About Us
TherapyNotes is the go-to superhero for behavioral health Practice Management and EHR software! Our top-notch SaaS solution handles scheduling, billing, documenting, telehealth, and more so clinicians can focus on awesome patient care.
We're a dynamic team of pros who love to innovate and push the envelope, keeping our software cutting-edge. Join us, and let's revolutionize behavioral health software together while making a real difference!
About the Position
We are seeking a Database Site Reliability Engineer who demonstrates a strong skill set in managing PostgreSQL. In this role, you will own the reliability and operability of our PostgreSQL services supporting a growing 24x7 SaaS platform, with an emphasis on availability, performance, observability, incident response, and automation. You will partner with cross-functional teams—including developers, operations, and infrastructure—to ensure that our database services run smoothly and efficiently. If you are passionate about operational excellence and continuous improvement, we want to hear from you.
What You'll Do
- Responsible to design, implement, and maintain high-availability, high throughput, data and compute intensive, critical database systems running PostgreSQL which supports a growing 24x7 SaaS platform.
- Define and improve database service reliability through monitoring/alerting, SLO-oriented metrics, and operational readiness.
- Participate in and help drive incident response, root cause analysis, and post-incident corrective actions for database-related production events.
- Partner with other technical leaders to ensure all newly introduced systems are supportable and maintainable by both development and operations.
- Provides escalated technical guidance and support to other technology teams throughout the organization
- Provides on-call coverage for production support and other duties as required.
- Accountable for complying with HIPAA security policies within the database platform
- Ensure all solutions and operational activities adhere to the security and operating policies established by the organization
- Own and continuously improve our Datadog database observability by building actionable dashboards, alerts, and service-level views using an observability stack (e.g., Prometheus, Grafana, New Relic, or equivalent). Familiarity with PGAnalyze or Percona a plus.
- Automate system maintenance tasks using Bash, Powershell, Python, or Ansible. Manage infrastructure as code (IaC) writing Ansible playbooks. Some exposure to Terraform a plus.
- Experience with writing & designing ETL pipelines using Python a plus
- Understand and maintain various PostgreSQL ecosystem components like: PgBouncer, PgBackrest, HaProxy, RepMgr a plus
- Excellent communication and interpersonal skills.
What We're Looking For
- BS degree in Information Systems, Engineering, or equivalent experience
- 10+ years of Engineering experience with Database Engineering, Systems Engineering, DevOps and/or SRE
- Experience in cloud-based compute, storage, and containerization solutions (Azure & Kubernetes preferred)
- Proficiency with operating PostgreSQL in a Linux environment is a plus
- Expertise with an observability/monitoring platform (e.g., Prometheus/Grafana, New Relic, Datadog, or equivalent); Datadog experience is a plus.
- Experience working in Agile/DevOps environments and operating production services with ITSM practices where applicable
What We Offer
- Competitive salary - $120,000-160,000
- Employer sponsored health, dental, vision, life, and disability insurance
- Retirement plan with company contribution
- Annual company profit sharing
- Personal development/training budget
- Open, collaborative work environment
- Extensive 2-week onboarding plan
- Comprehensive mentorship program
Equal Opportunity Employer Statement & Applicant Rights
TherapyNotes LLC is an Equal Opportunity Employer and does not discriminate based on race, color, religion, sex, national origin, age, disability, genetic information, or any other protected status under federal, state, or local law. We are committed to providing a workplace free of discrimination and harassment.For more information about your rights under federal employment laws, please review the following:
- Know Your Rights: Workplace Discrimination is Illegal
- Family and Medical Leave Act (FMLA): Employee Rights Under FMLA
If you require a reasonable accommodation during the application process, please contact [email protected]
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1/8/2026
Top Skills
What We Do
TherapyNotes™ is an online practice management system for behavioral health, featuring robust notes, scheduling, and billing features.
The heart of TherapyNotes™ is the notes system. Whereas most practice management systems offer a generic free-form text area, TherapyNotes™ offers an easy-to-use form-filled approach, greatly speeding up data entry and note writing. The notes were carefully designed by TherapyNotes™ cofounder and psychologist Debra Pliner, with feedback from other psychologists, psychiatrists, and significant research to maximize compliance with insurance, HIPAA, and industry standards.
TherapyNotes™ also offers a powerful “to do” list which automatically directs clinicians regarding what actions need to be taken such as notes to write after sessions, to contact the primary care physician when appropriate, or reminders to schedule treatment plan updates.
TherapyNotes™ was developed by the husband and wife team: Dr. Debra Pliner, clinical psychologist, and Brad Pliner, web technologies expert, to fill a need for a practice management system that was built for the unique needs of mental health practitioners.
