Senior Database Developer

About Rethink First 

Rethink First is a leading behavioral health technology company working to make mental wellness education and support accessible and scalable. Through our suite of cloud-based platforms—including RethinkEd RethinkCare and RethinkBH—we serve educators employers and providers with tools that deliver measurable inclusive outcomes. 

We're on a mission to make behavioral health more effective equitable and human—and we’re looking for a creative visionary to help lead that charge. 
Role Summary
We are seeking a Senior Database Developer with deep expertise in Azure SQL Hyperscale environments managing very large databases (4TB+). This role requires a hands-on technical leader who excels at designing and optimizing complex database solutions building scalable data access patterns and creatively solving performance and reliability challenges in cloud-native architectures.
The ideal candidate is a highly skilled SQL developer bringing strong Azure platform experience a problem-solving mindset and familiarity with compliance requirements in regulated environments such as healthcare.

Responsibilities:

• Design develop and optimize complex T-SQL solutions including large-scale stored procedures functions and queries
• Optimize existing SQL code for performance scalability and maintainability
• Proactively identify and resolve query performance indexing and concurrency issues
• Support schema design data modeling and database changes for new features
• Collaborate with application engineers to design and improve data models database logic and access patterns
• Develop and maintain database objects deployment scripts and repeatable database changes aligned with application delivery needs
• Create and execute unit integration and regression tests for stored procedures and database logic to ensure correctness and performance
• Enforce security best practices including Azure Entra ID (formerly Azure AD) authentication and authorization
• Support audits and compliance initiatives related to HITRUST and SOC 2
• Lead database development standards best practices and documentation across the organization
• Support or contribute to Medallion (Bronze/Silver/Gold) Data Lake architectures using Microsoft Fabric

• 7+ years of experience as a Database Developer Database Engineer or similar role
• Strong hands-on experience using MS-SQL for mission critical workloads
• Proven experience working with large-scale databases (>4TB)
• Expert-level T-SQL skills with a focus on developing and optimizing complex stored procedures and database logic
• Deep understanding of:
  • Query execution plans
  • Indexing strategies
  • Partitioning and data distribution
• Experience with Azure Entra ID authentication for SQL workloads
• Strong troubleshooting skills and a creative analytical approach to solving data access challenges
• Experience supporting databases in highly available production-critical environments
• Ability to translate business requirements into scalable database solutions

• Experience supporting healthcare systems or regulated SaaS platforms
• Familiarity with HITRUST SOC 2 HIPAA or similar compliance frameworks
• Experience with:
  • Azure Monitor Log Analytics or Datadog
  • CI/CD pipelines for database deployments
  • Performance testing at scale
• Hands-on experience with Microsoft Fabric (Lakehouse OneLake Pipelines or SQL endpoints)
• Proven experience leading or contributing to data modernization initiatives including evolving monolithic data architectures toward domain-oriented or data mesh models

• Database code remains efficient maintainable and scalable under increasing application load
• Complex queries and stored procedures run efficiently and predictably
• Data access patterns evolve thoughtfully as application needs grow
• Security and compliance requirements are met without slowing development

• Engineering teams trust you as the go-to expert for database development performance and architecture

Benefits: 

• Generous health dental & vision benefits package
• Flexible paid time off   
• 11 paid company holidays
• 401k + matching
• Parental leave
• Access to our award-winning RethinkCare platform supporting neurodiversity in the workplace through parental success professional resilience and personal wellbeing.  

Location: Remote opportunities are available to candidates who reside in the following states: AL AZ CT FL GA HI IA IL IN KY LA MD MA MI MN MO MT NC NE NH NJ NV OH OR PA RI TN TX VA WA WI WY 

Our commitment to an inclusive workplace 

RethinkFirst is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity innovation and the success of our business. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin age pregnancy genetic information disability status as a protected veteran or any other protected category under applicable federal state and local laws. Accommodations are available for applicants with disabilities. 

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What We Do

Rethink aims to provide families educators and behavior healthcare providers affordable best practice treatment solutions for children with special needs. Rethink is unique in our foot-print offering clinical support best-practice tools and research-based content via technology to all market segments reaching more children with special needs than any other solution. Our platform supports curriculum planning professional development parent training and tracking of student progress. Through video and online tools we bring to life best practice teaching treatment and intervention strategies that help educators parents and clinicians personalize instruction for every child. The Rethink program is currently being used by employers the US Department of Defense Managed Care Medicaid federal state and social service agencies public school districts and families nation- and worldwide.

Why Work With Us

Together we’re a team of passionate talented and motivated people working every day to help others live healthier happier and more productive lives. Individually we’re an incredibly diverse group of people who respect each other celebrate our differences and unique talents and enjoy meeting new friends and colleagues along the way.

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