Database Engineer - Voice Agents for Healthcare ...

Database Engineer - Voice Agents for Healthcare Applications Location: Remote-India Employment Type: Contract About BigRio: BigRio is a Boston-based, remote-first technology consulting firm specializing in advanced data and software solutions. We partner with forward-thinking organizations to deliver scalable, cost-effective, and innovative technology, with particular expertise in AI/ML, data engineering, and cloud-native applications. Our clients span healthcare, life sciences, government, and enterprise sectors, and we are known for our ability to tackle complex challenges with cutting-edge solutions. About the Role We are seeking a Database Engineer to design and integrate solutions that are highly available, secure, and optimized for healthcare applications (EMR/EHR). Key Responsibilities Database Design & Architecture Design and implement MySQL, PostGres, or MariaDB schemas and data models optimized for EMR/EHR workloads. Experience working with AI Voice Agent Integrations. Create scalable solutions for patient records (PHI), appointments, billing, and clinical workflows. Ensure compatibility with interoperability standards (HL7, FHIR, ADT). Database Development & Optimization Develop and maintain stored procedures, views, triggers, and indexing strategies. Optimize query performance and database configurations for high-volume healthcare transactions. Implement ETL processes for ingesting data from various healthcare systems (EHRs, lab systems, and third-party APIs). Data Security & Compliance Implement encryption, user access controls, and audit trails for sensitive patient data. Ensure compliance with healthcare regulations (HIPAA, GDPR). Integration & Collaboration Collaborate with application development teams (Node.js/Nest.js, Angular) to ensure seamless API and data layer integration. Support development of REST APIs for secure data retrieval and updates. Work closely with QA teams to validate data integrity and performance. Monitoring & Maintenance Set up database backup, recovery, and disaster recovery processes. Monitor database health, capacity planning, and troubleshoot performance issues. Provide on-call support as needed. Required Qualifications Bachelor's degree in Computer Science, Information Systems, or related field. 5+ years of experience as a database engineer. Strong Relational Database experience Understanding of HL7, FHIR, and healthcare data models. Experience with database replication, partitioning, sharding, and high availability setups. Advanced SQL performance tuning and optimization experience. Familiarity with ETL workflows, data migrations, and healthcare data pipelines. Working knowledge of API integrations and enterprise architecture for healthcare applications. Preferred Skills Experience with cloud-based AWS DB Deployment. Knowledge of microservices architecture and REST APIs. Experience working with Dockerized environments and CI/CD for database deployment. Soft Skills Excellent communication and documentation skills. Strong problem-solving ability and attention to detail. Ability to work independently and as part of a remote, distributed team

Created: 2026-03-04