Data Engineer II (Remote - United States)

Why join Nextech? We are a leader in specialty healthcare technology solutions. We’re committed to hiring and retaining talent, which is why we invest in our employees through competitive pay, a generous bonus structure, great healthcare, a comprehensive wellness program, and many other benefits. If you are a software engineer, finance or accounting professional, customer support specialist, or a business development expert with a passion for healthcare technology (just to name a few), we want to hear from you. We are an equal opportunity employer with a commitment to diversity.  All individuals, regardless of personal characteristics are encouraged to apply. If you are a candidate in need of assistance or an accommodation in the application process, please contact [email protected]. About the Role We’re looking for a Data Engineer II to help with optimization, support and deployment of our cloud-based data systems that power mission-critical healthcare applications. You’ll play a key role in building secure, scalable, and compliant database solutions using Azure SQL Server, and other cloud-native technologies. Additionally, you will work in supporting the evolution of our analytics lakehouse and all of its data sources. Our platform supports real-time clinical workflows, patient data analytics, and regulatory reporting—so precision, performance, and privacy are paramount. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Skills:

Design, deploy, maintain and support cloud-based SQL Server environments across VM’s, Azure SQL and Azure SQL Managed Instance platforms

Troubleshoot performance issues using standard tools and monitoring platforms, improving client outcomes within our product data platforms

Applies best practices around the management, governance, and support of our data platforms as prescribed by senior engineers and the general community

Takes ownership of support issues, working with other engineering teams on data platform product solutions

Occasionally mentor junior engineers as well as training the entire team on new processes or practices to improve the work environment

Collaborates with internal teams to ensure solutions align with customer goals

Proactively identifies and resolves issues impacting customer experience building trust through consistent delivery and responsiveness

Executes standardized data protection practices across all data platforms

Develops and executes pre-defined data pipeline patterns to build out our analytics and reporting Lakehouse

Minimum Requirements:

3-5 years of experience with SQL Server and Azure SQL in production environments, ideally within healthcare or regulated industries

Deep understanding of cloud database architecture, PaaS vs IaaS, and hybrid cloud models

Strong command of T-SQL, PowerShell, and optionally Python or C# for automation and scripting

Experience with infrastructure-as-code tools like Terraform, Bicep, or ARM templates

Familiarity with FHIR, HL7, or other healthcare data standards is a plus

Proven ability to work cross-functionally with product, compliance, and clinical teams

Excellent communication and documentation skills, especially around data lineage and auditability

Preferred Qualifications:

Experience with Azure Fabric, Databricks or other big data platforms for large-scale healthcare analytics

Exposure to Python for data engineering, automation, or ML pipeline integration

Basic understanding of streaming data architectures (e.g., Azure Event Hubs, Kafka) and real-time analytics

Familiarity with Delta Lake, Parquet, or Lakehouse architectures

Understanding of data mesh principles and distributed data ownership models

Microsoft Certified: Azure Database Administrator Associate or equivalent 

Working Environment/Physical Demands:

100% Remote

Activities require a significant amount of work in front of a computer monitor

Long-distance or air travel as needed – not to exceed 10% travel