Database Engineer

As Database Engineer, you’ll design and maintain the robust, scalable databases that power our platform. You’ll ensure real‑time ingestion, 99.99% uptime, compliance, and seamless integration with all our services, helping NHS teams work faster and smarter.

Key Responsibilities

• Database Design: Build scalable relational databases (e.g. Azure SQL), optimize performance, and enable high‑volume data pipelines.
• Integration: Support full‑stack platform integrations including data flows triggered by Power Automate connectors.
• Performance & Reliability: Ensure uptime, backup, replication, and disaster recovery.
• Security & Compliance: Enforce role‑based access, encryption, and medical device compliance.
• Collaboration: Work closely with engineers, analysts, clinicians, and stakeholders to align with product goals.
• Documentation: Maintain clear schema/process documentation and contribute to long-term scaling strategy.

Requirements

Must‑have

• 5+ years hands‑on experience with SQL (SQL Server familiarity a plus)
• Strong proficiency with complex stored procedures incl. writing, debugging, and refactoring
• Proven experience with query optimisation incl. indexing strategies, execution plan analysis, query rewrites
• Experience with database performance tuning incl. partitioning, caching strategies, statistics management
• Experience implementing robust ETL/ELT processes with proper validation, error handling and audit trails
• Understanding of CDC and incremental loading strategies
• Understanding of data retention strategies and key rotation policies
• Experience with Azure SQL including backup configuration, failover strategies, and point‑in‑time recovery
• Strong communicator, proficient in spoken and written English, problem‑solver, and collaborator.
• Comfortable working as the primary database specialist on a small team.

Nice‑to‑have

• Familiarity with Azure Hyperscale database
• Healthcare data security or high‑compliance background
• Familiarity with Azure Data Factory, SSIS, or equivalent tooling
• Experience with Azure Key Vault, Transparent Data Encryption (TDE) and Always Encrypted

Benefits

• Competitive salary
• Private healthcare for you & your family
• Flexible hours, hybrid model – 2 days in Central London Office location.
• High‑impact work in real NHS practices
• Learning, growth & purpose‑driven innovation

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