Job Description

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.

Plans computerized databases, including base definition, structure, documentation, long-range requirements, operational guidelines and protection. Ensures accuracy and completeness of data in master files and various support tools, such as base dictionaries. Establishes and maintains security and integrity controls. Formulates and monitors policies, procedures and standards relating to database management. Proposes and implements 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
Summary:
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.


Requirements:
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 optimisation 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.


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.

EligibilityVideo 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.