This is a remote position.

One of our Wisconsin’s premier academic health systems, is seeking a Senior Enterprise Database Architect to lead a comprehensive performance optimization and architecture assessment initiative across their database ecosystem. This is a high-impact, hands-on engagement where you’ll work directly with clinical and IT leadership to ensure the data infrastructure powering Epic’s Cogito and Caboodle platforms — as well as the broader Oracle and Microsoft SQL Server estate — is tuned, resilient, and architected for long-term scalability.

If you’re the kind of architect who thrives on untangling complex database environments, diagnosing deep performance bottlenecks, and leaving systems measurably better than you found them — this role was built for you.

Epic Cogito & Caboodle Architecture

•       Conduct a full architecture review of Epic’s Cogito (operational reporting data warehouse) and Caboodle (enterprise analytics data warehouse) implementations

•       Assess ETL pipelines, Clarity-to-Caboodle data flows, index strategies, and query execution plans for performance bottlenecks

•       Validate Cogito/Caboodle configuration against Epic best practices and recommend tuning adjustments

•       Partner with Epic analysts and report writers to optimize Chronicles, Clarity, and Caboodle query performance

Oracle & SQL Server Performance Engineering

•       Perform deep-dive performance tuning across Oracle Database and Microsoft SQL Server instances supporting clinical, financial, and ancillary systems

•       Analyze AWR/ASH reports (Oracle) and DMV/Query Store diagnostics (SQL Server) to identify resource contention, wait states, and optimization opportunities

•       Review database configurations, memory allocation, I/O subsystems, and storage architecture for both platforms

•       Develop and implement indexing strategies, query rewrites, partitioning schemes, and maintenance plans

Enterprise Architecture & Governance

•       Map the complete database landscape: inventory all Oracle and SQL Server instances, versions, patch levels, and dependencies

•       Assess high availability and disaster recovery configurations (Always On AG, Data Guard, RAC) and recommend improvements

•       Evaluate security posture including encryption, access controls, auditing, and compliance with HIPAA/HITECH requirements

•       Deliver a comprehensive architecture assessment report with prioritized remediation roadmap and executive-level recommendations

•       Provide knowledge transfer sessions and runbook documentation for the internal DBA team

Requirements

•       12+ years of enterprise database architecture and administration experience across Oracle and Microsoft SQL Server in large healthcare environments

•       Deep hands-on expertise with Epic Cogito, Caboodle, Clarity, and Chronicles database layers, not just awareness, but real tuning and architecture experience. Should be Epic Certified

•       Proven track record of leading full-stack database performance engagements: assessment, diagnosis, tuning, and documentation

•       Expert-level knowledge of Oracle performance internals (AWR, ASH, SQL Profiles, RAC, Data Guard, partitioning)

•       Expert-level knowledge of SQL Server performance internals (Query Store, DMVs, execution plans, Always On AG, columnstore, In-Memory OLTP)

•       Strong understanding of healthcare data flows, HL7/FHIR integrations, and HIPAA-compliant database security practices

•       Ability to communicate architecture findings and recommendations to both technical teams and executive leadership

Preferred Qualifications

•       Epic certification in Cogito, Caboodle, or Clarity administration – Mandatory

•       Oracle OCP or OCM certification; Microsoft Data Platform certifications (DP-300 or equivalent)

•       Experience with database migration, consolidation, or cloud-readiness assessments (Azure SQL, OCI)

•       Familiarity with monitoring tools such as SolarWinds DPA, Idera, Foglight, or Oracle Enterprise Manager

•       Prior consulting or contract engagement experience with health systems of similar scale

Benefits

•       Work with a trusted healthcare IT partner, HITRUST, SOC 2, ISO 27001:2022 certified with deep Epic ecosystem expertise

•       Competitive contract rates commensurate with senior architect-level experience

•       Direct engagement with a marquee health system — real problems, real impact

•       Potential for extension or transition into ongoing managed services engagements

•       Backed by InterScripts’ onshore and nearshore delivery teams for collaborative support