At Intelerad, we believe the path to answers in healthcare should be clear-whether you are waiting for a diagnosis or trying to expedite one. Our medical imaging solutions streamline the flow of information, simplifying complex processes, maximizing efficiencies, and shining a light on the unknown. We empower physicians to get patients the answers they need faster and improve outcomes for everyone. With more accessible imaging, we are getting patients out of the dark.
Headquartered in Raleigh, NC and Montreal, Intelerad has nearly 800 employees located in offices across four countries. The company empowers nearly 2,000 healthcare organizations around the world with the speed, scalability, and simplicity needed to increase business performance while, most importantly, improving patient outcomes. Intelerad’s modern enterprise solutions have been acknowledged by a Best in KLAS recognition, ranking #1 for PACS Europe UK/Ireland in the 2026 Best in KLAS: Global Software (Non-US) report.
Job DescriptionThe Site Reliability Engineer (Database) plays a critical role in maintaining the performance, availability, and scalability of Intelerad's mission-critical healthcare imaging platforms.
This position combines deep technical expertise in system administration, database performance optimization, and infrastructure to ensure our PACS, RIS, and enterprise imaging solutions deliver the reliability that healthcare providers depend on 24/7.
The SRE (Database) will provide advanced knowledge in database performance tuning, system reliability engineering, and automated deployment practices. The role takes the lead in maintaining and optimizing complex database environments, ensuring consistent performance, stability, and operational health across mission‑critical systems. It also places a strong emphasis on ongoing support activities, including proactive monitoring, incident response, routine maintenance, and database housekeeping, to prevent performance degradation and ensure long‑term system integrity.
Key Responsibilities
- Ensure high system reliability and performance across production environments by proactively monitoring infrastructure health, identifying bottlenecks, and implementing solutions that support 99.9%+ uptime for mission‑critical healthcare imaging systems.
- Continuously monitor customer databases to detect issues, performance degradation, and anomalies; maintain dashboards, alerts, and tuning strategies; and support incident response and root‑cause analysis for database‑related events.
- Optimize SQL database performance by analyzing execution plans, implementing indexing strategies, tuning queries, and performing maintenance routines to ensure fast and reliable access to imaging data across multiple SQL Server applications.
- Lead deployment rollouts and system migrations from planning through execution, ensuring smooth transitions and thorough validation.
- Provide expertise in capacity planning and growth forecasting to maintain system scalability and stability.
- Drive effective incident management by diagnosing complex database and system issues, coordinating resolution across teams, performing root‑cause analysis, and implementing preventive measures to reduce recurrence.
- Promote continuous improvement by identifying automation opportunities, enhancing monitoring and alerting, documenting system configurations and procedures, and working with development teams to improve application reliability and performance.
- 5+ years of expert-level experience SQL, database engineering, Database reliability engineering or similar technical operations roles supporting enterprise production environments.
- Strong Sybase/SQL Server experience including performance tuning, query optimization, index management, backup/recovery procedures, and database maintenance in production environments.
- Experience with SQL Server high availability solutions (Always On, clustering, replication)
- Proficiency with Windows and/or Linux server administration, including scripting and automation (PowerShell, Bash, Python)
- Experience with monitoring and observability tools (PRTG monitor, Prometheus, Grafana, Splunk, DataDog, or similar)
- Strong troubleshooting and analytical skills with ability to diagnose complex technical issues under pressure
- Excellent communication skills with ability to collaborate across technical and non-technical teams
- Bachelor's degree in Computer Science, Information Technology, or equivalent experience
Preferred Qualifications & Special Requirements
- Experience with healthcare IT systems, particularly PACS, RIS, or medical imaging platforms
- Knowledge of healthcare data standards and compliance requirements (HIPAA, DICOM, HL7)
- Experience with infrastructure-as-code tools (Terraform, CloudFormation, ARM templates)
- Familiarity with containerization technologies (Docker, Kubernetes)
- Understanding of DevOps practices and CI/CD pipelines
- ITIL 4 Foundation or equivalent
- Cloud certifications such as AWS Solutions Architect, Azure Administrator, or Google Cloud Professional.
- Familiar with cloud platforms (AWS, Azure, or GCP) including compute services, storage solutions, networking, and cloud-native monitoring tools.
- Ability to participate in on call
- Flexibility to respond to critical incidents outside standard business hours
Travel Requirements
- Occasional travel may be required for client escalations or team collaboration (up to 10%)
This job description is not a comprehensive list of tasks or requirements and Intelerad reserves the right to change it at any time.
Additional InformationAll your information will be kept confidential according to EEO guidelines.
Applicants may be required to complete an online personality assessment as part of your application.
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Intelerad is committed to the principles of equal employment. We are committed to complying with all federal, state and local laws providing equal employment opportunities and all other employment laws and regulations. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age , disability and genetic information (including family medical history). Intelerad is dedicated to the fulfillment of this policy regarding all aspects of employment, including but not limited to recruiting, hiring, placement, transfer, training, promotion, rates of pay, and other compensation, termination, and all other terms, conditions, and privileges of employment.
Intelerad is committed to ensuring equal employment opportunity for qualified individuals with disabilities. Intelerad uses the Americans with Disabilities Act (“ADA”)as a standard for global recruiting and hiring purposes. This prohibits discrimination against qualified individuals with disabilities. The ADA defines “disability” as a physical or mental impairment that substantially limits one or more of the major life activities of an individual, a record of such impairment, or being regarded as having such an impairment
