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.

Job Description

Manages computerized databases, including base definition, structure, documentation, long-range requirements, operational guidelines and protection. Oversees accuracy and completeness of data in master files and various support tools, such as base dictionaries. Manages and maintains security and integrity controls. Formulates and monitors policies, procedures and standards relating to database management. Oversees enhancements that will improve the performance and reliability of the system. May be internal or external, client-focused, working in conjunction with Professional Services and outsourcing functions. May include company-wide, web-enabled solutions.

Roles & Responsibilities

We are seeking a highly skilled Lead Database Support Engineer to oversee global database operations within Availity’s AWS-hosted ecosystem. This role serves as the onshore lead and primary escalation point for critical incidents, ensuring reliability, security, and performance across mission-critical healthcare data platforms. You will drive automation, compliance, and cost optimization initiatives while collaborating with offshore teams in a follow-the-sun support model. As a strategic leader, you will mentor team members, enforce best practices, and partner with cross-functional stakeholders to deliver scalable, secure, and high-performing database solutions that support Availity’s transformation from an Oracle-centric environment to modern, cloud-native architecture.

What you will be doing: 

• Leadership & Strategy: Act as the lead for database operations, setting standards and driving strategic initiatives for reliability and scalability.
• Incident Management: Serve as the primary escalation point for critical incidents; lead root cause analysis and implement preventive measures.
• Automation & Optimization: Drive automation for monitoring, patching, and failover; implement performance tuning and query optimization strategies.
• Cost Governance: Develop and execute cost optimization strategies (Reserved Instances, right-sizing, FinOps practices).
• Security & Compliance: Partner with security teams to enforce IAM policies, encryption, and audit readiness; ensure compliance with HIPAA and other regulatory standards.
• Collaboration: Coordinate with offshore teams for seamless handoffs in a follow-the-sun model; engage with application teams and cloud architects.
• Documentation: Maintain SOPs, runbooks, and compliance artefacts for operational excellence.
• Mentorship: Guide and mentor team members, fostering a culture of continuous improvement.
• Innovation: Evaluate emerging AWS database services and recommend adoption for business benefit.
• Handover: Responsible for smoothly transferring tasks and collaborating closely with the US Lead to ensure operational continuity.

Requirements: 

•  8+ years in database administration with at least 3+ years in AWS ecosystem.
• Proven leadership experience in global database operations.
• Advanced expertise in AWS RDS, Aurora, DynamoDB, and Redshift.
• Strong SQL and NoSQL proficiency.
• Familiarity with DevOps principles and CI/CD integration.
• Experience with monitoring tools (CloudWatch, Datadog, or similar).
• AWS Solutions Architect Professional or Database Specialty preferred.
• Excellent stakeholder management and cross-time-zone collaboration skills.

You will set yourself apart: 

• Experience with Infrastructure as Code (Terraform, CloudFormation).
• Knowledge of cost governance tools and FinOps practices.
• Exposure to containerized workloads (ECS/EKS) and database integration.
• Advanced understanding of disaster recovery planning and multi-region architectures.
• Strong problem-solving and decision-making abilities under pressure.
• Ability to influence stakeholders and lead cross-functional initiatives.

Availity culture and benefits: 

• Availity is “Great Place to Work”! certified. Culture is important to us and there are many ways for you to make your mark here!  
• Availity is a culture of continuous learning. We have many resources and experts in our tech stack that can help get you there too!  
• Don’t feel like wearing business attire? Cool, you can wear jeans – we are a casual place. 
• Want to work for an organization that gives back to the community? You’re at the right place! Availity partners with organizations to extend various CSR services. 

Availity perks for remote, hybrid and office-based associates:  

• We offer a flexible working environment! Working arrangements are discussed from time to time to help ensure you have a working environment to thrive in!  
• All associates could have 1on1 sessions with their supervisor or manager to help facilitate transparency and growth within the organization  
• Availity events are available to ALL associates no matter if you are fully remote or have a hybrid or onsite schedule 
• We appreciate work/life balance! Need to get a quick break in between meetings? We have Carrom board, Foosball, various board games, and video games at our office premises to help you decompress  
• We’ve got you (office-based associates) covered with free coffee and tea anytime you want and subsidized food (lunch / dinner) 

Eligibility

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.