Azure SQL DBA for Health Data Platform (Remote US)

The Emily Program; Saint Paul (MN); Remote; USD 150,000 - 185,000; Full time

Job summary

Accanto Health is seeking a Database Administrator to ensure the reliability, performance, and security of its Azure data platform, integrating data from the EHR, Salesforce, and financial systems to support enterprise reporting. You will manage Azure SQL and data warehouse environments, ensure data ingestion reliability, and protect PHI per HIPAA.

As the organization\'s first dedicated database administrator, you will establish platform standards, monitor backups, and document procedures while

Qualifications

• Five or more years administering relational databases in production, including SQL Server or Azure SQL.
• Demonstrated performance tuning on large transactional datasets.
• Hands-on experience with Azure data services, including pipeline monitoring and failure triage.
• Troubleshooting synchronization between a source system and a downstream warehouse.
• Working knowledge of HIPAA safeguards as they apply to database and platform administration.
• Healthcare or financial systems experience preferred.

Responsibilities

• Platform and environments: manage Azure SQL and warehouse environments across development, test and production; size compute/storage and monitor costs.
• Reliability: backup, restore, disaster recovery targets, and data lineage documentation.
• Security and compliance: implement RBAC, encryption, masking, audit logs, and HIPAA safeguards.
• Performance: tune ETL/ELT and reporting queries (SSRS, Power BI); optimize indexing and partitioning.
• Documentation and continuity: maintain runbooks and cross-train staff; ensure dependencies are documented.
• Partnership: collaborate with Data Architect, Data Modelers, Data Developers and Analytics leadership.

Skills

Azure SQL

SQL Server

Performance tuning

Data security

HIPAA compliance

ETL/ELT monitoring

Data ingestion monitoring

Education

Bachelor’s degree in IT or related

7+ years equivalent experience in lieu of degree

Tools

Azure data services

SSRS

Power BI

Azure Synapse

Infrastructure-as-code

Job description

Accanto Health is seeking a Database Administrator to ensure the reliability, performance, and security of its Azure data platform, integrating data from the EHR, Salesforce, and financial systems to support enterprise reporting. You will manage Azure SQL and data warehouse environments, ensure data ingestion reliability, and protect PHI per HIPAA.

As the organization\'s first dedicated database administrator, you will establish platform standards, monitor backups, and document procedures while