Database Administrator– Microsoft SQL Server at PATIENT ACCOUNTING SERVICE CENTER

PATIENT ACCOUNTING SERVICE CENTER; Houston (TX); Remote; USD 135,000 - 155,000; Full time

Benefits offered by this job

Comprehensive Health Benefits

401(k) Retirement Plan with matching

Paid Time Off (PTO)

Job summary

GetixHealth is seeking an experienced Database Administrator to ensure availability, performance, security, and reliability of Microsoft SQL Server environments across production, development, and disaster recovery. The role involves on-call rotations and collaboration with IT Infrastructure, Information Security, and Development teams.

The ideal candidate has hands-on SQL Server administration, high-availability and disaster-recovery expertise, and strong scripting skills for automation.

Qualifications

• Bachelor’s degree or equivalent professional experience in computer science, information technology or related field.
• 3–5+ years administering Microsoft SQL Server environments.
• Strong hands-on SQL Server administration experience.

Responsibilities

• Administer, maintain, and support Microsoft SQL Server environments across production, development, testing, and disaster recovery.
• Install, configure, patch, upgrade, and troubleshoot SQL Server instances and services.
• Manage SQL Server databases across physical, virtual, cloud, and hybrid environments.
• Monitor database health, availability, capacity, performance, and resource utilization.
• Perform database maintenance including index optimization, statistics maintenance, and integrity checks.
• Support migrations, consolidations, upgrades, and modernization initiatives.
• Design and support high-availability and disaster-recovery solutions.
• Develop PowerShell, T-SQL, and automation for administration tasks.
• Participate in on-call rotation for critical production systems.

Skills

SQL Server administration

PowerShell scripting

T-SQL

Windows Server

Azure Monitor/Analytics

High availability

Disaster recovery

Performance tuning

Security & access controls

Automation

Education

Bachelor’s degree in CS/IT/IS or related field

Tools

Azure SQL Database

Azure SQL Managed Instance

SQL Server on Azure VMs

Active Directory

Job description

Database Administrator – Microsoft SQL Server Location: Remote – U.S. GetixHealth is seeking an experienced Database Administrator (DBA) to support the availability, performance, security, maintenance, and reliability of our Microsoft database platforms and supporting infrastructure. This role will primarily support our Microsoft SQL Server environment and work closely with IT Infrastructure, Information Security, Application, and Development teams. The ideal candidate will bring strong hands‑on SQL Server administration experience along with expertise in database performance, high availability, disaster recovery, security, and automation.

Key Responsibilities

• Administer, maintain, and support Microsoft SQL Server environments across production, development, testing, and disaster recovery
• Install, configure, patch, upgrade, and troubleshoot SQL Server instances and associated database services
• Manage SQL Server databases across physical, virtual, cloud, and hybrid environments
• Monitor database health, availability, capacity, performance, and resource utilization
• Perform database maintenance, including index optimization, statistics maintenance, integrity checks, and database cleanup
• Support database migrations, consolidations, upgrades, and modernization initiatives
• Support migrations from legacy database environments to modern Microsoft and Azure platforms
• Design and support database high-availability and disaster-recovery solutions
• Manage technologies such as SQL Server Always On Availability Groups, failover clustering, and replication
• Develop and maintain database backup, retention, recovery, RPO and RTO strategies
• Analyze SQL queries, execution plans, indexes, blocking, deadlocks, and system resource utilization
• Troubleshoot performance issues across databases, servers, applications, storage, and network dependencies
• Partner with Application and Development teams to improve database and query performance
• Implement database security standards using least privilege and role-based access controls
• Manage database authentication, service accounts, roles, permissions, and privileged access
• Support database security hardening, vulnerability remediation, encryption, auditing, and logging
• Develop PowerShell, T‑SQL, and other automation to improve database administration and infrastructure operations
• Perform root-cause analysis and corrective actions following significant database or infrastructure incidents
• Participate in an on-call rotation for critical production systems

Qualifications

• Bachelor’s degree in Computer Science, Information Technology, Information Systems, or a related field, or equivalent professional experience
• 3–5+ years of experience administering Microsoft SQL Server environments
• Strong hands‑on experience with Microsoft SQL Server administration
• Experience supporting Windows Server environments
• Experience with SQL Server backup, restoration, recovery, and disaster recovery
• Experience troubleshooting database performance and availability issues
• Strong understanding of database security, authentication, authorization, and permissions
• Experience with SQL Server high‑availability technologies
• Working knowledge of Active Directory and Microsoft Entra ID
• Experience using T‑SQL for database administration and troubleshooting
• PowerShell scripting experience
• Strong troubleshooting and root‑cause‑analysis skills
• Ability to support critical production systems within a structured IT operations environment

Preferred Qualifications

• Experience with Azure SQL Database, Azure SQL Managed Instance, and SQL Server on Azure VMs
• Experience supporting hybrid Microsoft infrastructure environments
• Experience with Azure Monitor, Log Analytics, or similar monitoring platforms
• Experience with Microsoft System Center, Azure Arc, or related infrastructure‑management technologies
• Experience with SQL Server Always On Availability Groups and Windows Server Failover Clustering
• Experience supporting database migrations to Microsoft Azure
• Experience with infrastructure automation and scripting
• Experience working within healthcare or healthcare Revenue Cycle Management
• Familiarity with HIPAA, HITRUST, SOC 2, and PCI DSS
• Experience supporting environments containing PHI, PII, PCI, or other sensitive information
• Microsoft certifications related to Azure, SQL Server, database administration, or cloud infrastructure are preferred

What We’re Looking For

We’re looking for a highly technical and hands‑on Microsoft SQL Server DBA who enjoys solving complex database and infrastructure problems and takes ownership of the performance, reliability, availability, and security of critical production systems. The ideal candidate has strong experience with SQL Server performance tuning, high availability, backup and disaster recovery, database security, and automation. This individual should also be comfortable partnering across Infrastructure, Security, Application, and Development teams and have the curiosity to stay current with evolving Microsoft, cloud, and cybersecurity technologies.

Compensation

Salary: $135,000 – $155,000 annually Compensation will be based on experience and qualifications.

Benefits & Incentives

• Comprehensive Health Benefits: Choose from a variety of medical, dental, and vision plans designed to support your overall well-being.
• Life & Disability Coverage: Company-paid Basic Life and AD&D insurance, short-term and long-term disability coverage, with voluntary coverage options available.
• 401(k) Retirement Plan: Eligible employees can participate in the company’s 401(k) plan, including company matching opportunities.
• Paid Time Off: PTO begins accruing from your first day of employment.
• Flexible Benefit Options: A variety of benefit options are available to meet individual and family needs.

About GetixHealth

Founded in 1992, GetixHealth has grown into a leading provider of healthcare revenue cycle management services, with offices across the United States and India. We work with healthcare organizations to optimize financial performance through solutions designed to improve efficiency, profitability, and the patient financial experience.

Additional Information

This is a full‑time, remote position with approximately 10% travel, as needed. The role may also participate in an on‑call rotation to support critical production systems.

Equal Employment Opportunity

GetixHealth is an equal employment opportunity employer and participates in E‑Verify.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.