Summary: The Senior Database Engineer role at Lightning Minds involves leading the design, optimization, and performance engineering of database systems for a data-intensive healthcare application. The position requires extensive expertise in SQL Server, Azure SQL, and EAV schema design, focusing on scalability, cost optimization, and data integrity. The engineer will be responsible for ensuring high performance and reliability in regulated healthcare environments. This role offers a remote or hybrid working arrangement with a focus on collaboration with engineering teams.
Key Responsibilities:
- Lead the design and evolution of SQL Server / Azure SQL database schemas for a complex healthcare system.
- Architect and optimize EAV structures, hybrid relational + EAV schemas, and JSON-based flexible schemas.
- Perform deep-dive analysis and tuning for SQL queries, stored procedures, functions, and triggers.
- Design for optimal performance and scale in Azure SQL, focusing on DTU vs vCore decisions and partitioning strategies.
- Develop and maintain data quality validation frameworks and implement robust standards for referential integrity.
- Build database automation workflows for schema deployment, migrations, and data movement.
- Implement and optimize monitoring using Azure Monitor, SQL Insights, and Log Analytics.
- Lead root-cause analysis for critical production issues.
Key Skills:
- 7-10+ years of hands-on SQL Server / Azure SQL engineering experience.
- Expertise in EAV schema design and optimization, hybrid relational EAV architectures, and JSON schema support in SQL Server.
- Deep understanding of query optimizer behavior, execution plans, and indexing strategies.
- Experience with Azure SQL, including compute tiers, elastic pools, and scaling strategies.
- Proven track record of tuning large, complex, query-heavy production systems.
- Experience with CI/CD for SQL and Infrastructure-as-Code for database resources.
- Excellent analytical, problem-solving, communication, and documentation skills.
- Ability to collaborate with backend engineers, QA, DevOps, and architects.
Salary (Rate): undetermined
City: undetermined
Country: USA
Working Arrangements: remote
IR35 Status: outside IR35
Seniority Level: undetermined
Industry: IT
Detailed Description From Employer:
Hi,
Hope you are doing well!
Greeting from Lightning Minds
This is Rakesh with Lightning Minds. We Lightning Minds is a global staff augmentation firm providing a wide-range of talent on-demand and total workforce solutions. We have an immediate opening for the below position with one of our premium clients.
Senior Database Engineer (SQL Server /
Azure SQL / EAV Optimization)
Location: Remote or Hybrid
Department: Engineering Platform & Data
We are seeking an experienced Senior Database Engineer to lead the design, optimization, and
performance engineering of our database systems supporting a large, data-intensive healthcare
This role requires deep expertise in:
EAV (Entity Attribute Value) schemas and hybrid relational/EAV models
Query optimization, indexing, and performance tuning
Scalability and cost optimization in the cloud
You will be responsible for ensuring our data architecture supports flexibility, scalability, and
high performance while maintaining the integrity and reliability required in cancer registry
workflows and regulated healthcare environments.
Database Design & Architecture
Lead the design and evolution of SQL Server / Azure SQL database schemas for a
complex, high-volume healthcare system.
oEAV (Entity Attribute Value) structures
oHybrid relational + EAV schemas
oJSON-based flexible schemas
Ensure schema designs balance flexibility, query performance, storage efficiency, and
Develop versioned, scalable database architectures aligned with application and platform
modernization initiatives.
Performance Optimization & Query Tuning
Perform deep-dive analysis and tuning for:
Diagnose and resolve performance bottlenecks using:
oIndex and statistics analysis
Implement best practices for:
Scalability & Cost Optimization
Design for optimal performance and scale in Azure SQL, focusing on:
oPartitioning and sharding strategies
oOffloading heavy queries
Recommend and implement strategies to reduce:
oOver-indexing and unnecessary I/O
Work closely with engineering leadership to align database architecture with business
SLAs and budget constraints.
Data Quality, Integrity & Reliability
Develop and maintain data quality validation frameworks.
Implement robust standards for:
oBackup/restore and high-availability configurations
Support migration and data transformation activities (e.g., Metriq RI migrations).
DevOps, Automation & CI/CD Integration
Build database automation workflows for:
oFlyway or Liquibase (nice-to-have)
Ensure database changes are versioned, tested, and deployed reliably.
Monitoring, Observability & Troubleshooting
Implement and optimize monitoring using:
Build alerts and dashboards for:
Lead root-cause analysis for critical production issues.
Required Skills & Qualifications
7 10+ years of hands-on SQL Server / Azure SQL engineering experience.
oEAV schema design and optimization
oHybrid relational EAV architectures
oJSON schema support in SQL Server
oQuery optimizer behavior
oNormalization/denormalization
Experience with Azure SQL:
oMonitoring and diagnostics
Understanding of cost models and optimization levers.
Performance & Optimization
Proven track record of tuning large, complex, query-heavy production systems.
Strong experience resolving:
oInfrastructure-as-Code for database resources
oDeployment pipelines in Azure DevOps
Familiarity with source-controlled schema management.
Excellent analytical and problem-solving skills.
Strong communication and documentation skills.
Ability to collaborate with backend engineers, QA, DevOps, and architects.
Ability to operate in fast-paced, mission-critical environments.
Experience in healthcare, oncology, cancer registry, or regulated systems.
Background in modernizing legacy databases into scalable architectures.
oEvent-driven data pipelines
Familiarity with microservices patterns and database-per-service design.