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Database Administrator

Princeton, New Jersey, United States, Remote

RxSense is a leading healthcare technology company delivering innovative solutions for pharmacy benefits and prescription savings. Our enterprise platform brings transparency, flexibility, and efficiency to pharmacy benefit management, helping clients streamline operations and enabling consumers to save on prescriptions. By integrating intelligence across the pharmacy ecosystem, RxSense makes cost-effective healthcare more accessible. Whether for PBMs, pharmacies, or individuals, our solutions help modernize operations, reduce costs, and improve outcomes. 

RxSense also owns and operates SingleCare, a free prescription savings service that offers consumers access to consistently low prices on prescription drugs. Through its partnerships with the country’s largest pharmacies and grocers, including CVS, Walgreens, Walmart, Kroger and Albertsons, SingleCare improves access and adherence to affordable medications and has helped millions of Americans save over $11 billion on their medications. 

RxSense is a great place to work! Our company has earned several prestigious awards, including Fast Company’s Most Innovative Companies, Forbes’ Top Startup Employers, Modern Healthcare's Best Places to Work in Healthcare, and Inc’s Best in Business and Best Workplaces.

Position Summary:

We are looking for a growth-minded Database Performance Engineer with strong SQL Server expertise to support our production and non-production environments. This role provides day-to-day database support for .NET (LINQ/Entity Framework) applications and is ideal for someone who thrives on query tuning, index optimization, and helping teams scale systems efficiently. You’ll work in a hybrid environment consisting of SQL Server and Postgres on AWS RDS, alongside some MySQL and MongoDB.

We are a 24/7/365 organization, and this role requires participation in an on-call rotation.

Essential Responsibilities:

  • Use monitoring tools (Solarwinds DPA, native DMV queries, AWS PI, Atlas, etc.) to identify bottlenecks and recommend tuning strategies.
  • Collaborate with .NET developers to improve query design, ORM efficiency, and schema changes.
  • Review Git pull requests related to data models, indexing, and SQL logic.
  • Support SDLC lifecycle processes through deployment automation and environment refreshes.
  • Manage access provisioning, schema changes, and data replication jobs.
  • Participate in weekly production releases and hotfix cycles.
  • Monitor and tune high-traffic production systems using index strategies, statistics, and plan analysis.
  • Respond to ad hoc data access and reporting requests with performance considerations in mind.
  • Apply patches and updates in alignment with change controls and system stability.
  • Assist in audits and compliance reviews (HIPAA, ISPE, ARS, etc.).

Requirements:

  • 2+ years of experience in a backend, data, or database engineering role.
  • Strong SQL skills and familiarity with one or more relational databases (MySQL, PostgreSQL, or SQL Server preferred).
  • Hands-on experience reading and interpreting query execution plans.
  • An understanding of indexing strategies and how they impact performance.
  • Curiosity to dig into performance issues and tenacity to find root causes.
  • Able to respond to calls within the SLA when on-call

Bonus Skills:

  • Exposure to other databases (MySQL, MongoDB, or Postgres).
  • Experience with data modeling or schema design best practices.
  • Familiarity with replication strategies (any vendor or platform).
  • Experience in regulated environments (Medicaid, Medicare, PBM).
  • Jira, Confluence, Bitbucket familiarity.
  • Exposure to infrastructure-as-code (e.g., Terraform, CloudFormation).
  • .NET or Python scripting exposure (for dev support or tooling).

Salary Range: $98,000 - $120,000

 

RxSense believes that a diverse workforce is a more talented and productive workforce. As such, we are an Equal Opportunity and Affirmative Action employer. Our recruitment process is free from discriminatory hiring practices and all qualified applicants are considered for employment without regard to race, color, religion, sex, gender, sexual orientation, gender identity, ancestry, age, or national origin.  Neither will qualified applicants be discriminated against on the basis of disability or protected veteran status.  We believe in the strength of the collaboration, creativity and sense of community a diverse workforce brings. 

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