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[Remote] PostgreSQL Database Administrator (DBA)

Remote role Full-time Open position

Note: The job is a remote job and is open to candidates in USA. DrFirst, Inc. is a Healthcare IT company that has been empowering providers and patients for 25 years through intelligent medication management. They are seeking a cloud native PostgreSQL Database Administrator to manage PostgreSQL on AWS Aurora, ensuring efficient data flow and performance optimization within their system operations team.

Responsibilities

  • Manage daily operations of PostgreSQL on AWS Aurora across multiple accounts and environments
  • Own database setup, configuration, parameter tuning, and deployment using cloud native patterns
  • Execute upgrades, patches, and version migrations with minimal downtime using blue green and rolling deployment strategies
  • Monitor database health, performance, and capacity using CloudWatch, Performance Insights, AppDynamics, and Grafana
  • Operate PostgreSQL as the system of record inside an event driven architecture, where data arrives from many upstream sources through message and event brokers
  • Collaborate with application and platform engineering on how data flows from event streams such as Kafka and Kinesis into PostgreSQL and back out to consumers
  • Partner on caching and in memory data patterns such as Redis or ElastiCache that sit in front of PostgreSQL for high read workloads
  • Help shape a unified persistence layer that gives applications consistent, reliable data regardless of which upstream system originated it
  • Support read replicas, logical replication, and change data capture patterns that feed downstream analytics, search, and reporting systems
  • Tune PostgreSQL and Aurora configurations for OLTP, read heavy reporting, and mixed workloads
  • Analyze and resolve performance bottlenecks using EXPLAIN ANALYZE, pg_stat_statements, Performance Insights, and CloudWatch metrics
  • Optimize indexes, query plans, connection pooling, and parameter groups for fast response times on patient facing workflows
  • Review SQL, data models, and access patterns with development teams before they reach production
  • Use Aurora PostgreSQL features including read replicas, Global Database, automated backups, point in time recovery, and high availability configurations
  • Use AWS services including RDS, CloudWatch, Systems Manager, Lambda, S3, IAM, and Secrets Manager for database operations
  • Apply AWS best practices for security, monitoring, cost optimization, and right sizing
  • Build Python and shell automation for provisioning, backup verification, refresh workflows, alerting, and compliance reporting
  • Develop and maintain CI/CD pipelines for database schema changes and infrastructure deployments
  • Treat manual work as a backlog item. If you did it twice, script it
  • Use infrastructure as code such as Terraform or CloudFormation for repeatable, version controlled database infrastructure
  • Design, test, and document backup and recovery strategies that meet aggressive RTO and RPO targets for healthcare workloads
  • Run quarterly disaster recovery drills and maintain runbooks for failure scenarios
  • Configure multi AZ deployments and read replicas for automatic failover and high availability
  • Provide technical support and troubleshooting for database and data flow issues across the platform
  • Partner with DevOps, NetOps, application engineering, and architecture on integrated cloud native solutions
  • Participate in on call rotation for production support
  • Document procedures, configurations, troubleshooting guides, and architectural decisions

Skills

  • 4 to 7 years of hands on experience as a PostgreSQL Database Administrator in cloud environments
  • Strong production experience with AWS Aurora PostgreSQL and RDS
  • Proficiency in PostgreSQL performance tuning, query optimization, and root cause analysis
  • Solid understanding of backup and recovery strategies, including point in time recovery and high availability configurations
  • Experience with database security, user management, IAM integration, and access controls
  • Programming skills in Python and shell scripting for automation
  • Working knowledge of AWS services such as CloudWatch, Lambda, S3, Systems Manager, IAM, and Secrets Manager
  • Conceptual familiarity with modern persistence patterns: message and event brokers such as Kafka, Kinesis, or RabbitMQ, in memory caches such as Redis or ElastiCache, and event driven data flow. Hands on experience is a plus. A candidate who speaks the language and understands how PostgreSQL fits the broader picture is what we need
  • Strong SQL skills and a solid grasp of relational data modeling
  • Excellent problem solving, communication, and documentation skills
  • Hands on experience with PostgreSQL logical replication, streaming replication, and change data capture such as Debezium
  • Production experience with Kafka, Kinesis, or other event streaming platforms
  • Experience with Redis or ElastiCache as a caching layer in front of PostgreSQL
  • Infrastructure as code experience such as Terraform or CloudFormation
  • CI/CD tooling such as Jenkins, GitLab CI, or AWS CodePipeline
  • Exposure to other data stores such as DynamoDB, Redshift, OpenSearch, or MongoDB for context on polyglot persistence
  • Healthcare technology or regulated industry experience
  • AWS certifications such as Solutions Architect or Database Specialty, or PostgreSQL certifications
  • Active, daily use of AI tools such as Claude, Copilot, ChatGPT, or Cursor for scripting, troubleshooting, and documentation

Benefits

  • Eligible for Company Performance-based Bonus Program, based on individual and company performance
  • Medical, dental, and vision insurance
  • 401K eligible after 3 months of employment, with 50% company match up to first 5% of salary contributed to the plan with a 3-year vesting schedule
  • HSA for eligible employees enrolled in the HDHP, with a generous company contribution up to $500 for individual coverage and $1000 for family coverage per year
  • 100% company paid short and long-term disability, AD&D, and group life insurance
  • Accrued annual paid time off (PTO) of 18 days for the first 3 years of service, increasing thereafter and 7 paid holiday days
  • Employee Assistance Program
  • Continuing Education funds up to $1500 annually for eligible programs after 1 year of service
  • Voluntary benefits including FSA, Hospital indemnity, Accident and Critical Illness insurances
  • Remote-First company, creating a dynamic and flexible workplace where everyone can thrive, no matter where they log in from

Company Overview

  • DrFirst has been transforming medication management for 25 years, helping providers and patients navigate a complex and often fragmented healthcare system. It was founded in 2000, and is headquartered in Rockville, Maryland, USA, with a workforce of 201-500 employees. Its website is http://drfirst.com.
  • Company H1B Sponsorship

  • DrFirst, Inc. has a track record of offering H1B sponsorships, with 2 in 2026, 20 in 2025, 10 in 2024, 18 in 2023, 19 in 2022, 5 in 2021, 14 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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