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Database Engineer - Voice Agents for Healthcare Applications

Saviance

Database Engineer - Voice Agents for Healthcare Applications

Location: Remote-India



Employment Type: Contract


About BigRio: BigRio is a Boston-based, remote-first technology consulting firm specializing in advanced data and software solutions. We partner with forward-thinking organizations to deliver scalable, cost-effective, and innovative technology, with particular expertise in AI/ML, data engineering, and cloud-native applications. Our clients span healthcare, life sciences, government, and enterprise sectors, and we are known for our ability to tackle complex challenges with cutting-edge solutions.


About the Role



We are seeking a Database Engineer to design and integrate solutions that are highly available, secure, and optimized for healthcare applications (EMR/EHR).


Key Responsibilities

  • Database Design & Architecture
  • Design and implement MySQL, PostGres, or MariaDB schemas and data models optimized for EMR/EHR workloads.
  • Experience working with AI Voice Agent Integrations.
  • Create scalable solutions for patient records (PHI), appointments, billing, and clinical workflows.
  • Ensure compatibility with interoperability standards (HL7, FHIR, ADT).
  • Database Development & Optimization
  • Develop and maintain stored procedures, views, triggers, and indexing strategies.
  • Optimize query performance and database configurations for high-volume healthcare transactions.
  • Implement ETL processes for ingesting data from various healthcare systems (EHRs, lab systems, and third-party APIs).
  • Data Security & Compliance
  • Implement encryption, user access controls, and audit trails for sensitive patient data.
  • Ensure compliance with healthcare regulations (HIPAA, GDPR).
  • Integration & Collaboration
  • Collaborate with application development teams (Node.js/Nest.js, Angular) to ensure seamless API and data layer integration.
  • Support development of REST APIs for secure data retrieval and updates.
  • Work closely with QA teams to validate data integrity and performance.
  • Monitoring & Maintenance
  • Set up database backup, recovery, and disaster recovery processes.
  • Monitor database health, capacity planning, and troubleshoot performance issues.
  • Provide on-call support as needed.
Required Qualifications
  • Bachelor's degree in Computer Science, Information Systems, or related field.
  • 5+ years of experience as a database engineer.
  • Strong Relational Database experience
  • Understanding of HL7, FHIR, and healthcare data models.
  • Experience with database replication, partitioning, sharding, and high availability setups.
  • Advanced SQL performance tuning and optimization experience.
  • Familiarity with ETL workflows, data migrations, and healthcare data pipelines.
  • Working knowledge of API integrations and enterprise architecture for healthcare applications.
Preferred Skills
  • Experience with cloud-based AWS DB Deployment.
  • Knowledge of microservices architecture and REST APIs.
  • Experience working with Dockerized environments and CI/CD for database deployment.
Soft Skills
  • Excellent communication and documentation skills.
  • Strong problem-solving ability and attention to detail.
  • Ability to work independently and as part of a remote, distributed team
Vacancy posted 2 days ago
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