---
title: 'Software Developer, Senior (Remote Canada) at Smile Digital Health'
canonical: 'https://feeny.ai/job/software-developer-senior-remote-canada-smile-digital-health-toronto-qwwq04wx7x6r'
type: 'job'
last_seen: '2026-10-16'
---

# Software Developer, Senior (Remote Canada) at Smile Digital Health

- **Company:** Smile Digital Health
- **Location:** Toronto, Canada
- **Compensation:** $120k–$135k
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-10-12
- **Last confirmed live:** 2026-10-16
- **Apply:** https://jobs.lever.co/smiledigitalhealth/5cfc1b66-91fb-431a-9640-5d4ec5d8134b

## 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 Software Developer works closely with cross-functional teams to lead the investigation, design, and delivery of solutions for complex client-reported issues and platform enhancements within the Smile Digital Health platform. This role plays a critical part in maintaining highly reliable healthcare systems used in production environments, while driving technical excellence, mentoring team members, and contributing to the long-term stability and scalability of the platform. The ideal candidate is a strong technical leader who can balance urgent customer needs with sustainable engineering practices, navigate ambiguity, and make sound architectural and implementation decisions across complex systems.

Responsiblities

- Lead the investigation and resolution of complex production issues impacting healthcare clients.
- Design, implement, and maintain scalable, reliable, and maintainable software solutions within the Smile Digital Health platform.
- Drive root cause analysis efforts and implement long-term corrective actions to reduce recurring issues.
- Provide technical leadership during incident response, troubleshooting, and high-priority client escalations.
- Review, optimize, and refactor existing systems with a focus on performance, resiliency, and maintainability.
- Participate in code reviews, ensuring adherence to engineering best practices and coding standards.
- Mentor intermediate and junior developers through technical guidance, collaboration, and knowledge sharing.
- Contribute to architectural discussions and help guide technical direction for engineering initiatives.
- Perform risk assessments to determine potential impact of bugs on production systems.
- Create and maintain technical documentation, operational procedures, and knowledge-sharing materials.

Requirements:

- Degree in Computer Science, Engineering, Mathematics, or a related field, or equivalent practical experience.
- 7+ years of professional software development experience.
- Strong experience with Java, Spring, SQL, Git, and distributed systems.
- Proven experience troubleshooting and resolving issues in complex production environments.
- Strong understanding of software architecture, design patterns, scalability, and maintainability principles.
- Experience leading technical initiatives and driving projects from requirements through delivery.
- Ability to analyze ambiguous problems, assess risk, and make sound technical decisions independently.
- Strong experience with debugging, observability, logging, and monitoring tools.
- Excellent communication and collaboration skills, with the ability to work effectively across technical and non-technical teams.
- Demonstrated mentorship and technical leadership experience.
- Experience working in healthcare technology, HL7, or FHIR is considered an asset.
- Experience with integration frameworks such as Apache Camel is considered an asset.

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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