Aeroflow Health – 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. 5000's 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 we're investing in engineering leaders who build strong teams, solve meaningful problems, and create lasting business impact.
The Opportunity
Aeroflow's SQL Engineering team owns the Microsoft SQL Server platform behind many of the organization's 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, you'll 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
People Leadership
- 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.
Stakeholder Leadership
- 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.
Technical Leadership
- 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
We're 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 you’ve 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 @aeroflowinc.com 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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