---
title: 'Software Engineer, AI/ML at Smile Digital Health'
canonical: 'https://feeny.ai/job/software-engineer-ai-ml-smile-digital-health-canada-3446smhh52y0'
type: 'job'
last_seen: '2026-10-16'
---

# Software Engineer, AI/ML at Smile Digital Health

- **Company:** Smile Digital Health
- **Location:** Canada
- **Compensation:** $125k–$135k
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-09-18
- **Last confirmed live:** 2026-10-16
- **Apply:** https://jobs.lever.co/smiledigitalhealth/fb00a330-686f-45dc-bb8a-072589d07484

## 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 Software Developer - AI/ML is part of the Smile Labs team in the Product Department and will be responsible for developing the Artificial Intelligence strategy and software components for AI and Machine Learning that build on top of Smile Digital Health products. The team focuses on customer-specific requirements in a scalable solution model. You will work in an Agile environment with 2-week sprints.

Responsibilities:

- Be the AI/ML subject matter expert on the team. Stay abreast of emerging technologies, trends and opportunities, and infuse AI/ML strategy and best practices into our solutions.
- Help document the company’s AI strategy and ensure alignment with the product roadmap and company objectives.
- Help shape the approach, scope, milestones, and solution design at the project start.
- Implement AI/ML solutions with the development team; write code, configure external components and prototype new technology.
- Write manageable code and unit tests and create relevant documentation.
- Participate in client meetings if required.
- Remain acutely aware of all priorities, deadlines, and backlogs to positively coach and assist the team in completing the required project tasks.
- Understand the functionality being developed to provide support to the team.
- In-depth in-person code reviews, pair programming, and collaborative problem analysis.
- Participate in recurring Product and/or Technology meetings to suggest or actively participate in corporate technical processes, architecture, and strategy, as required.

Requirements:

- 5+ years of experience in software architecture, full-stack development, or AI engineering
- Proven experience designing and documenting end-to-end software architectures for complex projects
- At least two years of experience implementing advanced AI solutions, including semantic matching, RAG systems, and document parsing for structured content
- Experience designing and deploying agentic systems using frameworks such as LangGraph, Crew AI, or the OpenAI Agents SDK
- Working knowledge with coding assisted platforms like Claude Code, Codex
- Knowledge of Model Context Protocol (MCP), related tooling systems, model ensemble methods, and fine-tuning techniques
- Usage experience with Knowledge Graph databases like Neo4j or others
- Working knowledge of Apache suites like Databricks, Spark, and Iceberg or other related workflows
- Experience with Human-in-the-loop (HITL) integrations within AI workflows
- Experience implementing evaluation frameworks, results testing, and iterative refinement techniques for AI models
- Proficient in coding best practices, including writing clean, modular code and utilizing shared internal libraries
- Deep understanding of all authored code, including code generated or co-authored by AI tools
- Experience writing comprehensive unit and integration tests, along with accompanying technical documentation
- Ability to author clear, concise documentation that enables seamless developer onboarding and project contribution
- Strong collaboration skills with a track record of owning specific development components and meeting strict deadlines
- Experience mentoring team members and collaboratively brainstorming technical architectures

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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