Senior Database Reliability Engineer

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Database Reliability Engineer based in the United States.

This is a high-impact engineering role responsible for the reliability, performance, availability, and cost efficiency of production databases powering a modern healthcare technology platform.
You will take end-to-end ownership of database operations across EHR, data, and AI workloads, with a strong focus on preventing issues rather than simply reacting to them.
The role combines deep database engineering with observability, automation, incident response, architecture, and cloud cost optimization.
You will partner closely with engineering teams to improve query quality, establish safe migration practices, and ensure scalable database architectures.
You will also play a key role in protecting sensitive healthcare information within a HIPAA-compliant environment.
This is an opportunity to influence platform architecture, engineering standards, and operational practices as the organization continues to scale.
The ideal candidate is a database expert who enjoys solving complex production problems and building systems that remain reliable under growing workloads.