--- title: 'Technical Implementations Lead- Remote US at Smile Digital Health' canonical: 'https://feeny.ai/job/technical-implementations-lead-remote-us-smile-digital-health-united-states-fy6wwaqvrmb9' type: 'job' last_seen: '2026-11-06' --- # Technical Implementations Lead- Remote US at Smile Digital Health - **Company:** Smile Digital Health - **Location:** United States - **Compensation:** $110k–$125k - **Employment:** full-time - **Work type:** remote - **Posted:** 2026-09-02 - **Last confirmed live:** 2026-11-06 - **Apply:** https://jobs.lever.co/smiledigitalhealth/70347276-23cf-464c-9512-7e0a689c6451 ## 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 Technical Implementations Lead will actively engage with customers and collaborate with key internal teams (e.g., core development, product management, solution architecture, support) to drive improvements in the performance, scalability, durability, and security of custom solutions. In this role, you will support the professional services team and oversee technical solution delivery for a range of Smile Digital Health customers. Responsibilities: - Collaborate with customers to support their implementation projects within the scope of Smile Digital Health’s products and services. This includes configuring the Smile platform, scripting, troubleshooting, designing technical solutions, and providing architectural guidance. - Develop expertise in Smile’s core technologies and standards, such as HL7, FHIR, OpenID Connect, Kubernetes, Java, JavaScript, JSON, and XML, while working closely with other subject matter experts as needed. - Effectively manage priorities by balancing concurrent projects and escalating requests to leadership when necessary. - Stay current with industry trends and best practices to help guide our clients’ initiatives and ensure they’re aligned with the latest advancements. - Collaborate regularly with Smile Digital Health’s customer-facing teams (Implementations, Service, Account Managers) to drive the profitability of professional services engagements. - Serve as a resource for technical support analysts, assisting in their development and troubleshooting processes. - Participate in the on-call support rotation for after-hours assistance as needed. - Support the development and evaluation of RFIs and RFPs to help secure new business. - Ensure accurate and timely reporting of all working hours in NetSuite, maximizing billable time and fully utilizing the project management features in NetSuite. Requirements: - 5+ years of professional experience in Java and JavaScript development. - Proven expertise in Spring, REST, SQL, and Git. - 3+ years of experience in designing, developing, and delivering software solutions independently and as part of a collaborative team. - Strong interpersonal skills with a demonstrated ability to work effectively with clients and team. - Excellent analytical and problem-solving abilities with a keen ability to recognize issues and provide effective solutions. - Highly organized and adaptable in prioritizing tasks; success in this role requires comfort in managing a broad range of high-level issues rather than a specific task list. - Exceptional communication skills, both written and oral – confident in leading meetings, documenting ideas, and persuading others. Preferred: - Knowledge in healthcare open standards (one or many): HL7 v2, FHIR, CCDA - Experience with Kafka, ActiveMQ or other MQ systems, MongoDB, and Docker, and Kubernetes. - ​​Experience in Python and JavaScript. - Healthcare system experience. - Experience with cloud development (AWS, Azure, etc.). - Experience with Agile, Scrum, Waterfall and iterative methodologies. - Successful completion of an undergraduate degree in Health Informatics, Computer Science, Engineering or related fields. 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 new 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) ## 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 - [Senior Solutions Architect - Remote US](https://feeny.ai/job/senior-solutions-architect-remote-us-smile-digital-health-united-states-tjkzjy7chx6f) — 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 - [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