Medical Records Consultant

Job Title: Epic Cogito Database Administrator

Employment Type: Full-Time

Location: Remote in Mexico

Language: Advance (B2-C2)

Mandatory skills: Epic Cogito/Clarity Administration

MS SQL Server

ETL Process Management

Epic Caboodle & SlicerDicer Administration

SSIS Package Development

Key Responsibilities:

• Design, develop, and maintain databases to ensure reliability and scalability.

• Document technical specifications and follow industry best practices.

• Install and maintain software, monitoring system resources (CPU, memory, disk).

• Perform ETL (Extract, Transform, Load) operations in compliance with SLAs; monitor job execution, troubleshoot failures, and apply fixes as needed.

• Handle specialized data processes with accuracy and security.

• Implement and document backup and recovery procedures, including failover strategies.

• Maintain database security, ensuring systems are patched and compliant with security standards.

• Execute disaster recovery (DR) cutovers for critical systems to maintain business continuity.

• Manage authentication protocols to safeguard access.

• Plan system capacity, forecasting growth and ensuring redundancy for storage and CPU resources.

• Monitor performance, review logs and conduct health checks regularly.

• Optimize database performance, applying indexing and assisting developers in query tuning.

• Troubleshoot issues, including locked resources and user-related problems.

• Apply server patches and optimizations to maintain data integrity and security.

• Manage data warehouses, ensuring efficient storage and retrieval.

• Ensure compliance with data protection laws and organizational policies.

• Design and manage SSIS packages for automated data workflows.

• Collaborate with cross-functional teams to assess and fulfill SQL Server requirements.

• Database Management: Administer and maintain Epic databases (Clarity, Caboodle, Chronicles).

• Performance Optimization: Monitor and tune database performance; manage capacity planning.

• ETL Process Management: Schedule and troubleshoot Clarity extracts and Caboodle ETL jobs.

• Backup & Recovery: Perform regular backups, verify restores, and test disaster recovery plans.

• Security & Compliance: Manage roles, permissions, and enforce HIPAA/security standards.

• Upgrades & Patching: Apply Epic-released updates and RDBMS upgrades in production and non-production environments.

• Monitoring & Troubleshooting: Use Epic and third-party tools to monitor database health and resolve issues.

• Collaboration: Work with application analysts, report writers, and infrastructure teams for system changes and enhancements.

• Documentation: Maintain operational runbooks, recovery procedures, and configuration guides.

• Provide 24x7 on-call support, ensuring rapid resolution of critical system issues.

• Document processes and technical specifications and deliver knowledge transfer to team members.

• Track and resolve issues using a ticketing system.

• Demonstrate strong understanding of both technical and business requirements in healthcare environments.

Required Qualifications:

• Bachelor’s degree in computer science, Information Systems, or related field.

• 3–5 years of DBA experience, with at least 2 years supporting Epic systems as a Database Administrator.

• Database Administration experience is required.

• Basic familiarity with EHR systems including workflows and business processes

• Multiyear programming experience in classroom or business setting in programming languages such as TCL, JavaScript, Java, or Python.

• On-Call Support: Participate in after-hours support and change control processes and on-call support as part of an on-call rotation

• Strong analytical and problem-solving skills.

• Excellent communication abilities.

• Willingness to work in US business hours

• Willing and able to support multiple healthcare systems across three different time zones in the US.

• Dedicated, self-motivated, flexible, and self-directed with a strong work ethic.

Must-Have (Non-Negotiable) Skills:

• Epic Cogito/Clarity Certification – Required for administering Epic’s analytics environment and ETL processes.

• Strong SQL Server Expertise – Proficiency in MS SQL Server, including performance tuning and query optimization.

• ETL Process Management – Hands-on experience with Clarity Console and Caboodle ETL workflows, troubleshooting failures, and ensuring data integrity.

• Familiarity with programming languages API or scripting languages – Java, C++, .Net, Python, JavaScript, etc.

Important (Strongly Preferred) Skills:

• Epic Caboodle & SlicerDicer Administration – Ability to configure Caboodle data models and manage SlicerDicer security.

• System Administration Background – Experience with Linux servers, VMware environments, and storage systems supporting Epic infrastructure.

• Performance Monitoring & Capacity Planning – Skilled in using Epic and third-party tools for proactive database health checks and resource planning.

• Build SSIS Packages

Good to Have (Optional) Skills:

• Data Visualization Tools – Familiarity with Qlik, Power BI, or Tableau for reporting and analytics.

• Automation & Scripting – Ability to automate tasks using shell scripts or configuration management tools.

• Cloud Integration – Experience integrating Epic environments with cloud platforms (Azure, AWS) for backup or analytics workloads.

Familiarity in developing and maintaining SSIS packages.