# Senior Database Reliability Engineer at Prediction Health

- Company: Prediction Health
- What the company does: PredictionHealth automates the documentation and brings machine learning into daily clinical practice. It is powered by AI that allows the user to scribe and convert their conversations with patients into notes.

Prediction Health Inc. Backed by LaunchTN.
- Company website: https://predictionhealth.com
- Type: Startups
- Level: Senior
- Location: Remote
- Work setup: Remote
- Pay: $220K to $240K base salary per year (USD)
- Posted: 2026-08-25
- Apply by: 2026-10-14
- Apply: https://jobs.ashbyhq.com/Prompt/b413d37e-1b83-439d-8228-179eb6b53662
- Page: https://www.1752.vc/careers/jobs/prediction-health-senior-database-reliability-engineer/

## About the role

Prompt Health is revolutionizing healthcare by delivering highly automated and modern B2B enterprise software to rehab therapy businesses, the teams within, and the patients they serve. We have established ourselves as the go-to platform in the space, are setting a new standard in healthcare technology, and rapidly growing our market share.

## What they're looking for

- 6+ years in database reliability engineering, database administration, or database engineering, including ownership of production systems at scale
- Deep MySQL expertise — query optimization, execution-plan analysis, indexing strategy, and replication. Aurora MySQL experience strongly preferred
- Hands-on experience operating large, multi-reader Aurora or RDS clusters at terabyte scale, including read-routing and connection management
- Strong command of database observability tooling (Datadog, Percona Monitoring and Management (PMM), Performance Insights, Prometheus/Grafana)
- Proficiency in a scripting language (Python, Bash, or similar) for automation, and comfort with infrastructure-as-code (Terraform)
- Solid AWS operational depth around RDS/Aurora, including cost optimization (instance sizing, reserved capacity, storage types)

Tags: Engineering