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Altera, a member of the N. Harris Computer Corporation family, delivers health IT solutions that support caregivers around the world. These include the SunriseTM, Paragon, Altera TouchWorks, Altera Opal, STARTM, HealthQuestTM and dbMotionTM solutions. At the intersection of technology and the human experience, Altera Digital Health is driving a new era of healthcare, in which innovation and expertise can elevate care delivery and inspire healthier communities across the globe. A recent age in healthcare technology has just begun. Key Responsibilities: Administer, maintain, and optimize large-scale SQL Server environments **) Design and manage Always On Availability Groups, replication, log shipping, and failover clusters Perform query optimization, index tuning, and execution plan analysis Implement backup/restore strategies, disaster recovery planning, and HA configurations Automate routine maintenance using PowerShell, T-SQL, or Azure Automation Migrate and manage databases on Azure SQL Database, Azure SQL Managed Instance, and SQL on Azure VMs Monitor performance using SQL Server DMVs, Azure Monitor, and Log Analytics Ensure security, compliance, and audit controls (RBAC, TDE, auditing) Collaborate with application teams to review data models, stored procedures, and performance baselines Support DevOps with CI/CD pipelines for database deployments Skills & Experience Required: Technical Expertise: 5-7 years of hands-on experience with SQL Server administration Deep understanding of T-SQL, query tuning, and execution plans Proven experience in managing HA/DR environments (Always On, replication) Experience with Azure Data Services: Azure SQL DB / MI Azure Data Factory (basic integration) Azure Monitor / Log Analytics Familiarity with Infrastructure as Code (ARM, Bicep, Terraform is a plus) Experience with PowerShell scripting for automation Must be willing to work in shifts Tools & Monitoring: SQL Server Management Studio (SSMS) Redgate / SolarWinds / SentryOne Azure Portal, Azure Monitor, Log Analytics, SQL Insights Altera is an Equal Opportunity/Affirmative Action Employer. We consider applicants without regard to race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other group protected by local law. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at: ** .