Senior Database Reliability Engineer

The role

You will own the reliability, performance, and cost-efficiency of production databases powering the EMR and other products. You will manage database alerting, optimize queries, and architect Aurora reader topologies.

What you will do

• Own the reliability, performance, and availability of all production databases (Aurora MySQL on AWS)
• Manage database alerting end to end
• Educate and train engineering teams about database hygiene and queries
• Implement automated safeguards for long-running queries
• Author and maintain database runbooks
• Diagnose, optimize, and re-index problematic queries
• Review new EMR and application queries before release
• Architect and right-size Aurora reader topology and read-routing strategy
• Own database cost efficiency
• Manage replication health, backups, restore testing, failover, and disaster recovery

Required qualifications

• 6+ years in database reliability engineering, database administration, or database engineering, including ownership of production systems at scale
• Deep MySQL expertise — query optimization, execution-plan analysis, indexing strategy, and replication
• Hands-on experience operating large, multi-reader Aurora or RDS clusters at terabyte scale
• Strong command of database observability tooling (Datadog, Percona Monitoring and Management (PMM), Performance Insights, Prometheus/Grafana)
• Proficiency in a scripting language (Python, Bash, or similar)
• Comfort with infrastructure-as-code (Terraform)
• Solid AWS operational depth around RDS/Aurora
• Experience with on-call/incident response and authoring runbooks
• Excellent communication skills

Nice to have

• Aurora MySQL experience
• Experience standing up or operating a cloud data warehouse (Snowflake, Databricks, Redshift)
• Experience in a HIPAA-regulated or other compliance-heavy environment
• Familiarity with query auto-remediation tooling (pt-kill / Percona Toolkit, statement timeouts, custom killers)
• Application-side familiarity (PHP)
• Knowledge of security best practices for database and cloud environments
• Previous experience with agile methodologies and working in fast-paced environments

Benefits

• Competitive salaries
• Potential equity compensation for outstanding performance
• Flexible PTO
• Company-wide sponsored lunches
• Company paid disability and life insurance benefits
• Company paid family and medical leave
• Medical, dental, and vision insurance benefits
• Discounted pet insurance
• FSA/DCA and commuter benefits
• 401k
• Credits for online fitness classes/gym memberships
• Recovery suite at HQ — includes a cold plunge, sauna, and shower

Before you apply

• Policy not to hire individuals from Prompt Customers unless they have obtained their current employer's explicit consent

About the company

Prompt Health delivers highly automated and modern B2B enterprise software to rehab therapy businesses. They are a platform in the healthcare space setting a new standard in healthcare technology.