Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change.

At Availity, we're not just another Healthcare Technology company; we're pioneers reshaping the future of healthcare! With our headquarters in vibrant Jacksonville, FL, and an exciting office in Bangalore, India, along with an exceptional remote workforce across the United States, we're a global team united by a powerful mission.

We're on a mission to bring the focus back to what truly matters – patient care. As the leading healthcare engagement platform, we're the heartbeat of an industry that impacts millions. With over 2 million providers connected to health plans, and processing over 13 billion transactions annually, our influence is continually expanding.

Join our energetic, dynamic, and forward-thinking team where your ideas are celebrated, innovation is encouraged, and every contribution counts. We're transforming the healthcare landscape, solving communication challenges, and creating connections that empower the nation's premier healthcare ecosystem.

As a Cloud Database Architect V, you will define the enterprise cloud database strategy and lead architecture, modernization, and optimization across the organization. In partnership with engineering, security, and platform teams, you will design scalable, reliable database solutions for healthcare applications serving millions of users. This role is suited to an architect who combines deep technical expertise with the ability to set direction, influence stakeholders, and lead enterprise transformation.

Sponsorship, in any form, is not available for this position.

Location: Remote, US

Why you want to work on this team:

• You enjoy solving complex scalability, reliability, and performance challenges across enterprise cloud database platforms.
• You want to shape the future of healthcare by building the resilient data foundations that power critical industry services.
• You are passionate about leading database platform architecture that enables engineering teams to deliver business innovation faster and more reliably.

To be qualified for this position you:

 

• Bachelor’s degree in Computer Science, Information Technology, or related field, or equivalent professional experience.
• 10+ years of experience in database engineering, administration, or architecture, including 5+ years designing cloud-native database solutions.
• Proven experience designing and implementing mission-critical database platforms for large-scale workloads in public cloud environments.
  • Proficiency with AWS required.
  • Experience with additional cloud providers preferred (Azure, GCP)
• Deep expertise in at least two enterprise database platforms (Oracle, PostgreSQL, MySQL, SQL Server, MongoDB, DynamoDB, Cassandra) including data modeling, performance tuning, and scalable design.
• Extensive experience with AWS database services, including RDS and Aurora, and selecting supporting technologies such as DynamoDB, ElastiCache, Redshift, and DMS.
• Experience architecting highly available database solutions with disaster recovery and multi-region capabilities.
• Proven success leading database modernization and cloud migration initiatives at enterprise scale.
• Experience applying Infrastructure as Code, automation, and CI/CD practices to database provisioning, configuration, upgrades, schema changes, and deployment.
• Strong understanding of database security, governance, compliance, backup, and recovery strategies.
• Ability to assess existing environments, document technical debt, and develop transition roadmaps to future-state architecture.
• Expertise in query optimization, workload analysis, capacity planning, and cloud database cost optimization.
• Experience defining database observability standards, including metrics, logging, alerting, service-level indicators, and capacity planning.
• Demonstrated success influencing technical direction, leading cross-functional initiatives, and developing database engineering talent.
• Excellent communication skills with the ability to present complex technical concepts to both technical and executive audiences.
• AWS Certified Solutions Architect – Professional, a current AWS database-focused certification, or an equivalent credential preferred.
• Familiarity with healthcare data standards and interoperability requirements preferred.

 

In this role, you will:

 

• Define and drive the enterprise cloud database strategy, architecture standards, and architecture roadmap to improve platform reliability, scalability, security, and cost efficiency.
• Design and implement scalable, secure, and resilient database solutions aligned with application workloads and business objectives.
• Lead enterprise database modernization and migration initiatives, including assessments, solution design, validation, cutover planning, rollback strategies, and adoption activities.
• Architect resilient database solutions with high availability, disaster recovery, and multi-region capabilities to meet business continuity requirements.
• Establish and maintain enterprise standards for database governance, security, compliance, backup, recovery, and operational readiness.
• Evaluate emerging database technologies and recommend when to adopt, standardize, retain, or retire platforms throughout their lifecycle.
• Partner with application, infrastructure, security, and platform engineering teams to identify cross-platform dependencies, resolve design tradeoffs, and coordinate implementation decisions.
• Provide technical leadership through architectural guidance, mentorship, reference architectures, design patterns, and engineering standards.
• Collaborate with business and technology leaders to translate strategic objectives into prioritized database capabilities, platform investments, and architecture roadmaps.

Availity culture and benefits:

• Availity is a certified “Great Place to Work”, a “Best Workplaces for Technology Companies”, a “Best Workplaces for Women” and a “Best Workplaces for Millennials”!

• Culture is important to us and there are many ways for you to make your mark here!

• We have several Diversity & Inclusion teams and various ways to engage with fellow Availity associates. “AvaiLadies”, “Beyond Black”, “HOLA”, “Availity Pride”, “VetAvaility” a Young Professionals Group and “She Can Code IT” a group for women in tech are some of the groups you can get involved in.

• Availity is a culture of continuous learning. We have many resources and experts in our tech stack and in our industry that can help get you there too!

• We offer a competitive salary, bonus structure, generous HSA company contribution, healthcare, vision, dental benefits and a 401k match program that you can take advantage of on day one!

• We offer unlimited PTO for salaried associates + 9 paid holidays. Hourly associates start at 19 days of PTO and go up from there with all the same holiday benefits.

• Interested in wellness? We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc.

• Interested in furthering your education? We offer education reimbursement!

• Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents.

• Want to work for an organization that gives back to the community? You’re at the right place! Availity partners with various organizations, both locally and nationally, to raise awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign.

Next steps:

After you apply, you will receive text/email messages thanking you for applying and then you will continue to receive more text/email messages alerting you as to where you are in the recruitment process.

 

Interview process:

• Recruiter video interview
• Manager video interview
• Panel video interview
• Senior Leadership video interview

#LI-BD1

Video Camera Usage:

Availity fosters a collaborative and open culture where communication and engagement are central to our success.  As a remote first company, we are also camera-first and provide all associates with camera/video capability to simulate the office environment. If you are not able to use your camera for all virtual meetings, you should not apply for this role.

Having cameras on helps create a more connected, interactive, and productive environment, allowing teams to communicate more effectively and build stronger working relationships.  The usage of cameras also enhances security and protects sensitive company information. Video participation is required to ensure that only authorized personnel are present in meetings and to prevent unauthorized access, data breaches, preventing social engineering, or the sharing of confidential information with non-participants.

Disclaimers:

Availity is an equal opportunity employer and makes decisions in employment matters without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, gender expression, genetic information, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.

 

Availity is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

 

NOTICE: Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. When required by state law or federal regulation, Availity uses I-9, Employment Eligibility Verification in conjunction with E-Verify to determine employment eligibility. Learn more about E-Verify at http://www.dhs.gov/e-verify.

Click the links below to view Federal Employment Notices.

Family & Medical Leave Act  Equal Employment Law Poster  Pay Transparency  Employee Polygraph Protection Act  IER Right to Work Poster  Important Notice about Employee Rights to Organize and Bargain Collectively with Their Employers