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Careers at Medicat

Database Administrator (SQL Server)

We are seeking an experienced, highly independent Database Administrator (DBA) to own and operate our mission-critical Microsoft SQL Server environments. This role requires excellent technical judgment, minimal oversight, strong communication, and the ability to keep complex database platforms reliable, performant, and available under pressure.

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Location
Remote w/ occasional travel to data centers
Working Time
Full-Time
Level
Mid-Level

Job Overview

You will serve as the primary database administrator for the organization, with broad ownership of database operations and clear authority during incidents and maintenance activities. While working independently, you will collaborate closely with Application Support, Infrastructure, and internal technical teams, keeping stakeholders informed of actions that may impact availability or performance.

This role is well-suited for a DBA who values ownership, autonomy, and being trusted to keep critical systems running reliably.

Role & Responsibilities

Database Operations & Reliability

  • Own day-to-day administration of SQL Server environments supporting mission-critical workloads
  • Ensure database availability, stability, backup integrity, and recoverability
  • Perform patching, maintenance, and lifecycle management of SQL Server instances
  • Participate in an on-call rotation and respond promptly to high-impact database incidents
  • Document environments, operational procedures, and incident outcomes
  • Operate database environments in accordance with internal security, audit, and compliance requirements (e.g., SOC 2 Type II)

Performance & Availability

  • Monitor database health, performance, and capacity
  • Troubleshoot blocking, deadlocks, performance degradation, and availability issues
  • Maintain and troubleshoot SQL Server Always On Availability Groups
  • Independently execute operational actions such as failovers or service restarts while communicating clearly with affected teams

Automation & Standards

  • Develop, maintain, and improve PowerShell and T-SQL automation
  • Identify gaps in monitoring, alerting, and operational visibility
  • Establish and evolve practical DBA standards and best practices
  • Catalog and maintain scheduled jobs and scripts, resolving issues they generate

Collaboration & Communication

  • Communicate clearly and proactively during incidents, maintenance, and changes
  • Keep technical teams and stakeholders informed of status, risks, and resolution progress
  • Work independently in a remote-first environment while maintaining strong alignment with technical teams through clear communication, documentation, and regular status updates
  • Provide advanced troubleshooting support for database-related issues escalated from other teams

Qualifications

Required

  • 5+ years of hands-on SQL Server DBA experience in production environments
  • Strong experience with SQL Server Always On Availability Groups (setup, configuration, troubleshooting, upgrades)
  • Deep proficiency in T-SQL
  • Proven experience with performance tuning, blocking and deadlock analysis, and index management
  • Experience with backup and transaction log management
  • Experience developing and maintaining PowerShell and T-SQL scripts
  • Strong understanding of SQL Server security at the server and database level
  • Comfortable operating independently with end-to-end responsibility for SQL Server operations
  • Excellent communication, judgment, and self-management skills

Nice to Have

  • Experience with Redis or message/interface-driven databases
  • Experience with healthcare, SaaS, or regulated environments
  • Familiarity with enterprise backup solutions (e.g., Veeam)
  • Prior experience defining DBA standards or operational processes

Why You’ll Love This Role

  • High autonomy with real ownership and decision-making authority
  • Trusted responsibility for mission-critical systems
  • Opportunity to improve automation, standards, and operational maturity
  • Remote-first flexibility with minimal bureaucracy
  • Work that values calm judgment, reliability, and clear communication over heroics

Work Arrangement

  • Remote-first position
  • Infrequent data center visits
  • Participation in an on-call rotation (approximately one week every five weeks)

Application Form