SQL Engineering Manager

Aeroflow Health is made up of creative and talented associates who are transforming the home medical equipment industry. Our patient-centric business model is founded on innovation through technology and cutting-edge delivery platforms. We have grown to be a leader in the home medical equipment segment of the healthcare industry are among the fastest-growing healthcare companies in the country and are recognized on Inc. 5000s list of fastest-growing companies in the U.S.

As Aeroflow continues to grow so does our commitment to building an exceptional employee experience. We believe great technology starts with great people and were investing in engineering leaders who build strong teams solve meaningful problems and create lasting business impact.

Aeroflows SQL Engineering team owns the Microsoft SQL Server platform behind many of the organizations most critical operational and customer-facing applications. The team partners closely with Application Engineering Database Administration Infrastructure Analytics Engineering and business leaders to ensure our data platform remains reliable scalable secure and ready to support continued growth.

As SQL Engineering Manager youll be responsible for the long-term success of both the team and the platform.

Success in this role is built around three core responsibilities:

• Lead People by developing a high-performing SQL Engineering team through coaching accountability hiring and career development.
• Lead Through Partnership by building trusted relationships across Engineering and the business balancing competing priorities and helping stakeholders make thoughtful technology decisions.
• Lead Technically by providing architectural guidance establishing engineering standards and ensuring our SQL platform remains stable maintainable and positioned for future growth.

This role is approximately 70% leadership strategy and delivery and 30% technical guidance and architecture.

Your Primary Responsibilities

• Lead coach mentor and develop a high-performing SQL Engineering team.
• Create clear expectations through regular feedback career development succession planning and performance management.
• Recruit hire and retain exceptional engineers while fostering accountability ownership and continuous improvement.
• Build an environment where engineers are empowered to make decisions while maintaining high technical standards.

• Build trusted partnerships across Engineering Product Analytics Infrastructure DBA and business teams.
• Balance roadmap initiatives operational support technical debt and platform improvements against business priorities.
• Clearly communicate priorities tradeoffs risks and technical decisions to both technical and non-technical stakeholders.
• Partner across teams to define practical solutions that improve both technology and business outcomes.

• Provide architectural leadership across Microsoft SQL Server environments supporting mission-critical business systems.
• Guide database architecture schema design T-SQL development performance optimization and engineering best practices.
• Establish practical standards around source control peer review testing CI/CD deployment automation monitoring and operational excellence.
• Improve platform reliability through root-cause analysis automation observability and continuous improvement.
• Partner with Analytics Engineering and Product teams to establish reliable data contracts and protect downstream systems during database changes.

Skills for Success

• Builds high-performing engineering teams through coaching accountability and trust.
• Demonstrates excellent stakeholder management and cross-functional collaboration.
• Makes thoughtful technical decisions that balance innovation with operational stability.
• Communicates complex technical concepts clearly to technical and business audiences.
• Creates predictable engineering execution through prioritization planning and strong operational discipline.
• Understands how database architecture application behavior infrastructure and business processes work together.
• Promotes continuous improvement without introducing unnecessary complexity.
• Remains calm and decisive when navigating competing priorities and production challenges.

Required Qualifications

• Proven experience leading mentoring or managing database or software engineers.
• Demonstrated success with hiring coaching performance management career development and difficult conversations.
• Deep production experience with Microsoft SQL Server including database architecture schema design query optimization indexing strategies and T-SQL development.
• Experience establishing engineering standards across enterprise SQL environments.
• Experience improving engineering workflows through source control CI/CD deployment automation monitoring and operational tooling.
• Experience leading delivery across roadmap initiatives operational support technical debt and cross-functional dependencies.
• Experience partnering effectively with technical and non-technical stakeholders.
• Strong written and verbal communication skills with the ability to explain technical tradeoffs clearly.
• Demonstrated ability to influence priorities across multiple teams and build trusted working relationships.

You Might Also Have

• Experience leading database modernization or platform transformation initiatives.
• Experience with Azure SQL AWS RDS for SQL Server Infrastructure as Code or DevOps automation.
• Experience supporting highly available or regulated production environments.
• Knowledge of data warehousing ETL analytics platforms or enterprise Microsoft Access applications.
• Experience implementing data contracts or API-style interfaces between transactional databases and downstream systems.
• Experience responsibly leveraging AI-assisted engineering tools to improve software development or operational workflows.

What We Look For

Were looking for a leader who is equally comfortable coaching an engineer influencing a stakeholder and making a difficult technical decision.

The strongest candidates will:

• Develop engineers while maintaining high performance standards.
• Build trust across technical and business teams.
• Make pragmatic technical decisions grounded in business value.
• Balance operational excellence with thoughtful modernization.
• Communicate directly collaborate effectively and lead with humility.
• Leave teams systems and processes stronger than they found them.

What Success Looks Like in the First Year

• A more capable engaged and accountable SQL Engineering team with clear expectations and development plans.
• Strong partnerships across Engineering Product Analytics Infrastructure and business stakeholders.
• Improved platform reliability maintainability and operational maturity.
• Consistent engineering standards that improve quality predictability and deployment confidence.
• A prioritized business-aligned roadmap for platform modernization that balances technical debt operational risk and long-term scalability.

Compliance

• Employee has an individual responsibility for knowledge of and compliance with applicable laws regulations and company policies. Compliance is a condition of employment and an element of job performance.
• Maintain HIPAA and patient confidentiality.
• Other duties may be assigned.

What Aeroflow Offers

Competitive Pay Health Plans with FSA or HSA options Dental and Vision Insurance Optional Life Insurance 401K with Company Match 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s) Additional Parental benefits to include fertility stipends free diapers breast pump Paid Holidays PTO Accrual from day one Employee Assistance Programs and SO MUCH MORE!!

Here at Aeroflow we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:

• Family Forward Certified
• Great Place to Work Certified
• Inc. 5000 Best Place to Work award winner
• HME Excellence Award
• Sky High Growth Award

If youve been looking for an opportunity that will allow you to make an impact and an organization with unlimited growth potential we want to hear from you!

Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race color sex religion sexual orientation national origin disability genetic information pregnancy or any other protected characteristic as outlined by federal state or local laws.

We value transparency and candidate safety throughout the hiring process. Aeroflow recruiters may reach out through platforms such as LinkedIn or Indeed; however all interviews and/or offer coordination and sensitive information requests will occur only through our official communication channels. You will never be asked to provide personal data outside our secure application portal and all interview or offer details will come from an @ email address. We do not conduct interviews via text message or instant-messaging apps. If you have concerns please contact our Talent Acquisition team for verification

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Required Experience:

Manager