Company Introduction
Availity is one of the leading health information networks in the United States, processing more than 4 billion transactions annually and connecting more than two million healthcare providers and over two thousand technology partners to health plans nationwide. Our teams of technology, business, and customer service professionals in Bangalore, India, are working together to transform healthcare delivery in the United States through innovation and collaboration. Our technologists help develop cutting-edge revenue cycle solutions that help hospitals, health systems, and physicians maximize payments and optimize their workflows.
Availity is a diverse group of people whose talents, curiosity and passion steer the company to create innovative solutions for the US Healthcare industry. If you are a driven, creative and collaborative individual, with exceptional technology skills to drive innovation, we want to hear from you.
Job Description
Discover the Excitement at Availity - Shaping the Future of Healthcare from Bengaluru, India!
Welcome to Availity, where we transcend the conventional to redefine the landscape of healthcare technology.
Headquartered in vibrant Jacksonville, FL, with a buzzing office right in the heart of Bengaluru, India, and a dynamic remote workforce spread across the United States, we are a global force bound by an impactful mission.
Why Availity Excites
At the forefront of healthcare technology, we are not just a company; we are trailblazers reshaping the future of healthcare. Our mission To refocus attention on what truly matters - patient care. As the primary healthcare engagement platform, we are the pulsating heartbeat of an industry that touches millions of lives. With a network of over 2 million healthcare providers connected to health plans and processing a staggering 12 billion transactions annually, our influence is on a constant and expansive rise.
Your Journey With Us
Step into the realm of Availity, where innovation is not just encouraged, but celebrated. Join our energetic, dynamic, and forward-thinking team that believes in the power of ideas and the impact of every contribution. Your role will be instrumental in transforming the healthcare landscape, solving communication challenges, and creating connections that empower the premier healthcare ecosystem of the United States.
Why Join Availity In India
- Global Impact: Your work from Bengaluru will directly support and impact the lives of millions of US citizens.
- Innovation Hub: Bengaluru, the tech hub of India, is where your ideas will come to life, contributing to cutting-edge solutions in healthcare technology.
- Collaboration: Engage with a diverse and global team, fostering an environment where collaboration knows no boundaries.
- Career Growth: Availity values your growth journey. With us, you'll find opportunities to expand your skill set and advance your career.
- Work-Life Balance: Embrace a work culture that values work-life balance, offering flexibility and support to ensure your well-being.
Embark on a journey with Availity, where your skills meet impact, and your passion meets purpose. Together, let's shape the future of healthcare from the vibrant city of Bengaluru to the heart of the United States. Join us and be part of a team that's not just changing healthcare but changing lives.
We are seeking an experienced Senior Database Support Engineer with deep expertise in managing and optimizing AWS-hosted database environments. The engineer will play a critical role in ensuring the reliability, performance, and security of Availity's global database estate, supporting a 24/7 follow-the-sun operational model. This position involves working on a highly collaborative and high-performing team that supports mission-critical healthcare applications hosted on AWS, driving automation, compliance, and continuous improvement to make data more resilient, scalable, and actionable for downstream clinical and analytical purposes.
Roles & Responsibilities
Availity is transitioning from an Oracle-centric, physical data centre model to a modern AWS ecosystem with a follow-the-sun support strategy across Availity US and Availity India. This role demands cloud-native database expertise, automation skills, and strong operational support capabilities to ensure high availability, performance, and security for mission-critical healthcare data.
What You Will Be Doing
- Database Operations: Manage AWS RDS instances (Aurora PostgreSQL, Aurora MySQL, Oracle), DocumentDB, DynamoDB, and ElastiCache at scale.
- Reliability & Recovery: Implement and maintain robust backup, recovery, and disaster recovery strategies.
- Performance Optimization: Tune queries, optimise indexing, and troubleshoot complex performance issues.
- Automation: Develop and maintain automation scripts using Terraform, CloudFormation, and Ansible.
- CI/CD Integration: Embed database operations into CI/CD pipelines (GitLab or similar).
- Security & Compliance: Enforce IAM roles, encryption, audit logging, and compliance with regulatory standards (HIPAA, GDPR).
- Global Collaboration: Participate in follow-the-sun handoff processes for 24/7 coverage and work closely with US counterparts.
- Documentation: Create and maintain operational runbooks, SOPs, and knowledge-sharing artefacts.
- Incident Management: Lead root cause analysis and resolution for critical incidents in a 24/7 environment.
- Continuous Improvement: Evaluate new AWS features and database technologies to drive innovation.
Experience
- 5+ years in database administration; 3+ years in AWS database services.
- Hands-on experience with AWS RDS, Aurora, DynamoDB, DocumentDB, and ElastiCache.
Technical Skills
- Strong scripting skills (Python preferred; Bash/PowerShell acceptable).
- Familiarity with Kubernetes (EKS) and containerised deployments.
- Knowledge of monitoring tools (CloudWatch, NewRelic, Splunk, Prometheus, Grafana).
- Expertise in backup/recovery, disaster recovery planning, and high availability.
- Certifications: AWS Database Specialty or Solutions Architect certification preferred.
- Communication: Excellent collaboration skills for cross-time-zone team.
You Will Set Yourself Apart
- Experience with multi-region architectures and global failover strategies.
- Hands-on work with serverless databases (Aurora Serverless, DynamoDB Streams).
- Knowledge of observability practices (logs, metrics, tracing).
- Familiarity with ITIL processes or similar frameworks for change and incident management.
- Proven ability in incident management and root cause analysis in a 24/7 setting.
- Skills in AWS cost optimization and capacity planning for large-scale workloads.
- Advanced understanding of data encryption at rest and in transit.
- Knowledge of healthcare compliance standards (HIPAA, GDPR).
- Ability to mentor junior engineers and enforce best practices.
- Strong problem-solving and decision-making under pressure.
- Contribution to automation and DevOps culture beyond day-to-day operations.
- Experience working with distributed teams and strong documentation habits.
Eligibility
Must Have
- 3-8 years in database administration; 3+ years in AWS database services.
- Hands-on experience with AWS RDS, Amazon RDS, Aurora, Postgres SQL, DynamoDB/DocumentDB/ ElastiCache.
- Strong scripting skills (Python preferred; Bash/PowerShell acceptable).
Nice To Have
- Familiarity with DevOps principles and CI/CD integration.
- Experience with monitoring tools (CloudWatch, Datadog, or similar).
- Experience with Infrastructure as Code (Terraform, CloudFormation).
Video Camera Usage
Availity fosters a collaborative and open culture where communication and engagement are central to our success. As a remote first company, we are also camera-first and provide all associates with camera/video capability to simulate the office environment. If you are not able to use your camera for all virtual meetings, you should not apply for this role.
Having cameras on helps create a more connected, interactive, and productive environment, allowing teams to communicate more effectively and build stronger working relationships. The usage of cameras also enhances security and protects sensitive company information. Video participation is required to ensure that only authorized personnel are present in meetings and to prevent unauthorized access, data breaches, preventing social engineering, or the sharing of confidential information with non-participants. 
