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.
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
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.
Benefits
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.