Working for a company like Smile Digital Health means supporting our mandate for
BetterGlobalHealth. We strive towards this goal every day, and the results can
be seen in the impact of our innovative health data platform and data management
solutions, which are used in over 20 countries. We were #19 on Deloitte's
Technology Fast 50 Ranking for 2024!
Smile Digital Health makes it easy for healthcare stakeholders to collect and
exchange data with our leading FHIR-based data liberation platform.
At its heart, the Smile platform enables people and organizations to better
manage healthcare data. We help generate and liberate structured healthcare data
to ensure effective delivery across care teams and health systems bringing
#BetterGlobalHealth to patients everyday!
Apply today and find plenty of reasons to SMILE!
The Senior Solutions Architect – Implementations is a hands-on, customer-facing
role responsible for designing scalable, standards-aligned healthcare data
solutions using Smile Digital Health’s platform. You’ll partner closely with
enterprise clients during discovery and early design, often when requirements
are incomplete, and help guide them toward the right architecture.
Success in this role requires more than technical knowledge. It’s about the art
of asking the right questions, helping customers uncover what they don’t know,
and shaping practical, future-proof solutions based on Smile best practices,
regulatory frameworks, and your past experience. You’ll need to be curious,
quick to learn, enthusiastic, and committed to delivering the best outcome, even
in fast-moving or ambiguous situations.
This role goes beyond design. You’ll maintain architectural oversight throughout
the implementation and post-go-live phases, ensuring the solution continues to
work as expected, adjusting designs as needed, and supporting performance
tuning, edge cases, and real-world constraints. You’ll collaborate with
cross-functional teams, product, engineering, delivery, and TAMs, to turn vision
into execution.
\n
Responsibilities
- Lead architectural design and solutioning during discovery and early
implementation phases, working directly with healthcare customers to surface
unknowns, ask the right questions, and co-design scalable, standards-aligned
solutions.
- Provide ongoing architectural oversight and hands-on technical guidance (if
needed) throughout the full implementation lifecycle and post-go-live,
ensuring the solution remains aligned with Smile’s best practices, technical
standards, and product capabilities.
- Evaluate customer-specific requirements and make technical recommendations
around performance tuning, ingestion workflows, bundle design, and
terminology mapping.
- Collaborate regularly with internal teams, including Product, Engineering,
QA, Agile Leads, Solution Architects, and Technical Account Managers, to
resolve architectural questions, validate patterns, and provide feedback that
shapes future product improvements.
- Take ownership of evolving or refactoring designs when new constraints,
blockers, or learnings emerge during delivery (e.g., scalability issues,
deployment friction, real-time ingest gaps).
- Actively participate in customer-facing meetings, design reviews,
retrospectives, and change discussions; support technical communication
during escalations and decision points.
- Contribute to Smile’s internal architecture review boards, design
documentation, reusable delivery assets, and solution playbooks to help scale
implementation excellence across teams.
- Stay current with Smile’s product roadmap, technical stack, and regulatory
mandates (e.g., CMS interoperability requirements); demonstrate curiosity and
initiative in learning new tools and approaches.
Requirements:
- 10+ years of experience in software engineering, technical consulting, or
solution architecture roles, ideally with hands-on experience supporting
complex healthcare implementations.
- Proven ability to lead customer-facing architecture and design discussions,
especially with payer, provider, or government-aligned healthcare
organizations.
- Demonstrated experience designing solutions involving real-time data
ingestion technologies such as Kafka, Camel, Pulsar, and implementing
FHIR-based data workflows.
- Strong understanding of clinical data modeling and terminology mapping (e.g.,
SNOMED CT, RxNorm, LOINC), including their application across ingestion,
transformation, and API exposure layers.
- Experience with cloud-native architecture and deployment in AWS, Azure, or
GCP using Docker, Helm, and Kubernetes.
- Skilled in identifying technical trade-offs and adapting solution designs in
response to new constraints or emerging information during delivery.
- Excellent verbal and written communication skills, including the ability to
translate complex designs for technical and non-technical stakeholders.
- Strong interpersonal and collaboration skills with cross-functional teams
including product, engineering, QA, and delivery.
- Comfortable working in fast-paced, ambiguous environments with evolving
requirements, shifting priorities, and in-flight blockers.
- Proficiency with solution diagramming and design tools such as Lucidchart (or
equivalent) to communicate architectural decisions and data flows clearly.
Nice to Haves:
- Familiarity with U.S. healthcare regulations, such as CMS interoperability
mandates (e.g., 9115-F, 0057-F), HIPAA, and general data access governance.
- Prior experience with Smile CDR or other FHIR server platforms
- Knowledge of the Inferno test suite, NIST validators, or similar conformance
tools
- TOGAF or equivalent architectural certification
\n
$135,000 - $155,000 a year
\n
Some of the benefits we offer:
-
Remote Work Environment
-
Flexible Time Away From Work Policy including PTO, Personal and Sick Days
-
Competitive Salary and Health/Medical Benefits
-
RRSP/TFSA/401K Employee Contribution
-
Life and Disability
-
Employee Assistance Program
-
FHIR Study Program and Skillsoft Learning
-
Super HAPI Fun Club
Smile's core values include respect, inclusion, embracing our differences, and
celebrating shared values because our people are the foundation of our success.
We are big on creating a sense of belonging and empowering each other to bring
our authentic selves to work. We are dedicated to fostering a workplace that
values diversity, equity, and inclusion.
We welcome and encourage candidates of all backgrounds to apply. Candidates are
encouraged to inform us if they wish to discuss or require accommodations during
interviews or while working at Smile.
