# Senior Database Reliability Engineer

**Company:** [Prompt Health](https://hotfix.jobs/companies/prompt-health)
**Location:** Remote
**Role:** Data Engineering
**Salary:** $220k – $240k/yr
**Experience:** 6+ years
**Skills:** MySQL, Amazon Aurora, Amazon Rds, AWS, Datadog, Terraform, Python, Bash, Prometheus, Grafana, Percona Toolkit, Performance Insights, Snowflake, Databricks, Redshift
**Posted:** 2026-08-25

> Own the reliability, performance, observability, scalability, and cost efficiency of large Aurora MySQL production environments supporting healthcare applications. The role requires 6+ years of database engineering experience, deep MySQL and AWS expertise, and strong skills in automation, incident response, and query optimization.

## Job Description

## Responsibilities
- Own the reliability, performance, availability, and cost efficiency of production Aurora MySQL databases on AWS across EHR, data, and AI workloads.
- Build and maintain database observability, alerting, and metrics pipelines using Datadog; integrate after-hours alerts into the DevOps on-call rotation.
- Educate engineering teams on database hygiene and query performance.
- Implement automated safeguards for long-running and runaway queries and provide real-time visibility into executing queries.
- Author and maintain database incident runbooks.
- Diagnose, optimize, and re-index problematic queries; reduce latency and database load.
- Review application and EMR queries before release as a database performance gate.
- Architect and right-size Aurora reader topologies and read-routing strategies.
- Optimize database costs through instance sizing, reserved-capacity or Savings Plan strategy, and storage tiering.
- Manage replication, backups, restore testing, failover, and disaster recovery.
- Establish safe schema-change and migration practices.
- Partner with architecture and engineering teams on database workload strategy.
- Handle protected health information responsibly in a HIPAA-compliant environment.

## Requirements
- 6+ years of experience in database reliability engineering, database administration, or database engineering, including ownership of production systems at scale.
- Deep MySQL expertise, including query optimization, execution-plan analysis, indexing, and replication.
- Hands-on experience operating large, multi-reader Aurora or RDS clusters at terabyte scale, including read routing and connection management.
- Strong command of database observability tools such as Datadog, Percona Monitoring and Management, Performance Insights, Prometheus, and Grafana.
- Proficiency in Python, Bash, or a similar scripting language for automation.
- Experience with infrastructure as code using Terraform.
- Strong AWS operational knowledge around RDS and Aurora, including instance sizing, reserved capacity, and storage types.
- Experience with on-call operations, incident response, and runbook authoring.
- Excellent communication and cross-functional collaboration skills.

## Nice-to-haves
- Experience operating a cloud data warehouse such as Snowflake, Databricks, or Redshift and moving analytical workloads off OLTP databases.
- Experience in HIPAA-regulated or other compliance-heavy environments handling sensitive data.
- Familiarity with query auto-remediation tools such as pt-kill and Percona Toolkit, statement timeouts, or custom query termination tools.
- PHP familiarity for application query reviews.
- Knowledge of database and cloud security best practices.
- Experience with agile methodologies and fast-paced environments.

## Compensation and Benefits
- Competitive salary of $220,000–$240,000 annually.
- Potential equity compensation.
- Flexible paid time off.
- Medical, dental, vision, disability, life insurance, family and medical leave, FSA/DCA, commuter, and 401(k) benefits.
- Discounted pet insurance and fitness or gym membership credits.

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