Full-Time

Technical Manager

Implementations & Delivery, Remote US

Smile Digital Health

Smile Digital Health

201-500 employees

Health data platform enabling FHIR interoperability

Compensation Overview

$145k - $160k/yr

Remote in USA

Remote

Must be a resident authorized to work in the United States.

Bachelor's

Category
Engineering Management (1)
Required Skills
Kubernetes
SQL
Java
Postgres
Docker
JIRA
Observability
MongoDB
REST APIs
DevOps
Oracle

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Requirements
  • 8+ years of experience in software development, technical implementations, healthcare interoperability, clinical informatics, or other senior-level technical delivery roles, with a proven track record of leading complex enterprise implementations.
  • 3+ years of experience leading, mentoring, and managing technical teams, with demonstrated success developing high-performing Technical Leads, Software Developers, or Implementation Engineers.
  • Strong hands-on technical expertise across the software implementation lifecycle, including customer discovery, solution architecture, estimation, Java development, implementation planning, technical troubleshooting, testing, deployment, and operational readiness.
  • Expertise in Java, Kubernetes, Docker, cloud-native architectures, distributed systems, event-driven architectures, monitoring and observability, healthcare platform deployments, and modern cloud implementation practices.
  • Demonstrated experience troubleshooting complex customer-facing implementation, integration, data ingestion, scalability, performance, infrastructure, deployment, and operational issues within enterprise software environments.
  • Experience designing and implementing enterprise integrations using HL7 FHIR, HL7 v2, CDA/CCDA, REST APIs, SQL, data mapping, validation frameworks, and interoperability best practices.
  • Strong experience working with relational and distributed database technologies, including PostgreSQL, SQL Server, Oracle, MongoDB, or other enterprise database platforms.
  • Deep understanding of software development and implementation lifecycle management, including solution design, estimation, APIs, source control, code reviews, CI/CD pipelines, build processes, testing strategies, deployment coordination, release management, and version control.
  • Strong healthcare industry experience, including payer, provider, interoperability, terminology services, CMS initiatives, or other regulated healthcare implementation programs.
  • Excellent written, verbal, interpersonal, organizational, and stakeholder management skills, with the ability to communicate complex technical concepts to both technical and non-technical audiences while confidently leading customer discussions, executive presentations, technical workshops, and high-priority escalations.
  • Bachelor's degree in Computer Science, Software Engineering, Informatics, information Systems, or a related technical discipline, or an equivalent combination of education and practical experience.
Responsibilities
  • Lead, mentor, and manage a team of Technical Implementation Leads and Software Developers, fostering technical excellence while delivering complex, customer-facing healthcare interoperability implementations and strategic initiatives.
  • Provide hands-on technical leadership throughout the implementation lifecycle, including discovery, solution architecture, estimation, implementation planning, development, testing, deployment, operational readiness, and post-go-live support.
  • Leverage deep technical expertise in Java, HL7 FHIR, HL7 v2, CDA/CCDA, REST APIs, SQL, data mapping, and enterprise integration patterns to guide solution design, implementation, troubleshooting, and technical decision-making.
  • Participate in customer-facing technical discussions, escalations, root cause analysis, mitigation planning, writing executive summaries, and implementation troubleshooting activities.
  • Collaborate closely with Product, QA, CloudOps, Support, Architecture, Agile Leads, and Customer Success teams to deliver scalable and supportable customer solutions.
  • Develop and maintain reusable implementation assets including buildbooks, implementation playbooks, troubleshooting guides, reference architectures, and solution/problem pattern libraries.
  • Identify recurring implementation challenges, operational gaps, customer pain points, and technical risks and translate them into actionable process improvements, feature requests, and bug reports.
  • Drive implementation quality through technical reviews, implementation standards, testing practices, peer mentorship, and reduction of delivery defects and rework.
  • Mentor, guide, and support Technical Implementation Leads and Software Developers through technical coaching, prioritization guidance, workload management, and professional development.
  • Ensure implementation work is properly documented through Jira, technical documentation, testing evidence, operational handover materials, and implementation standards.
  • Research, evaluate, and recommend technologies, implementation patterns, and operational improvements for new and existing customer solutions and platform capabilities.

Generating a company summary.

Company Size

201-500

Company Stage

Debt Financing

Total Funding

$65M

Headquarters

Toronto, Canada

Founded

2016

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Simplify Jobs

Simplify's Take

What believers are saying

  • February 2025 FirePower credit financing added $15 million for product expansion and growth.
  • September 2025 CMS Health Tech Ecosystem support positions Smile for payer compliance demand.
  • February 2026 releases added Snowflake support, MegaScale bulk export, and tighter consent controls.

What critics are saying

  • August 2024 restructuring and 2025 employee complaints signal continuing execution instability and retention damage.
  • CMS-0057-F compliance becomes mandatory in January 2027; missed deployments hand contracts to Epic or Oracle.
  • If Smile loses HAPI FHIR relevance, its standards moat erodes and the platform commoditizes.

What makes Smile Digital Health unique

  • Smile’s FHIR-first platform unifies payer, provider, and government workflows across 100 million lives.
  • James Agnew’s HAPI FHIR leadership anchors Smile’s credibility inside HL7 interoperability standards.
  • The 2025 MCG and West Coast Informatics partnerships deepen prior-authorization and data-mapping integration.

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Benefits

Remote Work Options

Flexible Work Hours

Paid Vacation

Health Insurance

Life Insurance

Disability Insurance

Employee Assistance Program

401(k) Company Match

Super HAPI Fun Club

Growth & Insights and Company News

Headcount

6 month growth

-1%

1 year growth

-2%

2 year growth

-2%
PharmiWeb
Feb 13th, 2025
Smile Digital Health Welcomes West Coast Informatics As A Certified Technology Partner, Strengthening Fhir-Centric Healthcare Interoperability

TORONTO, ONTARIO / ACCESS Newswire / February 13, 2025 / Smile Digital Health, a global leader in delivering secure, standards-based healthcare data exchange solutions, is pleased to announce that West Coast Informatics (WCI) has successfully completed Smile Digital Health's Technology Partner Certification Program. This milestone underscores Smile Digital Health's unwavering commitment to enhancing healthcare interoperability and showcases WCI's dedication to powering efficient, FHIR-centered data integrations for healthcare organizations worldwide.As a health technology company, Smile Digital Health's goal is to reduce barriers between information and care. We harness the power of open standards to build health IT solutions that deliver an interoperable, FHIR®1-first Health Data Fabric.Spotlight on the Technology Partner CertificationSmile Digital Health's Technology Partner Certification ensures high standards of technical proficiency, compliance with healthcare regulations, and a deep understanding of Smile's Health Data Platform, MDM, CMS Suite, and other product offerings. By attaining this certification, WCI joins an esteemed group of technology partners equipped to integrate with Smile's solutions for payers, providers, and other healthcare stakeholders."We are delighted to welcome West Coast Informatics as a certified technology partner," said Bo Dagnall, Chief Product Officer at Smile Digital Health. "This achievement reflects their commitment to bridging data silos in healthcare, simplifying data exchange processes, and fostering the widespread adoption of FHIR standards. WCI's AutoMap solution seamlessly integrates into our platform, delivering valuable cost savings and operational efficiencies for our mutual customers."Advancing the Digital Health EcosystemSeamless Integration: WCI's AutoMap feature now integrates with Smile's suite of interoperability products, reducing manual data mapping processes and creating more consistent, reliable patient data exchange.Enhanced Clinical Value: A recently completed clinical use case highlights how AutoMap's automated workflow enables clinicians and administrators to access complete, accurate, and timely data, improving clinical insights and decision-making.Cost-Efficient Solutions: By automating complex data transformations, healthcare organizations using Smile's platform integrated with WCI's AutoMap benefit from reduced administrative burdens, fewer errors, and lower operational costs-whether they leverage Smile's full ecosystem or integrate with WCI's AutoMap independently.Accelerated FHIR Adoption: Both Smile and WCI are dedicated to driving the adoption of FHIR standards, aligning with the industry push toward more open, interoperable healthcare data solutions.Ongoing Innovation and CollaborationThrough continued collaboration, Smile and WCI will build on the success of this certification by expanding their offerings to improve data quality, support regulatory compliance, and streamline operations for stakeholders across the healthcare continuum

PharmiWeb
Feb 6th, 2025
Smile Digital Health Secures $15 Million In Credit Financing With Firepower Capital To Accelerate Growth And Innovation In Health Data Solutions

TORONTO, ONTARIO / ACCESS Newswire / February 6, 2025 / Smile CDR Inc. (d.b.a. Smile Digital Health), the world leader in FHIR®-based health data solutions, today announced a successful $15 million credit financing agreement with FirePower Capital. This strategic partnership will enable Smile to accelerate the growth and development of its market-leading health data platform and further expand its innovative solutions for the healthcare sector.As a health technology company, Smile Digital Health's goal is to reduce barriers between information and care. We harness the power of open standards to build health IT solutions that deliver an interoperable, FHIR®-first Health Data Fabric.As the leading solution provider in the U.S. payer compliance market, amongst other client sectors, Smile Digital Health is at the forefront of transforming how healthcare data is managed, integrated, and shared

PharmiWeb
Jul 25th, 2024
Smile Digital Health Named In New Gartner Report

The Gartner® report How Clinical Data Integration Improves U.S. Healthcare Payer Interoperability is available now.TORONTO, ON / ACCESSWIRE / July 25, 2024 / Smile Digital Health (Smile), a leading Fast Healthcare Interoperability Resources (FHIR®) health data platform and exchange solutions provider, has been named as a Representative Repository Vendor in the report How Clinical Data Integration (CDI) Improves U.S. Healthcare Payer Interoperability.As a health technology company, Smile Digital Health's goal is to reduce barriers between information and care. We harness the power of open standards to build health IT solutions that deliver an interoperable, FHIR®1-first Health Data Fabric.As per the Gartner report, healthcare payer CIOs and executives routinely underestimate the complexities of clinical data integration initiatives, leading to subpar business outcomes. This research defines CDI processes and provides strategy and sourcing guidance to payer executives to achieve effective CDI at scale.For a limited time, Smile will make the report available via their website."Gartner is a trusted source for research in the tech industry. We believe that being named as a Representative Repository Vendor in this report showcases our dedication to furthering interoperability across the healthcare landscape and specifically, in this case, through clinical data integration," said Erin Prymas, Chief Revenue Officer, Smile Digital Health

JH Consulting Online
Jan 27th, 2023
UPMC backs Smile Digital Health in $30M investment round  – The Journal of Healthcare Contracting

Smile Digital Health, a leading FHIR® health data fabric and exchange solutions provider, announced the closing of approximately $30 million in Series B growth capital led by existing investors including UPMC Enterprises.

Newswire
Jan 27th, 2023
Smile Digital Health Closes $30 Million in Series B Funding to Progress Innovation as World-Leading Health Data Fabric

The increasing need for interoperability in healthcare has driven significant growth and demand for the company's data fabric platform and continued innovation in this area.