Our Mission

Healthie is an AI-Native, ONC Certified EHR for modern outpatient healthcare. 

Healthie is proud to power clinically excellent healthcare for over 40,000 providers who deliver clinically excellent healthcare - longitudinal and collaboratively, with patient and provider experiences at the center. Both healthcare and technology are undergoing unparalleled industry innovation, and it’s incredible to see the momentum - from consumers, from providers, and from reimbursement for this type of healthcare - grow exponentially. 

We provide the powerful infrastructure every care delivery organization needs. On the surface this includes EHR, Scheduling, Engagement, Billing, Data, and much more. Underneath the iceberg are thousands of configurations, settings, widgets, automations, and limitless capabilities because we are an API-first platform. Our fully brandable platform makes it easy for clinics and organizations of any size to scale and never reach a limit. 

Today, over 3 billion API calls are made to Healthie every month, as thousands of organizations who work with more than 21 million patients in total, rely on Healthie to deliver clinically excellent healthcare in over 35 specialties, from behavioral healthcare to complex chronic care management and personalized medicine.

We believe in the power of technology to improve access to healthcare and we’re building the rails that make this a reality. We work fast and with quality because we provide business-critical, healthcare-critical software that clinicians and patients need for a better healthcare system. We’re customer-obsessed, operate with lightning-fast processes and responses, and always share our product roadmap publicly-  so customers can see what we’re building, and remain relentlessly focused on how care gets delivered.

Healthie is backed by leading investors, and while we've $42M raised to date, more importantly, we operate with fiscal responsibility and have been profitable for more than half of our time as a company. We know that building an ONC-Certified EHR is a lifetime’s body of work, and we are here to build for our customers forever.

Learn more at https://www.gethealthie.com/

About the role

We’re hiring a Staff Database Engineer - PostgreSQL to join our Platform Engineering team at Healthie. You’ll be a key contributor to one of the most important pieces of digital infrastructure in the healthcare space. Our platform is growing rapidly, and we need someone who can ensure our databases scale, perform, and remain reliable.

You’ll be responsible for database infrastructure administration across production, QA, and development environments, ensuring smooth operation, monitoring performance, and maintaining automation scripts. Your expertise in PostgreSQL will help shape how we deploy, scale, monitor, and refine our data model. Strong familiarity with ORMs (especially Rails/ActiveRecord) is a big plus!

You will own our Aurora databases, managing database setup, configuration, upgrades, monitoring, and troubleshooting. You will design and execute zero or minimal downtime upgrades and disaster recovery solutions while implementing best practices for partitioning, archiving, and accessing archived data. Measuring and optimizing system performance, capacity planning, and security instrumentation will be part of your role, along with collaborating with feature teams to facilitate schema and query improvements. Observing application behavior to prioritize query optimizations will also be a key aspect of this position.

At Healthie, we’re all about building high-quality, reliable infrastructure that enables better healthcare. If you’re passionate about database performance, scalability, and impact-driven work, we’d love to hear from you.

At Healthie, we are increasingly AI-enabled and AI-accelerated in how we build. We are looking for team members who actively leverage AI-powered development tools, embrace automation, and help teams adopt modern, AI-assisted engineering practices to increase velocity and quality.

About you

• You have deep expertise in Amazon AWS RDS Aurora, Postgres replication, partitioning, clustering, high availability, backup, and disaster recovery strategies.

• You have experience in mission-critical environments, ensuring database reliability, performance, and scalability.

  • Bonus points for experience in healthcare or other regulated industries.

• You come with a strong foundation in designing, scaling, and optimizing Postgres deployments.

• You have a strong ability to prioritize platform needs, balancing short-term fixes with long-term scalability.

• You are a collaborative leader who influences without authority—people enjoy working with you because you communicate clearly and support your colleagues.

• You have very strong interpersonal, collaboration, and communication skills, embodying Healthie’s core values of Respect, Reliability, and Resilience without ego.

• You have a bias toward execution—you focus on getting things done and don’t let obstacles slow you down. You are full of grit and not afraid to roll up your sleeves and move quickly.

• You thrive in fast-paced, problem-solving environments, constantly improving and optimizing database performance.

• You are Mission-driven, excited about building infrastructure that improves patient outcomes.

• You have strong proficiency in tools like Terraform, PG Bouncer, scripting, and postgres monitoring systems.

• You are experienced in building and maintaining infrastructure for critically important applications.

• You take initiative and problem-solve effectively, asking the right questions and finding solutions.

Details, details

• This is a full-time, remote position within the United States.

• U.S. work authorization is required.

Interview Process

• Quick chat with Talent team (15 minutes)

• Interview with Matt, Engineering Manager, Platform (30 minutes)

• Technical Assessment with CJ (60 minutes)

• Executive Interview with Cavan, CTO + cofounder (20 minutes)

• Reference checks

Learn more at gethealthie.com/careers.

Healthie is subject to HIPAA and other security and privacy frameworks, and this job entails training and conformance to expectations regarding security and compliance.

Healthie participates in e-verify.

Healthie is committed to equal employment opportunity. All qualified applicants will receive consideration for employment without regard to and will not be discriminated against based on age, race, gender, color, religion, national origin, sexual orientation, gender identity, veteran status, disability or any other protected category. We're proud to be building a diverse and inclusive environment that encourages collaboration, creativity, and growth. Whatever your background, please apply if this is a role that would make you excited to come into work every day.