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TherapyNotes.comTH

Database Site Reliability Engineer

TherapyNotes, LLC offers a comprehensive online practice management system tailored for mental health practitioners, featuring robust notes, scheduling, billing, and telehealth capabilities.

TherapyNotes.com

Employee count: 201-500

Salary: 120k-160k USD

United States only

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About Us

TherapyNotes is the go-to superhero for behavioral health Practice Management and EHR software! Our top-notch SaaS solution handles scheduling, billing, documenting, telehealth, and more so clinicians can focus on awesome patient care.

We're a dynamic team of pros who love to innovate and push the envelope, keeping our software cutting-edge. Join us, and let's revolutionize behavioral health software together while making a real difference!

About the Position

We are seeking a Database Site Reliability Engineer who demonstrates a strong skill set in managing PostgreSQL. In this role, you will own the reliability and operability of our PostgreSQL services supporting a growing 24x7 SaaS platform, with an emphasis on availability, performance, observability, incident response, and automation. You will partner with cross-functional teams—including developers, operations, and infrastructure—to ensure that our database services run smoothly and efficiently. If you are passionate about operational excellence and continuous improvement, we want to hear from you.

What You'll Do

  • Responsible to design, implement, and maintain high-availability, high throughput, data and compute intensive, critical database systems running PostgreSQL which supports a growing 24x7 SaaS platform.
  • Define and improve database service reliability through monitoring/alerting, SLO-oriented metrics, and operational readiness.
  • Participate in and help drive incident response, root cause analysis, and post-incident corrective actions for database-related production events.
  • Partner with other technical leaders to ensure all newly introduced systems are supportable and maintainable by both development and operations.
  • Provides escalated technical guidance and support to other technology teams throughout the organization
  • Provides on-call coverage for production support and other duties as required.
  • Accountable for complying with HIPAA security policies within the database platform
  • Ensure all solutions and operational activities adhere to the security and operating policies established by the organization
  • Own and continuously improve our Datadog database observability by building actionable dashboards, alerts, and service-level views using an observability stack (e.g., Prometheus, Grafana, New Relic, or equivalent). Familiarity with PGAnalyze or Percona a plus.
  • Automate system maintenance tasks using Bash, Powershell, Python, or Ansible. Manage infrastructure as code (IaC) writing Ansible playbooks. Some exposure to Terraform a plus.
  • Experience with writing & designing ETL pipelines using Python a plus
  • Understand and maintain various PostgreSQL ecosystem components like: PgBouncer, PgBackrest, HaProxy, RepMgr a plus
  • Excellent communication and interpersonal skills.

What We're Looking For

  • BS degree in Information Systems, Engineering, or equivalent experience
  • 10+ years of Engineering experience with Database Engineering, Systems Engineering, DevOps and/or SRE
  • Experience in cloud-based compute, storage, and containerization solutions (Azure & Kubernetes preferred)
  • Proficiency with operating PostgreSQL in a Linux environment is a plus
  • Expertise with an observability/monitoring platform (e.g., Prometheus/Grafana, New Relic, Datadog, or equivalent); Datadog experience is a plus.
  • Experience working in Agile/DevOps environments and operating production services with ITSM practices where applicable

What We Offer

  • Competitive salary - $120,000-160,000
  • Employer sponsored health, dental, vision, life, and disability insurance
  • Retirement plan with company contribution
  • Annual company profit sharing
  • Personal development/training budget
  • Open, collaborative work environment
  • Extensive 2-week onboarding plan
  • Comprehensive mentorship program

Equal Opportunity Employer Statement & Applicant Rights
TherapyNotes LLC is an Equal Opportunity Employer and does not discriminate based on race, color, religion, sex, national origin, age, disability, genetic information, or any other protected status under federal, state, or local law. We are committed to providing a workplace free of discrimination and harassment.For more information about your rights under federal employment laws, please review the following:

If you require a reasonable accommodation during the application process, please contact humanresources@therapynotes.com

1/8/2026

About the job

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Job type

Full Time

Experience level

Senior

Salary

Salary: 120k-160k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About TherapyNotes.com

Learn more about TherapyNotes.com and their company culture.

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TherapyNotes® is at the forefront of revolutionizing practice management for behavioral health professionals. Through groundbreaking technology, the company provides a comprehensive, secure, and intuitive online system designed to streamline the complex administrative and clinical workflows of mental health practitioners. TherapyNotes® was born out of a collaboration between Dr. Debra Pliner, a clinical psychologist, and Brad Pliner, a web technologies expert. They identified a critical need for an electronic health record (EHR) and practice management solution specifically tailored to the unique demands of the mental health field. Launched in 2010, TherapyNotes® has rapidly evolved into a market leader, empowering thousands of psychologists, therapists, counselors, social workers, and psychiatrists across the nation to manage their practices with greater efficiency and focus more on client care. The platform's innovative approach centers around a robust, form-filled notes system, a significant advancement over generic free-form text areas often found in other systems. This design greatly accelerates data entry and note-writing, ensuring compliance and accuracy.

The technological innovation at TherapyNotes® extends beyond note-taking. The platform integrates patient scheduling, medical records, billing, and electronic claims into a seamless software-as-a-service (SaaS) solution. This holistic approach addresses the multifaceted needs of modern behavioral health practices, from solo practitioners to large group practices and institutions. TherapyNotes® continually invests in enhancing its offerings, regularly launching new features such as secure messaging, telehealth capabilities, patient portals, and outcome measures. The system's powerful to-do list automatically guides clinicians on necessary actions, such as pending notes, follow-ups, and treatment plan updates, ensuring that critical tasks are not overlooked. Security and HIPAA compliance are paramount, with data encrypted, secured, and regularly backed up. By leveraging technologies like React and Erlang, TherapyNotes® demonstrates a commitment to utilizing modern, scalable, and reliable technological foundations to support the vital work of mental health professionals, ultimately contributing to improved patient outcomes and practice sustainability.

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