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From the employer's careers site First seen 27 Oct 2026

SQL Server Architect

Description

Cedar Gate Technologies, an IQVIA business, is seeking a SQL Server Architect to serve as the technical authority for a mission-critical healthcare SaaS platform used by U.S. healthcare organizations.

As a Senior SQL Server Architect, you will be responsible for the design, performance, stability, and ongoing evolution of a mature healthcare technology platform that processes high volumes of transactional data and supports critical client operations.

Responsibilities:

  • Serve as the primary technical owner and subject matter expert for a large-scale SQL Server environment supporting a healthcare SaaS application.
  • Analyze, maintain, and enhance complex T-SQL stored procedures, functions, views, and database objects containing critical business and healthcare workflow logic.
  • Develop architectural recommendations and detailed technical designs that improve scalability, performance, maintainability, and reliability.
  • Partner closely with Software Development, Product, Delivery, and Quality Assurance teams to support ongoing application enhancements and production operations.
  • Perform code reviews and provide guidance on database design, coding standards, and SQL Server development best practices.
  • Troubleshoot and resolve complex application and database performance issues using SQL Server profiling, monitoring, and diagnostic tools.
  • Evaluate business and product requirements and translate them into scalable technical solutions.
  • Research emerging technologies and provide recommendations regarding platform improvements and modernization opportunities.
  • Create and maintain technical documentation, operational procedures, development standards, and knowledge-base content.
  • Drive continuous improvement of database architecture, engineering processes, and development practices.
  • Effectively communicate technical designs, recommendations, and risks to internal stakeholders, leadership, and clients.

Requirements:

  • 8+ years of hands-on experience supporting SQL Server in enterprise production environments.
  • Expert-level experience working within large, complex T-SQL codebases where business-critical functionality is implemented through stored procedures and database objects.
  • Strong expertise in SQL Server architecture, query optimization, indexing strategies, execution plan analysis, and performance tuning.
  • Extensive experience debugging, troubleshooting, and supporting business-critical SQL Server applications.
  • Hands-on experience using SQL Server monitoring, profiling, and diagnostic tools to identify and resolve performance issues.
  • Demonstrated ability to evaluate existing database architectures and develop scalable, maintainable technical solutions.
  • Ability to read and understand application code written in C# or VB.NET to support troubleshooting and cross-functional collaboration.
  • Proven experience conducting code reviews and establishing database development standards and best practices.
  • Strong verbal and written communication skills, including the ability to participate in technical discussions with clients and senior stakeholders.

Benefits:

  • Comprehensive benefits package
  • Ongoing training and development opportunities
  • Collaborative and innovative work environment

Skills

Required

  • SQL Server
  • T-SQL
  • database architecture
  • query optimization
  • performance tuning

Nice to have

  • healthcare technology platforms
  • healthcare SaaS applications
  • payer organizations
  • payment integrity solutions
  • claims processing systems
  • value-based care platforms
  • revenue cycle solutions

Ready to apply?

You apply with the employer directly. Their original posting is here: https://iqvia.wd1.myworkdayjobs.com/en-US/IQVIA/job/Houston-Texas-United-States-of-America/SQL-Server-Architect_R1548883

Apply on Cedar Gate Technologies, an IQVIA business