About Us:
Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at www.meduitrcm.com.
About the Role:
The Database Engineer is responsible for designing, optimizing, and evolving large-scale MySQL database environments in a high-volume production setting. This role ensures scalable data structures, high-performance query execution, and reliable database operations across multi-terabyte systems. The Database Engineer partners with engineering, data, and analytics teams to modernize database architecture and support downstream reporting and data platforms.
Key Responsibilities:
- Design and evolve MySQL schemas to support scalable, multi-tenant architectures
- Define and enforce database design standards including indexing, partitioning, and performance optimization
- Optimize complex SQL queries and resolve systemic database performance issues
- Implement and automate database change management, schema deployments, and migrations
- Maintain replication, failover, and disaster recovery processes to ensure high availability
- Monitor performance, troubleshoot production issues, and ensure data integrity
- Support cross-platform environments including MSSQL and Snowflake integrations
- Collaborate with engineering and BI teams to align data structures with reporting and analytics needs
- Work within Jira workflows and use GitHub for version control and documentation
Required Qualifications:
- Bachelor’s degree in Computer Science, Information Systems, or a related field (or equivalent experience)
- Minimum 5 years of experience working with relational databases
- Strong experience with MySQL design, performance tuning, and optimization
- Experience supporting large-scale or multi-terabyte database environments
- Strong SQL skills with a focus on query performance and optimization
- Experience with replication, high availability, and disaster recovery
- Experience with automation and Git-based workflows
Preferred Qualifications:
- Experience with database migration and change management tools (e.g., Flyway, Liquibase, Grate)
- Familiarity with Snowflake and MSSQL environments
- Experience designing multi-tenant database architectures
- Scripting experience (Python, Bash, or similar)
- Experience in healthcare or revenue cycle management
- Experience supporting high-volume production systems
Employment eligibility:
- Candidates must be legally authorized to work in the United States at the time of hire
- The company does not provide employment visa sponsorship for this position
- As a condition of employment, a pre-employment background check will be conducted
- At this time, we are unable to consider candidates residing in the state of New York for this position
What We Offer:
- Comprehensive paid training
- Medical, dental, and vision insurance
- HSA and FSA available
- 401(k) with company match
- Paid Wellness Time and Holidays
- Employer paid life insurance and long-term disability
- Internal growth opportunities
Meduit is an Equal Opportunity Employer. We do not discriminate based on any protected class and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.
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Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThis employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Skills Required
- Bachelor's degree in Computer Science, Information Systems, or a related field
- Minimum 5 years of experience working with relational databases
- Strong experience with MySQL design, performance tuning, and optimization
- Experience supporting large-scale or multi-terabyte database environments
- Strong SQL skills with a focus on query performance and optimization
- Experience with replication, high availability, and disaster recovery
- Experience with automation and Git-based workflows
- Experience with database migration and change management tools (e.g., Flyway, Liquibase, Grate)
- Familiarity with Snowflake and MSSQL environments
- Experience designing multi-tenant database architectures
- Scripting experience (Python, Bash, or similar)
- Experience in healthcare or revenue cycle management
- Experience supporting high-volume production systems
What We Do
Meduit was born out of a drive for excellence and a passion for new ideas for improving revenue cycle management for healthcare organizations and the patients they serve. Today, Meduit is a parent organization where leading RCM companies, including MedA/Rx and Receivables Management Partners (RMP), collaborate to identify and measure best practices, leverage one another's unique strengths, collaborate for results, and serve healthcare clients on a unified solutions platform. Meduit is one of the nation’s leading Revenue Cycle Management (RCM) companies with decades of experience in the RCM healthcare arena, serving more than 500 hospital and physician practices in 47 states. Meduit combines a state-of-the-art accounts receivable management model with advanced technologies and an experienced people-focused team that takes a compassionate and supportive approach to patient engagement. Meduit significantly improves financial, operational and clinical performance, maximizing cash acceleration and ensuring that healthcare organizations can dedicate their resources to providing more quality healthcare services to more patients.
