---
title: 'Intermediate Cloud Security Engineer (Remote US) at Smile Digital Health'
canonical: 'https://feeny.ai/job/intermediate-cloud-security-engineer-remote-us-smile-digital-health-united-srcw0csbxzkt'
type: 'job'
last_seen: '2026-11-06'
---

# Intermediate Cloud Security Engineer (Remote US) at Smile Digital Health

- **Company:** Smile Digital Health
- **Location:** United States
- **Compensation:** $115k–$130k
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-11-05
- **Last confirmed live:** 2026-11-06
- **Apply:** https://jobs.lever.co/smiledigitalhealth/80e39836-5093-4151-bbe0-b2aa45c71e3d

## Job description

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 Cloud Security Engineer is responsible for designing, automating and deploying production-grade services on behalf of the customers to a variety of clouds such as AWS, Azure, OCI and GCP. This position works closely with the Cloud Architect and Development teams to ensure infrastructure fulfills the project's deliverables while keeping a high standard of quality and operational maturity.

Responsibilities:

- Collaborate with Development and Architecture teams to build  complex and highly available cloud environments for Internal and External infrastructure builds.
- Provide Level 3 Technical support to Internal teams, customers, and Partners to support our core product.
- Lead and educate clients on cloud deployment patterns.
- Act as a SME for implementing and building infrastructure to support our core product.
- Investigate and resolve any customer integration issues that arise during implementation.
- Design procedures for system troubleshooting and maintenance.
- Perform root cause analysis for any implementation errors and provide feedback to the Core dev team.
- Document best practices and lessons learned.
- Design, implement and maintain a secure and scalable infrastructure platform.
- Provide ongoing maintenance and support of internal tools, improve system health and reliability.

Requirements:

- At least 5+ years of experience in Information technology, with infrastructure and platform services automation expertise.
- 4+ years of experience with engineering and supporting containerization technology.
- 4+ years of experience on AWS, Azure, OCI or GCP.
- Professional Cloud Certifications are preferred.
- Experience building end-to-end cloud solutions using low-level architecture documents.
- Demonstrated experience in translating customer requirements to net new infrastructure to address business needs.
- Drive to innovate and use various technologies to solve complex business needs.
- Expertise in troubleshooting support escalation, on-Call process optimization and documenting knowledge.
- Solid networking fundamentals and proven experience with Security and Compliance (SOC2, HIPAA, ISO27001) best practices and how to implement controls that support high-velocity software delivery teams.
- Proven experience with Kubernetes/Openshift and Docker.
- Experience with Infrastructure as Code tools such as Ansible, Terraform or CloudFormation.
- Deep knowledge of cloud service providers and best practices around implementation and configuration, preferably managing customer environments.

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.

## About Smile Digital Health

## Company Overview
- **One-liner**: Smile Digital Health provides a FHIR-native health data platform that unifies fragmented healthcare data for governments, health systems, and providers.
- **Entity Type**: Private (Series B)
- **Headquarters**: Toronto, Ontario, Canada (US office in Austin, Texas)
- **Founded**: 2016
- **Founders**: James Agnew, Duncan Weatherston

## Core Business
- Primary industry: Healthcare IT / Health Data Interoperability
- Target customers: Governments, health systems, healthcare providers, researchers, app developers (B2B, Enterprise)
- Mission: "Reduce barriers between information and care, and accelerate delivery of high-quality care" — guided by the tagline #BetterGlobalHealth

## Products & Services
- **[Smile CDR]**: The world’s first FHIR-based clinical data repository (CDR) as a service. A high-performance, secure platform supporting multiple FHIR versions, HL7v2, custom ETL, federated identity, terminology services, and Smart on FHIR. Deployable on cloud or on-premises.
- **Health Data Fabric**: A comprehensive, FHIR-native platform enabling interoperability, digital quality measures, and clinical intelligence across enterprise data sources.
- **HAPI FHIR Maintenance**: Smile Digital Health is the primary maintainer of the HAPI FHIR open-source reference implementation, giving them deep influence over FHIR standards worldwide.

## Market Standing
- **Valuation/Market Cap**: Not publicly available
- **Key Metric**: Annual revenue of $15.4M; Total funding of $65M
- **Notable Investors/Partners**: UPMC Enterprises (led Series A and Series B), FirePower Capital (debt financing)
- **Growth Signals**: 190+ global implementations, 30+ US payer compliance deploys, touching 110M+ American lives; headcount grew 2.3% YoY to ~201 employees across 7 countries (Canada, US, India, Philippines, New Zealand); contributed to 33+ HL7 working groups

## Competitive Advantages
- Deep expertise: Core team has 40+ years of enterprise-class systems experience, specifically in healthcare integration (HAPI, e-prescriptions).
- Open-source leadership: Maintainer of HAPI FHIR, the dominant open-source FHIR implementation worldwide — gives them unmatched influence over FHIR standards.
- Security & compliance focus: Holds rigorous security certifications and voluntarily undergoes multiple audits; data stewardship and privacy are top priorities.
- Human-in-the-loop AI approach: Deploys deterministic AI models and clinically verifiable information with full audit trails, differentiating from probabilistic models.
- Multi-version FHIR support & federated identity: Flexibility for both jurisdictional and organizational settings, supporting a wide range of deployment scenarios.

## Strategic Focus
- Continuing to build out the FHIR-native "Health Data Fabric" to enable AI-driven innovation, intelligent automation, and scalable outcomes for global healthcare.
- Scaling interoperable data infrastructures that are "complete, computable, and validated" to support clinical quality measures and AI.
- Expanding global presence (currently active in Canada, US, India, Philippines, New Zealand) with a remote-first culture, focusing on hiring across Canada and the US.

## Why Work Here
- **Remote-first culture**: Work from home, co-working spaces, or anywhere you feel inspired; meaningful in-person team meetups also happen.
- **Flexibility & autonomy**: Generous, flexible PTO; ability to set your own schedule.
- **Global, mission-driven team**: 201 employees across 7 countries working on transforming healthcare data — work that directly impacts 110M+ American lives.
- **Inclusive values**: Core values of respect, inclusion, and celebrating individuality; commitment to diverse teams and belonging.
- **Benefits**: Comprehensive physical, emotional, and mental well-being benefits including mental health resources, short/long-term disability, life insurance.
- **Growth & development**: On-the-job learning, certification opportunities, and embedded professional development.
- **Open positions**: Technical Manager (Implementations & Delivery), Technical Account Manager, Senior Performance Tester, Senior Agile Lead, Support Engineer L2, Senior Software Developer (Support), Account Executive, Senior Cloud Architect, Senior Cloud Engineer — all remote US or remote Canada.

## Sources
1. [smiledigitalhealth.com](https://www.smiledigitalhealth.com/about-us)
2. [linkedin.com](https://linkedin.com/company/smile-cdr)
3. [smiledigitalhealth.com](https://www.smiledigitalhealth.com/careers)
4. [jobs.lever.co](https://jobs.lever.co/smiledigitalhealth)
5. [indeed.com](https://www.indeed.com/cmp/Smile-Digital-Health)

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