Role Overview

The Database Manager leads the team responsible for designing, building, and operating the database architecture that powers 's medical imaging solutions. This role owns the database strategy and standards behind our PACS, RIS, and enterprise imaging platforms, ensuring the systems that store and serve healthcare data remain scalable, secure, and highly available. Beyond technical direction, this role builds and develops a high-performing team of database engineers and architects — hiring, coaching, and setting clear goals that connect individual growth to team and business outcomes. The Database Manager partners closely with software engineering, DevOps, infrastructure, and product leadership to align database strategy with product roadmaps, and represents database considerations in decisions that affect system reliability and patient care.

Key Responsibilities

• Lead, hire, and develop a team of database engineers and architects, setting clear performance and development goals, conducting regular check-ins, and building a team capable of supporting 's current and future database needs.
• Own the database architecture strategy and standards for 's medical imaging platforms, ensuring designs are scalable, secure, and reliable across on-premises, cloud, and hybrid deployment models.
• Drive operational excellence and reliability for all production database systems, setting performance benchmarks, overseeing capacity planning, and ensuring robust backup, disaster recovery, and business continuity practices are in place.
• Establish and enforce database security protocols and compliance frameworks, including HIPAA and healthcare interoperability standards such as DICOM, HL7, and FHIR, to protect data integrity and confidentiality across all systems.
• Partner with software engineering, DevOps, infrastructure, and product leadership to align database strategy with product roadmaps, evaluate and select database technologies, and lead major migrations, upgrades, and modernization initiatives.

Qualifications & Experience

• 7+ years of experience in database architecture, design, and administration
• 2+ years directly managing or leading database engineers or architects.
• Demonstrated expertise with both relational databases (Oracle, PostgreSQL, SQL Server) and NoSQL databases (MongoDB, Cassandra) in large-scale, high-availability environments.
• Proven experience setting database security protocols and compliance frameworks, with direct experience in healthcare data protection and HIPAA compliance.
• Experience with cloud database platforms and services on AWS, Azure, or GCP, including database migration strategies and hybrid architectures.
• Demonstrated ability to hire, coach, and develop technical talent, and to communicate database strategy and trade-offs clearly to both technical and non-technical stakeholders.

Preferred Qualifications & Special Requirements

• Experience with medical imaging systems architecture (PACS, RIS, VNA, or enterprise imaging platforms) and healthcare data standards such as DICOM, HL7, and FHIR.
• Experience with Infrastructure as Code tools such as Terraform or CloudFormation, and CI/CD pipelines for database deployments.
• Professional certification such as AWS Certified Database Specialty, Microsoft Certified: Azure Database Administrator Associate, or Oracle Certified Professional.
• Experience leading distributed, remote-first teams across time zones, within Agile development environments.
• Bachelor's degree in Computer Science, Information Systems, Software Engineering, or equivalent
• Occasional travel (up to 10%) for team offsites and cross-functional planning sessions.

This job description is not a comprehensive list of tasks or requirements and reserves the right to change it at any time.

All your information will be kept confidential according to EEO guidelines.

Applicants may be required to complete an online technical and/or personality assessment as part of your application.

The base pay for this position ranges from $108,750- $145,000/yr CAD within any geographic market in Canada. Pay may vary depending on job-related knowledge, skills, and experience. is a total compensation company. Pay is dependent on the position offered. Bonus and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, retirement, PTO, and/or other benefits.

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). 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.

is committed to ensuring equal employment opportunity for qualified individuals with disabilities. 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

Improving healthcare through innovative technology is at the core of ’s work. Our scalable medical imaging platform connects clinicians to a powerful imaging ecosystem that is fast, smart, and tapped into the data they need, no matter their location. We’re focused on delivering a best-in-class medical image management solution that improves provider efficiency, decreases the cost of healthcare, and improves the overall health of populations.

offers one of healthcare’s most comprehensive imaging and analytics platforms. Headquartered in Raleigh, NC and Montreal, has nearly 700 employees located in offices across six 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. ’s modern enterprise solutions have been acknowledged by a Best in KLAS recognition, ranking #1 for PACS Asia/Oceania in the 2021 Best in KLAS: Global Software (Non-US) report. To learn more, visit and follow on LinkedIn and Twitter.