Full-Time

Principal Cloud Database Engineer

Posted on 11/30/2025

Healthfirst

Healthfirst

1,001-5,000 employees

Non-profit insurer offering MLTC, Medicare Advantage.

Compensation Overview

$117.4k - $190.6k/yr

Company Does Not Provide H1B Sponsorship

Remote in USA

Remote

Category
Software Engineering (1)
Requirements
  • Experience in designing, building, and managing Linux/Unix-based and Windows systems.
  • Extensive Cloud Experience within AWS, Azure, GCP, etc.
  • Expert working knowledge of Core Cloud Competencies (Virtualization, DNS, IAM, Access Control, Environment Management, etc.)
  • Proven scripting experience in at least one language (BASH, Python, PowerShell, etc.)
  • Extensive IaC experience with tools such as Terraform, Ansible, Cloud Formation, etc.
  • Record of accomplishment for identifying repeatable processes and partnering with teams to push innovation and automation.
  • Bachelor's degree or High School Diploma or GED with equivalent work experience.
Responsibilities
  • Database Design and Implementation: Design, develop, and implement cloud-based database solutions in collaboration with development teams.
  • Create database schemas, tables, and indexes to support efficient data storage and retrieval.
  • Cloud Database Administration: Manage, monitor, and optimize cloud database instances to ensure high availability, performance, and data integrity.
  • Configure and maintain database backups, replication, and disaster recovery strategies.
  • Performance Tuning and Optimization: Identify and resolve database performance issues, including query optimization, index tuning, and resource utilization.
  • Monitor database performance metrics and implement improvements to optimize performance.
  • Data Security and Compliance: Implement and maintain appropriate security measures and access controls to protect sensitive data stored in the cloud database.
  • Ensure compliance with data protection regulations and industry best practices.
  • Database Monitoring and Troubleshooting: Monitor database activity and performance using database monitoring tools.
  • Diagnose and resolve database-related issues and incidents, working closely with cross-functional teams to ensure timely resolution.
  • Database Capacity Planning: Estimate future database storage and performance requirements based on data growth projections.
  • Plan and implement database capacity upgrades or scaling activities to accommodate evolving business needs.
  • Database Automation and Scripting: Develop and maintain database automation scripts, workflows, and configurations using scripting languages (e.g., SQL, Python) and infrastructure-as-code tools (e.g., Ansible). Implement DevOps practices for database deployment and management.
  • Collaboration and Communication: Collaborate with application teams, infrastructure teams, and stakeholders to understand database requirements, provide technical guidance, and ensure effective integration with other systems.
  • Communicate database-related updates, issues, and recommendations to relevant stakeholders.
  • Continuous Learning and Adaptation: Stay updated with the latest trends, tools, and best practices in cloud database technologies.
  • Continuously enhance technical skills and knowledge to adapt to evolving cloud environments and emerging database technologies.
  • Act as an escalation point for operations teams for incident and ticket resolution and participate in an on-call rotation as an escalation point.
  • Other duties as assigned or required.
  • Serve as a technical lead within Infrastructure & Operations as well as with Development teams in areas of cloud database technology and automation.
Desired Qualifications
  • 5-7 years of database development, engineering and administration experience.
  • 5-7 years of experience with any of the database management systems (Microsoft SQL Server, Oracle, PostgreSQL etc.).
  • 3-5 years’ experience with NoSQL database systems (Caching databases, DynamoDB, Neo4j, etc.).
  • 3 to 5 years of experience with cloud-based database technologies (Amazon AWS S3, RDS, Redshift, Aurora/Postgres etc.).
  • Knowledge of cloud-based PaaS databases solutions (Microsoft Azure and/or Google Cloud database technologies is plus.
  • 1-3 years’ experience working with large database / large scale projects. Have knowledge of cloud computing concepts, virtualization, and infrastructure-as-a-service (IaaS) platforms.
  • Experience implementing Cloud Services with an Infrastructure as code methodology using Cloud formation, Ansible, or Terraform
  • Experience supporting Infrastructure as Code and CI/CD integration.
  • Expert understanding of cloud security best practices and implementing a least privileged model of access in AWS.
  • Deep troubleshooting skills that involve analysis of logs, network traces, configuration data, automation tools to resolve issues until end-to-end systems are functioning.
  • Experience working in regulated and/or high-security environments and industries (PCI, HIPAA, HITRUST, etc.).
  • Master's degree in computer technology field.

Healthfirst is a New York-based nonprofit health insurer offering MLTC, Medicare Advantage, and the Essential Plan to serve different needs. MLTC coordinates ongoing in-home and community-based care through a network of providers; Medicare Advantage combines Medicare with extra benefits; Essential Plan provides affordable coverage for income-qualified residents. It differentiates itself through nonprofit status, a strong local focus in the New York metro area, and active community outreach and provider partnerships. Its goal is to improve access to affordable, comprehensive health coverage for New Yorkers, especially vulnerable groups, by leveraging its mission and local network.

Company Size

1,001-5,000

Company Stage

N/A

Total Funding

N/A

Headquarters

New York City, New York

Founded

1993

Simplify Jobs

Simplify's Take

What believers are saying

  • NYC Health + Hospitals tops 2024 quality rankings for Medicaid, Medicare.
  • Healthfirst ADVANCE shares equity case studies resolving 80% legal needs.
  • Partnerships with City Harvest deliver 400 biweekly food boxes.

What critics are saying

  • NYC Health + Hospitals demands unfavorable terms using network dominance.
  • State compresses Medicaid rates amid budget pressures in 12-24 months.
  • CMS audits trigger Medicare Advantage penalties impacting 2026 earnings.

What makes Healthfirst unique

  • Healthfirst founded 30 years ago by New York hospital systems.
  • Offers 5-star Essential, Medicaid, and Child Health Plus plans.
  • Serves 2 million members across NYC and Hudson Valley.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

401(k) Company Match

Performance Bonus

Company News

QNS
Oct 29th, 2025
Nonprofit recognizes Queens pharmacies for improving health of members with Medicare

Nonprofit recognizes Queens pharmacies for improving health of members with Medicare. Edgar Gutierrez, left, and his wife Mireya Gutierrez, owners and pharmacists of Victory Pharmacy in Queens, were recognized for their work improving community health for members on Medicare. Three pharmacies in Queens were recognized by Healthfirst, a nonprofit health insurer serving more than two million New Yorkers, for their work to improve the health of members covered under the nonprofit's Medicare plan. Winners of the nonprofit's inaugural Pharmacy Excellence Awards, which were presented to 12 community pharmacies across the city, were announced by Healthfirst Oct. 14. The Queens winners include All RX Pharmacy 1 and Arcadia Health Pharmacy, both located in Flushing, and Victory Pharmacy in Jackson Heights. Recipients of the awards, who were among hundreds of participating community pharmacies, were honored for achieving the city's highest rates of medication adherence and proactive pharmacy interventions to close gaps in care in 2024. The awards align with the mission of the Healthfirst program, which is aimed at equipping community and independent pharmacists with new tools and technology to help close care gaps, improve medication adherence and provide timely support for members on Medicare. According to the nonprofit, the winning pharmacies across Queens, the Bronx, Brooklyn and Manhattan are trusted healthcare partners in their neighborhoods. Together, they have helped thousands of older adults better manage chronic conditions, avoid hospitalizations and stay on track with vital prescriptions. Get the full story. News, events, culture and more - delivered to you. "Community pharmacies know their patients by name and understand the challenges they face every day, and that they want more time to educate patients with medication management but also have the demands of running a small business," said Bhavesh Modi, vice president of pharmacy at Healthfirst. "Through this program, we're giving pharmacists the tools and resources they need to make an even greater impact on the health of their communities." Medication adherence is one of the most important factors in improving long-term health outcomes for Medicare members, according to the nonprofit. Pharmacies enrolled in the program have helped significantly boost adherence rates, ensuring more Medicare members are taking their medications as prescribed. "It can be daunting to manage several medications without support, especially for our seniors," said Bronx state Sen. Gustavo Rivera, who chairs the Senate Health Committee. "I extend my congratulations to the local pharmacies being honored and commend Healthfirst for recognizing the role that independent pharmacies play in helping New Yorkers lead healthier lives." Edgar and Mireya Gutierrez, who are owners and pharmacists of Victory Pharmacy and recipients of this year's award for their work, said their partnership with Healthfirst has helped the couple better serve their patients. "As pharmacists, we believe we are often the first point of contact for care in our neighborhoods," the couple said in a joint statement. "Working with Healthfirst gives us new ways to strengthen that connection - whether it's checking in on a member's medication or helping them understand their benefits. It's collaboration that makes a real difference." The announcement was made during American Pharmacists Month, observed annually in October, just ahead of Medicare open enrollment, which began Oct. 15 and ends on Dec. 7. The nonprofit said the awards underscore the critical role pharmacists play in educating older New Yorkers about their healthcare decisions. By honoring community pharmacies with the Pharmacy Excellence Awards, Healthfirst is reinforcing its commitment to empowering local providers to deliver personalized, high-quality care. Healthfirst was founded in 1993 by leading hospital systems in downstate New York. Its partnership model drives collaboration across the hospitals, health systems and community providers in its network, which is aimed at advancing care quality and improving health outcomes for its members. The nonprofit currently serves more than two million members in New York City, on Long Island, and in Westchester, Rockland, Sullivan and Orange counties. Healthfirst offers plans for members of all ages including Medicaid, Medicare Advantage, Child Health Plus, Essential Plan, Long-Term Care and Qualified Health plans. For more information on Healthfirst, please visit Healthfirst.org.

NCNewsOnline
Aug 21st, 2025
Healthfirst Ranked #1 in Quality Among New York State Medicaid Plans

Healthfirst, a leading not-for-profit health plan serving more than two million New Yorkers, has been recognized as the top-performing Medicaid Managed Care plan in New York State's Department of Health Medicaid Quality Incentive Program results for 2023, which were released in August 2025.

Business Wire
May 15th, 2024
Hyphen, Healthfirst Collaboration To Empower Pharmacists’ Role In Value-Based Care Receives 2024 Points Of Light Award From Klas Research

HARTFORD, Conn.--(BUSINESS WIRE)--Hyphen, the technology company creating connected-care, has received a 2024 Points of Light Award from KLAS Research, the leading healthcare research and insights firm, for its efforts to improve payer-provider collaboration in support of improved outcomes in value-based care with Healthfirst, a non-profit health plan serving close to 2 million New Yorkers. KLAS recognized Hyphen’s Pharmacy Assistant application, which supports Healthfirst’s Pharmacy Incentive Program. The program is designed to empower community pharmacists within Healthfirst’s network to take action to improve medication adherence rates, increase members’ understanding of their health plan benefits, and get compensated for those actions. This program is especially impactful because 80% of Medicare Advantage members in New York visit their community pharmacy 5-10 times annually — more than they visit their primary care doctor. The Pharmacy Assistant application connects disparate data sources and delivers real-time, actionable information in pharmacists’ existing workflows so they can close care gaps

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News Journal
Sep 20th, 2023
Health First announces local grants

HealthFirst partnered with the Clinton County Foundation to ensure grant funding is annually available to the community.

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