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PostgreSQL Database Engineer (Healthcare Clinical Systems) Location: Remote, USA Core Requirements (Must-Haves) Healthcare Clinical Domain Experience: Deep understanding of healthcare workflows, clinical data structures, and electronic health record (EHR/EMR) systems. Familiarity with standard healthcare data exchange formats (e.g., HL7, FHIR). Database Management & Administration: Extensive experience managing enterprise Postgres (PostgreSQL) databases in production, high volume environments (installation, configuration, patching, backup/recovery, and high availability/replication setups). Advanced Performance Tuning: Proven track record in Postgres performance tuning, query optimization, indexing strategies, analyzing execution plans, and resolving concurrency bottlenecks. Data Modeling Expertise: Strong background in relational and dimensional data modeling for complex enterprise applications, ensuring data integrity, scalability, and optimal query performance. Data Migration & Integration (SQL Server / SSIS): Proven experience planning and executing complex enterprise data migrations. Strong hands-on familiarity with SQL Server Integration Services (SSIS) and migrating data from legacy SQL Server environments to modern PostgreSQL architectures. Cloud Infrastructure & DevOps: Hands-on experience deploying, managing, and scaling database environments within cloud platforms (e.g., AWS, Azure, or GCP—such as AWS RDS/Aurora Postgres). Compliance & Security: Experience implementing HIPAA-compliant data security measures, including encryption at rest/in transit, robust role-based access control (RBAC), and audit logging. Automation & CI/CD: Experience integrating database schema migrations and CI/CD pipelines using tools like Flyway, Liquibase, or Terraform. Troubleshooting & Monitoring: Familiarity with modern database monitoring and APM tools (e.g., Datadog, Prometheus, Grafana, or pg_stat_statements).
Here's how to pick the right one and stand out in your application.
144.883Jobs
31.687IN
81%EN
That number is real. WorkMundi's database shows 144,883 open engineer roles across the world. India has the most with 31,687 jobs, followed by the United States with 30,084. If you just finished reading one job ad and felt paralyzed by choice, you're not alone—but this scale is actually an advantage. It means you can afford to be selective.
Start by geography and language. The majority of engineer ads—117,837 of them—have the job posting text written in English. Use that as one filter, but remember: the ad text language tells you nothing about whether the role actually requires you to speak English day-to-day. Read the job description carefully. Then check which countries have the volume you're targeting. Singapore, Poland, and Australia round out the top five after India and the US.
Next, learn who's hiring. Accenture has posted 2,801 engineer roles. andurilindustries, speechify, and jobgether are also actively recruiting. If you're applying to one of these names, research their hiring patterns and interview style before you apply. That homework pays off.
When you interview, expect the question every engineer hears: 'Tell me about a time you had to debug a problem that wasn't in your job description.' Have a specific story ready—not a general one. Name the tools, the deadline pressure, and what you learned. Hiring managers listen for whether you see problem-solving as part of the role itself, not a favour.