LeanTaaS

Healthcare

PlatformDatabaseAdministrator(DBA)forAurora/MySQL

$170–200k Remote FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Mid+ candidates.

The Brief

“Platform Database Administrator (DBA) for Aurora/MySQL at LeanTaaS. Skills: Database Administration, AWS Aurora, MySQL/InnoDB, Performance Tuning. Triage slow database queries. Design composite indexes”

Industry & Context.

Healthcare
Problems you'll solve

Root cause analysis; Troubleshooting; Performance tuning; Query optimization

What They're Looking For.

Must Have

Bachelor’s degree in Computer Science or related field, Equivalent years of enterprise experience, Extensive experience administering AWS relational database environments, Specific knowledge of AWS Aurora architectures, Proactive automation mindset, Experience scripting solutions for schema drift detection, Experience scripting solutions for slow-query automated alerts, Experience scripting solutions for automated indexing recommendations, Deep professional mastery of MySQL/InnoDB core behaviors, Demonstrated expertise in system-level database performance profiling, Demonstrated expertise in query rewrites, Demonstrated expertise in engineering advanced indexing strategies, Excellent communication skills, Excellent collaboration skills, Track record of translating complex database concepts for software engineering teams, Prioritizing work based on cross-product impact

Nice to Have

Experience managing non-MySQL environments, Experience optimizing non-MySQL environments, Experience designing schemas in non-MySQL, Experience optimizing query performance in non-MySQL, Experience implementing advanced indexing in non-MySQL, Experience implementing partition strategies in non-MySQL, Interest in leveraging GenAI/LLM-assisted analysis, Familiarity with Datadog for real-time anomaly detection, Familiarity with Datadog for dashboard creation, Prior exposure to healthcare data standards, Prior exposure to healthcare integration pipelines

What You'll Do.

Triage slow database queries

Design composite indexes

Rewrite inefficient subqueries

Eliminate full-table-scan patterns

Sustain system performance

Sustain system reliability

Manage schema migrations

Track client-specific data growth

Supervise AWS Aurora environments

Orchestrate cluster endpoint routing

Manage failover behaviors

Execute parameter tuning

Troubleshoot data warehouse lags

Troubleshoot read replica lags

Manage InnoDB lock behaviors

Resolve complex lock contentions

Adjust buffer pool parameters

Diagnose database pipelines

Optimize database pipelines

Deploy temporary table strategies

Configure batch writes

Implement partition pruning

Ingest performance profiles

Develop automated alerts

Develop telemetry rules

Develop intervention workflows

Analyze instance utilization models

Teach software engineers query design

Guide software engineers query design

Provide architectural validation

Perform reviews for staging tables

Perform reviews for computed views

Evaluate GenAI tooling

Accelerate query profiling

Simplify fleet manageability

How You'll Work.

Team & Collaboration

Cross-functional partnership; Software engineers

Communication Scope

Translate complex concepts

Full Job Description

## Description We are a growth stage company that creates software solutions combining lean principles, predictive and prescriptive analytics, and machine learning to transform hospital and infusion center operations. More than 190 health systems and over 1,200 hospitals and centers across 49 states rely on our award-winning products and expert change management services to increase patient access, decrease wait times, and reduce healthcare delivery costs. We have raised more than $300 million from top-tier investors such as Bain Capital, Insight Partners, and Goldman Sachs. We have been named among the top 100 AI companies in the world. Please note that while this role is listed as available for remote, we are currently employing in the following states: AK, AZ, CA, CO, CT, DC, FL, GA, IA, IL, IN, KS, LA, MA, MD, ME, MI, MO, MT, NC, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV. If your state is not listed, we may not be able to proceed with your application. We have offices in Santa Clara, CA and Charlotte, NC for employees who prefer to work regularly or occasionally from an office. ## ROLE OVERVIEW As the Platform Database Administrator (DBA) for Aurora, you will serve as the architectural and operational anchor for our high-scale database environments. In this role, you will bridge the gap between technical data layers and production feature engineering, taking full ownership of database performance tuning, optimization strategies, and system reliability across our core software suites. This is a highly technical, hands-on infrastructure role focused on scaling multi-tenant database systems that process hundreds of millions of operational healthcare records daily. Core Stack Amazon Web Services (AWS) Aurora, MySQL/InnoDB internals, Datadog Observability Platform Scale Multi-tenant infrastructure managing over 400 active database schemas with high availability Collaboration Cross-functional partnership across 4 core business products: Operating Room

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