Job Summary
We're looking for a Database Developer to own and evolve the data layer of a cloud-hosted healthcare SaaS platform. You'll design and optimize stored procedures, build reporting pipelines, tune performance in a high-concurrency environment, and collaborate with application developers on data access patterns — while also helping migrate legacy T-SQL logic into modern .NET services.
What You'll DoDesign, develop, and optimize stored procedures, functions, views, and triggers in SQL Server
Own database schema design, migrations, and deployments for a multi-tenant SaaS application
Build and maintain T-SQL reporting data warehouses — aggregation logic and scheduled jobs
Performance tune slow queries — execution plan analysis, index strategy, statistics management, blocking/deadlock resolution
Write operational data scripts for migrations, corrections, and bulk operations
Collaborate with .NET developers to design efficient data access patterns (Entity Framework 6 and EF Core)
Support data flows for third-party integrations — staging tables, validation, reconciliation
Implement audit trails, row-level security, and compliance controls for healthcare (HIPAA/PHI) data
Participate in CI/CD for database changes — DACPAC deployments, scripted migrations, pull request reviews
4–6 years hands-on experience with SQL Server (2016+)
Expert-level T-SQL — complex stored procedures, CTEs, window functions, dynamic SQL, temp tables, cursor optimization
Performance tuning — execution plans, index design, Query Store, statistics, concurrency management
Database design — normalization, denormalization for reporting, multi-tenant schema patterns
SSDT / SQL Server Data Tools — database projects, schema compare, DACPAC deployments
Entity Framework 6 or EF Core — understanding ORM-generated SQL, N+1 detection, migrations
Git-based workflow — pull requests, code review for SQL, branching strategies
Strong debugging skills — tracing data flow from application through ORM to stored procedures
Data warehousing — star/snowflake schemas, reporting aggregation
C# / .NET basics — ability to read service/repository code and understand data access layer patterns
Healthcare domain — HL7, clinical data models, HIPAA compliance
Azure Pipelines or Jenkins for database CI/CD
AWS services (Lambda, S3, SQS) for data integration scenarios
MongoDB (document store syncing to SQL Server)
Experience migrating stored procedure logic into application-layer code (DDD, Clean Architecture)
Terraform for infrastructure provisioning
Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate.
Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post-offer candidates are required to successfully complete a pre-employment background check, which is provided at Netsmart’s sole expense.
