---
title: 'Senior Solutions Architect - Remote US at Smile Digital Health'
canonical: 'https://feeny.ai/job/senior-solutions-architect-remote-us-smile-digital-health-united-states-tjkzjy7chx6f'
type: 'job'
last_seen: '2026-11-06'
---

# Senior Solutions Architect - Remote US at Smile Digital Health

- **Company:** Smile Digital Health
- **Location:** United States
- **Compensation:** $135k–$155k
- **Work type:** remote
- **Posted:** 2026-11-04
- **Last confirmed live:** 2026-11-06
- **Apply:** https://jobs.lever.co/smiledigitalhealth/3a727804-d154-4ce1-bb11-cdcb72bbc645

## 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 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.

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

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)

## Other roles at Smile Digital Health

- [Intermediate Cloud Security Engineer (Remote US)](https://feeny.ai/job/intermediate-cloud-security-engineer-remote-us-smile-digital-health-united-srcw0csbxzkt) — United States
- [Director Client Outcomes - Remote US](https://feeny.ai/job/director-client-outcomes-remote-us-smile-digital-health-united-states-mj9dv0gpkb6e) — United States
- [Senior Software Engineer, AI/ML (Remote Canada)](https://feeny.ai/job/senior-software-engineer-ai-ml-remote-canada-smile-digital-health-canada-9sm26btmjm1s) — Canada
- [Senior Cloud Engineer, Automation (Remote Ontario)](https://feeny.ai/job/senior-cloud-engineer-automation-remote-ontario-smile-digital-health-toronto-3k6nkhnyen0x) — Toronto, Canada
- [Azure Platform Engineer (Remote Ontario)](https://feeny.ai/job/azure-platform-engineer-remote-ontario-smile-digital-health-toronto-y8f31anzg6xw) — Toronto, Canada
- [Senior Application Support Engineer (Remote Ontario)](https://feeny.ai/job/senior-application-support-engineer-remote-ontario-smile-digital-health-toronto-x2kd1zbvjg1j) — Toronto, Canada
- [Technical Implementations Lead- Remote US](https://feeny.ai/job/technical-implementations-lead-remote-us-smile-digital-health-united-states-fy6wwaqvrmb9) — United States
- [Senior Cloud Infrastructure Engineer (Remote US)](https://feeny.ai/job/senior-cloud-infrastructure-engineer-remote-us-smile-digital-health-united-gsns6dc1vvtq) — United States
- [Senior Cloud Security Engineer (Remote Ontario)](https://feeny.ai/job/senior-cloud-security-engineer-remote-ontario-smile-digital-health-toronto-kthfpwcdn56j) — Toronto, Canada