{"schemaVersion":"jobsearcher.job.v1","id":"1d58874d4617bde035797221","url":"https://jobsearcher.com/jobs/1d58874d4617bde035797221","canonicalUrl":"https://jobsearcher.com/jobs/1d58874d4617bde035797221","title":"SQL Database Developer","description":"Key ResponsibilitiesDatabase Design & DevelopmentDesign, develop, and maintain complex SQL Server databases supporting enterprise healthcare applicationsCreate and optimize database schemas, tables, indexes, views, stored procedures, functions, and triggersDevelop scalable data models supporting patient, provider, care management, clinical, and operational workflowsEnsure database structures support evolving business and regulatory requirementsPerformance OptimizationAnalyze and resolve database performance bottlenecksOptimize complex T-SQL queries and stored proceduresDesign indexing strategies to improve application response timesPerform execution plan analysis and SQL code optimizationMonitor database performance and proactively identify areas for improvementSupport high-volume transactional workloads while maintaining performance SLAsScalability & Capacity PlanningAssess current database limitations and recommend scalability improvementsDesign solutions capable of supporting increased user concurrency and transaction volumesImplement partitioning, archiving, caching, and data lifecycle strategiesOptimize database architecture for future platform growth and new feature rolloutsCollaborate with Technical Architects to define long-term database modernization strategiesHealthcare Data & IntegrationsSupport healthcare interoperability initiatives using FHIR standardsDevelop and optimize ETL processes for healthcare data exchangeDesign database structures supporting FHIR resources and healthcare integrationsWork with API and integration teams to ensure efficient data access patternsEnsure compliance with healthcare data governance and security requirementsReporting & AnalyticsDesign and optimize reporting databases and operational data storesDevelop SQL-based reporting solutions and data extractsSupport Power BI and enterprise reporting initiativesCreate scalable reporting mechanisms that minimize application performance impactData Security & ComplianceImplement database security best practicesManage data access controls and encryption strategiesEnsure compliance with HIPAA and healthcare data privacy regulationsParticipate in audits and compliance reviewsRequirementsRequired QualificationsExperience8+ years of SQL Server development experience5+ years working on enterprise-scale applicationsExperience supporting systems with high transaction volumes and large datasetsProven track record of database performance tuning and optimizationExperience working closely with application development teamsMicrosoft SQL Server 2016/2019/2022T-SQL ProgrammingStored ProceduresViewsTriggersFunctionsQuery OptimizationIndex TuningDatabase Performance MonitoringPerformance & ScalabilityExecution Plan AnalysisDatabase PartitioningIndex Strategy DesignLocking and Blocking AnalysisDeadlock ResolutionCapacity PlanningHigh Availability and Disaster RecoveryDevelopment & IntegrationSQL Server Integration Services (SSIS)ETL DevelopmentREST API Data IntegrationsData Migration StrategiesCI/CD for Database DeploymentsSQL Reporting Services (SSRS)Power BIOperational ReportingData Warehousing ConceptsPreferred QualificationsHealthcare industry experienceKnowledge of HL7 and FHIR standardsExperience with Electronic Health Record (EHR/EMR) platformsExpertise in Azure SQL and cloud database architecturesExperience supporting care management, population health, or patient engagement platformsFamiliarity with Azure Data Factory and modern data platform technologiesKey DeliverablesDuring the first 90 days, the successful candidate will:Complete a database health and performance assessmentIdentify and resolve critical performance bottlenecksOptimize high-impact stored procedures and queriesEstablish database monitoring and performance baselinesCreate a database scalability roadmapImplement indexing and data access optimization strategiesSupport new healthcare integration and reporting initiativesImprove data quality and reliability across the platformSuccess MetricsReduction in database response timesImproved application performance and user experienceIncreased concurrent user capacityReduction in production database incidentsFaster reporting and analytics executionImproved scalability to support future platform growthHigh data quality, security, and system reliability","company":"Proarch","rawCompany":"proarch","city":"Atlanta","state":"GA","isRemote":false,"isActive":false,"createdAt":"2026-07-31T10:50:01.728Z","occupations":[{"code":"15-1243.00","title":"Database Architects","slug":"database-architects"},{"code":"15-1252.00","title":"Software Developers","slug":"software-developers"},{"code":"15-1243.01","title":"Data Warehousing Specialists","slug":"data-warehousing-specialists"}],"industries":[{"code":"541512","title":"Computer Systems Design Services","slug":"computer-systems-design-services"},{"code":"541511","title":"Custom Computer Programming Services","slug":"custom-computer-programming-services"},{"code":"513210","title":"Software Publishers","slug":"software-publishers"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"SQL Database Developer","description":"Key ResponsibilitiesDatabase Design & DevelopmentDesign, develop, and maintain complex SQL Server databases supporting enterprise healthcare applicationsCreate and optimize database schemas, tables, indexes, views, stored procedures, functions, and triggersDevelop scalable data models supporting patient, provider, care management, clinical, and operational workflowsEnsure database structures support evolving business and regulatory requirementsPerformance OptimizationAnalyze and resolve database performance bottlenecksOptimize complex T-SQL queries and stored proceduresDesign indexing strategies to improve application response timesPerform execution plan analysis and SQL code optimizationMonitor database performance and proactively identify areas for improvementSupport high-volume transactional workloads while maintaining performance SLAsScalability & Capacity PlanningAssess current database limitations and recommend scalability improvementsDesign solutions capable of supporting increased user concurrency and transaction volumesImplement partitioning, archiving, caching, and data lifecycle strategiesOptimize database architecture for future platform growth and new feature rolloutsCollaborate with Technical Architects to define long-term database modernization strategiesHealthcare Data & IntegrationsSupport healthcare interoperability initiatives using FHIR standardsDevelop and optimize ETL processes for healthcare data exchangeDesign database structures supporting FHIR resources and healthcare integrationsWork with API and integration teams to ensure efficient data access patternsEnsure compliance with healthcare data governance and security requirementsReporting & AnalyticsDesign and optimize reporting databases and operational data storesDevelop SQL-based reporting solutions and data extractsSupport Power BI and enterprise reporting initiativesCreate scalable reporting mechanisms that minimize application performance impactData Security & ComplianceImplement database security best practicesManage data access controls and encryption strategiesEnsure compliance with HIPAA and healthcare data privacy regulationsParticipate in audits and compliance reviewsRequirementsRequired QualificationsExperience8+ years of SQL Server development experience5+ years working on enterprise-scale applicationsExperience supporting systems with high transaction volumes and large datasetsProven track record of database performance tuning and optimizationExperience working closely with application development teamsMicrosoft SQL Server 2016/2019/2022T-SQL ProgrammingStored ProceduresViewsTriggersFunctionsQuery OptimizationIndex TuningDatabase Performance MonitoringPerformance & ScalabilityExecution Plan AnalysisDatabase PartitioningIndex Strategy DesignLocking and Blocking AnalysisDeadlock ResolutionCapacity PlanningHigh Availability and Disaster RecoveryDevelopment & IntegrationSQL Server Integration Services (SSIS)ETL DevelopmentREST API Data IntegrationsData Migration StrategiesCI/CD for Database DeploymentsSQL Reporting Services (SSRS)Power BIOperational ReportingData Warehousing ConceptsPreferred QualificationsHealthcare industry experienceKnowledge of HL7 and FHIR standardsExperience with Electronic Health Record (EHR/EMR) platformsExpertise in Azure SQL and cloud database architecturesExperience supporting care management, population health, or patient engagement platformsFamiliarity with Azure Data Factory and modern data platform technologiesKey DeliverablesDuring the first 90 days, the successful candidate will:Complete a database health and performance assessmentIdentify and resolve critical performance bottlenecksOptimize high-impact stored procedures and queriesEstablish database monitoring and performance baselinesCreate a database scalability roadmapImplement indexing and data access optimization strategiesSupport new healthcare integration and reporting initiativesImprove data quality and reliability across the platformSuccess MetricsReduction in database response timesImproved application performance and user experienceIncreased concurrent user capacityReduction in production database incidentsFaster reporting and analytics executionImproved scalability to support future platform growthHigh data quality, security, and system reliability","datePosted":"2026-07-31T10:50:01.728Z","dateModified":"2026-07-31T10:50:01.728Z","hiringOrganization":{"@type":"Organization","name":"Proarch","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Atlanta","addressRegion":"GA","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"1d58874d4617bde035797221"},"url":"https://jobsearcher.com/jobs/1d58874d4617bde035797221"}}