Full-Time
Cloud Engineer
Azure Platform Engineer
Smile Digital Health
201-500 employees
Health data platform enabling FHIR interoperability
Compensation Overview
CA$115k - CA$130k/yr
Toronto, ON, Canada
Remote
Remote within Ontario, Canada.
 DevOps & Infrastructure (2) |
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- 5+ years of hands-on Kubernetes experience, including at least 2 years running AKS in production.
- Strong knowledge of Kubernetes internals scheduling, networking, storage, and RBAC.
- Proficiency in Azure CNI networking and AKS private cluster configuration.
- Hands-on experience integrating AKS with Azure PaaS services (ACR, Azure Key Vault via CSI driver, Azure SQL, Kafka and Managed Identities) and troubleshooting network-layer dependencies (DNS, firewall, private endpoints).
- Experience with Helm and GitOps workflows (Flux/ArgoCD).
- Working knowledge of Terraform for infrastructure as code.
- Working knowledge of Azure DevOps or similar CI/CD tooling.
- Hands-on experience implementing and operating observability platforms: Grafana stack (Prometheus, Loki, Tempo) and Azure-native monitoring (Azure Monitor, Log Analytics Workspace, Application Insights); experience defining SLIs/SLOs for production systems.
- Practical experience with container/cluster vulnerability management and remediation workflows.
- Scripting skills in Bash and Python.
- Certified Kubernetes Administrator (CKA), or Certified Kubernetes Application Developer (CKAD) certification and Microsoft Certified: Azure Administrator (AZ-104) required.
- Excellent written and verbal communication skills; able to convey technical issues clearly to both technical and non-technical stakeholders.
- Act as the subject-matter expert (SME) for Kubernetes deployments, troubleshooting, and production issues across all environments.
- Design and deploy Azure Kubernetes Service (AKS) clusters with private cluster configurations, managed identities, and RBAC.
- Own the health, scaling, and lifecycle management of production AKS clusters, including upgrades, node pool management, autoscaling, and capacity planning.
- Configure AKS networking, including Azure CNI, internal load balancers, and ingress controllers (NGINX, Traefik).
- Design and maintain integrations between AKS with Azure Container Registry (ACR), Key Vault via CSI driver, Azure Monitor for containers, Azure SQL, Kafka/Event Hubs, Azure Storage, and other client-facing dependencies (DNS resolution, firewall rules, private endpoints, and service connectivity).
- Manage containerized application deployments using Docker and Helm; maintain reusable chart and templating standards, namespaces, resource quotas, and Azure Policy for AKS.
- Harden AKS environments through policy enforcement, network policies, and image scanning.
- Own container and cluster vulnerability management: scanning, triage, prioritization, and remediation coordination with engineering teams.
- Contribute to Terraform-based infrastructure as code for provisioning and managing Azure resources.
- Support Azure DevOps (or equivalent) CI/CD pipelines, including GitOps workflows (Flux/ArgoCD), to reduce deployment risk and improve release velocity.
- Design, implement, and manage observability across the Grafana stack (Prometheus, Loki, Tempo) and Azure-native tooling (Azure Monitor, Log Analytics Workspace, Application Insights) for critical systems; define SLIs/SLOs and tune alerting to reduce noise.
- Collaborate with performance engineering and application teams to identify, diagnose, and resolve performance bottlenecks spanning the AKS platform and its dependent services (database, messaging, network) to right-size node pools and workloads based on observed performance and utilization trends.
- Contributing to Disaster Recovery and Business Continuity Planning (DR/BCP) procedures for AKS-hosted workloads, including cross-team failover drill participation and RTO/RPO validation.
- Provide escalation support for production Kubernetes and infrastructure incidents; participate in on-call rotation, lead root-cause analysis, and drive preventative follow-up actions.
- Document runbooks and post-incident reviews, and operational knowledge; maintain a living knowledge base to reduce tribal knowledge.
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'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
6 month growth
↑ 0%1 year growth
↓ -2%2 year growth
↓ -2%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
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
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
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.
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.