SmithRx is scaling fast, and this role is about making sure the database layer doesn’t crack under the weight. You’ll own reliability, performance, security, and growth strategy across AWS-hosted data systems, including PostgreSQL and key AWS database services, in a regulated environment handling sensitive PHI.
About SmithRx
SmithRx is a venture-backed health tech company rebuilding the Pharmacy Benefit Management space with modern infrastructure, real-time insights, and customer-first service. They’re growing quickly, with a user base doubling annually, and they’re investing in scalable, sustainable systems to match.
Schedule
- Full-time, remote
- Hands-on senior ownership of cloud database reliability, performance, and security
- Cross-functional collaboration with Security, Data Engineering, and Product/Engineering teams
What You’ll Do
- Manage and maintain PostgreSQL, DynamoDB, and Athena on AWS, ensuring high availability and reliability
- Monitor database health and performance, proactively identifying and resolving issues
- Design and implement scaling and growth strategies to support rapidly increasing demand
- Build and maintain strong security controls to protect sensitive PHI from internal and external threats
- Ensure compliance with privacy and security frameworks (HIPAA, SOC 2, etc.)
- Design and implement Business Continuity and Disaster Recovery plans (BCP/DR)
- Build and maintain a pipeline to restore anonymized production data into lower environments
- Partner with the Security team on risk analysis and incident response planning for data infrastructure
- Collaborate with Engineering, Architecture, and Release teams on database design recommendations for new features
- Work with Data Engineering to support ETL jobs and downstream applications
- Support dev teams on complex query development, tuning DML, and promoting strong database coding practices
What You Need
- 5+ years of Database Administration experience
- BS (or higher) in Computer Science or a related field
- Experience managing SQL and NoSQL databases (PostgreSQL, MySQL, Redis, Redshift, DynamoDB, BigQuery, MongoDB, Cassandra, Snowflake)
- Deep AWS database knowledge (RDS, Aurora, Redshift, DynamoDB, etc.)
- Strong performance tuning skills: identifying bottlenecks, optimizing queries and schemas
- Experience with monitoring/observability tools (CloudWatch, Datadog), dashboards, alerting, and metrics
- Experience with change management practices, policies, and procedures
- Background in infrastructure automation, reliability engineering, load balancing, monitoring, and logging
- Experience in regulated environments (HIPAA preferred; GDPR a plus)
- Strong scripting in SQL, Python, Shell, etc.
Benefits
- Medical, pharmacy, dental, vision
- Life and AD&D insurance
- Flexible Spending Accounts (FSA)
- 401(k) retirement program
- Short-term and long-term disability
- Discretionary PTO
- Paid company holidays
- Wellness benefits
- Commuter benefits
- Paid parental leave
- Employee Assistance Program (EAP)
- Professional development and training
- Well-stocked kitchens in office locations
Quick gut-check: this isn’t just “keep the database running.” It’s “keep the business running” while protecting PHI and staying audit-ready. If you’re the type who likes owning the whole reliability story end-to-end, this is your lane.
Happy Hunting,
~Two Chicks…