Database Engineer to design and integrate highly available and secure solutions optimized for healthcare applications, focusing on database design, development, and compliance with healthcare regulations.
Information Technology & Services
Responsibilities
Database Design & Architecture
Design and implement MySQL, PostGres, or MariaDB schemas and data models optimized for EMR/EHR workloads
Experience working with AI Voice Agent Integrations
Create scalable solutions for patient records (PHI), appointments, billing, and clinical workflows
Ensure compatibility with interoperability standards (HL7, FHIR, ADT)
Database Development & Optimization
Develop and maintain stored procedures, views, triggers, and indexing strategies
Optimize query performance and database configurations for high-volume healthcare transactions
Implement ETL processes for ingesting data from various healthcare systems (EHRs, lab systems, and third-party APIs)
Data Security & Compliance
Implement encryption, user access controls, and audit trails for sensitive patient data
Ensure compliance with healthcare regulations (HIPAA, GDPR)
Integration & Collaboration
Collaborate with application development teams (Node.js/Nest.js, Angular) to ensure seamless API and data layer integration
Support development of REST APIs for secure data retrieval and updates
Work closely with QA teams to validate data integrity and performance
Monitoring & Maintenance
Set up database backup, recovery, and disaster recovery processes
Monitor database health, capacity planning, and troubleshoot performance issues
Provide on-call support as needed
Qualification
Required
Bachelor's degree in Computer Science, Information Systems, or related field
5+ years of experience as a database engineer
Strong Relational Database experience
Understanding of HL7, FHIR, and healthcare data models
Experience with database replication, partitioning, sharding, and high availability setups
Advanced SQL performance tuning and optimization experience
Familiarity with ETL workflows, data migrations, and healthcare data pipelines
Working knowledge of API integrations and enterprise architecture for healthcare applications
Preferred
Experience with cloud-based AWS DB Deployment
Knowledge of microservices architecture and REST APIs
Experience working with Dockerized environments and CI/CD for database deployment
Company
Saviance
Saviance is a modern consulting firm providing a variety of professional services to its clients in the US.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Rohit M.
Managing Partner
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