---
title: 'Senior Account Executive - Remote Canada at Smile Digital Health'
canonical: 'https://feeny.ai/job/senior-account-executive-remote-canada-smile-digital-health-toronto-6m140qva74zc'
type: 'job'
last_seen: '2026-10-16'
---

# Senior Account Executive - Remote Canada at Smile Digital Health

- **Company:** Smile Digital Health
- **Location:** Toronto, Canada
- **Compensation:** $130k–$140k
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-10-15
- **Last confirmed live:** 2026-10-16
- **Apply:** https://jobs.lever.co/smiledigitalhealth/829c863c-7c1f-4f97-a3a6-22160d56cacd

## 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!

Responsibilities:

- Develop and manage sales and account management strategies to optimize successful target account selling and deal closure as well as efficiently identifying opportunities for contract growth on existing accounts.
- Generate new sales leads and identify new opportunities through networking and prospecting, including cold calling and utilizing the internal services provided to the sales team, by the company (i.e. marketing and public relations activities).
- Lead target account selling (prospecting/lead generation, qualification and scoping, closing strategies, negotiations, etc.).
- Build strong and sustainable relationships with varying levels of customer stakeholder(s) to develop a deep understanding of business goals and objectives to ensure expectations are met and identify opportunities for contract growth.
- Collaborate closely with cross-functional teams to manage and resolve escalated customer challenges and roadblocks.
- Develop and present insightful business reviews for client’s program performance that align with strategic initiatives.
- Oversee and drive contract negotiations.
- Collaborate with cross-functional teams to ensure clear understanding of client expectations and ensure deliverables are met in a timely manner.
- Review regular sales, end user performance and upcoming requirements to develop plans with cross-functional teams to deliver contract growth.
- Collaborate with Partners to extend reach and drive product adoption.
- Maintain sales funnel documentation and updates on a weekly basis in Salesforce (CRM).
- Maintain a real-time understanding of the competitive landscape to understand win-based proposals and pricing.
- Maintain in-depth knowledge of Smile Digital Health’s solution offerings, target customers, and product capabilities.
- Drive and coordinate sales pre-planning meetings and post-call briefs, as needed.
- Meet or exceed established sales quotes as well as maintain a robust sales pipeline.

Requirements:

- 5-10+ of progressive sales and closing expertise and quota-carrying experience with B2B software or technology sales, dealing with long sales cycles and average deal values of $500K or more.
- Post-Secondary education in business or related field of study or comparable related work experience.
- Strong knowledge of Canadian and US healthcare industry drivers including providers, payers, clearinghouses, medical device companies, and government agencies.
- Experience delivering complex client-focused solutions to meet customer needs.
- Previously demonstrated experience in consulting with varying levels of organizations including executives.
- Proven creative problem-solving approach with strong analytical skills and attention to detail.
- Strong negotiating skills, with the ability to prioritize, multi-task and work under pressure.
- Excellent and clear written and verbal communication skills.
- Ability to effectively and efficiently use software including Windows/Mac, Google Suite, Salesforce (CRM), preferred.

Additional Information: Smile discloses that artificial intelligence (AI) may be used in portions of the recruitment and selection process, such as resume screening or application assessment. All hiring decisions are ultimately made by qualified human decision-makers, and AI tools are used to support — not replace — fair and equitable hiring practices. This position is a replacement role, created to support Smile’s continued growth and commitment to operational excellence.

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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