Posted Sep 30, 2026

Principal Database Engineer

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Job Description:

The Principal Database Engineer (DBE) – Cloud Platform Support – Global is a premier technical authority and operational anchor within the Global Cloud Platform Support organization. Operating primarily during the IST daytime shift (providing operational leadership and coverage for US overnight operations, with designated shift handover overlap), this role ensures 24/7 database stability, high availability, performance, and rapid incident resolution for NextGen’s cloud healthcare enterprise platforms.

This position bridges deep database engineering with Site Reliability Engineering (SRE), DevOps, and 24/7 Support workflows. As a Principal DBE, you will drive hands-on actioning of complex SQL-based alerts, execute critical database performance tuning and maintenance requests, and serve as the highest-tier Subject Matter Expert (SME) and escalation authority for database functionality, query efficiency, and incident troubleshooting across global support operations.

Work Schedule & Global Operational Model:

Key Responsibilities:


Tier-3 Escalation SME & Advanced Alert Response:


Database Performance Tuning & Workload Optimization:


Database Maintenance & Operational Resilience:


Engineering Bridge, Automation & Toil Reduction:


Education Required:


Experience Required:


License/Certification Required:


Knowledge, Skills & Abilities:


The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is intended to provide guidelines for job expectations and the employee's ability to perform the position described. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. This document does not represent a contract of employment, and the company reserves the right to change this job description and/or assign tasks for the employee to perform, as the company may deem appropriate.

NextGen Healthcare is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

10+ years enterprise database administration; Bachelor's degree in CS/IT/MCA or equivalent; expert in SQL Server and PostgreSQL on AWS/GCP; Microsoft Azure Database Administrator Associate or MCSE; AWS Certified Database Specialty or Solutions Architect Professional; Google Cloud Professional Database Engineer; scripting in PowerShell, Python, T-SQL, Bash; Dynatrace, Datadog, Prometheus/Grafana; Terraform, Ansible; ITIL or SRE/DevOps certifications.

Key Responsibilities

Skills & Tools

Microsoft SQL Server, PostgreSQL, AWS, GCP, Dynatrace, CloudWatch, GCP Operations, PowerShell, Python, Bash, T-SQL, Terraform, Ansible, Datadog, Prometheus, Grafana

Job Details

About NextGen Healthcare

A healthcare technology partner for ambulatory practices, providing cloud-based solutions and operational support. — Industry: Information Technology