Full-Time

Senior Solutions Architect

Multiple Teams

Posted on 9/5/2025

Smile Digital Health

Smile Digital Health

201-500 employees

Health data platform enabling FHIR interoperability

Compensation Overview

CA$135k - CA$155k/yr

Toronto, ON, Canada

Remote

Category
Sales & Solution Engineering (1)
Required Skills
Kubernetes
Microsoft Azure
Apache Kafka
Docker
AWS
Helm
Google Cloud Platform
Requirements
  • 10+ years of experience in software engineering, technical consulting, or solution architecture roles, ideally with hands-on experience supporting complex healthcare implementations.
  • Proven ability to lead customer-facing architecture and design discussions, especially with payer, provider, or government-aligned healthcare organizations.
  • Demonstrated experience designing solutions involving real-time data ingestion technologies such as Kafka, Camel, Pulsar, and implementing FHIR-based data workflows.
  • Strong understanding of clinical data modeling and terminology mapping (e.g., SNOMED CT, RxNorm, LOINC), including their application across ingestion, transformation, and API exposure layers.
  • Experience with cloud-native architecture and deployment in AWS, Azure, or GCP using Docker, Helm, and Kubernetes.
  • Skilled in identifying technical trade-offs and adapting solution designs in response to new constraints or emerging information during delivery.
  • Excellent verbal and written communication skills, including the ability to translate complex designs for technical and non-technical stakeholders.
  • Strong interpersonal and collaboration skills with cross-functional teams including product, engineering, QA, and delivery.
  • Comfortable working in fast-paced, ambiguous environments with evolving requirements, shifting priorities, and in-flight blockers.
  • Proficiency with solution diagramming and design tools such as Lucidchart (or equivalent) to communicate architectural decisions and data flows clearly.
Responsibilities
  • Lead architectural design and solutioning during discovery and early implementation phases, working directly with healthcare customers to surface unknowns, ask the right questions, and co-design scalable, standards-aligned solutions.
  • Provide ongoing architectural oversight and hands-on technical guidance (if needed) throughout the full implementation lifecycle and post-go-live, ensuring the solution remains aligned with Smile’s best practices, technical standards, and product capabilities.
  • Evaluate customer-specific requirements and make technical recommendations around performance tuning, ingestion workflows, bundle design, and terminology mapping.
  • Collaborate regularly with internal teams, including Product, Engineering, QA, Agile Leads, Solution Architects, and Technical Account Managers, to resolve architectural questions, validate patterns, and provide feedback that shapes future product improvements.
  • Take ownership of evolving or refactoring designs when new constraints, blockers, or learnings emerge during delivery (e.g., scalability issues, deployment friction, real-time ingest gaps).
  • Actively participate in customer-facing meetings, design reviews, retrospectives, and change discussions; support technical communication during escalations and decision points.
  • Contribute to Smile’s internal architecture review boards, design documentation, reusable delivery assets, and solution playbooks to help scale implementation excellence across teams.
  • Stay current with Smile’s product roadmap, technical stack, and regulatory mandates (e.g., CMS interoperability requirements); demonstrate curiosity and initiative in learning new tools and approaches.
Desired Qualifications
  • Familiarity with U.S. healthcare regulations, such as CMS interoperability mandates (e.g., 9115-F, 0057-F), HIPAA, and general data access governance.
  • Prior experience with Smile CDR or other FHIR server platforms
  • Knowledge of the Inferno test suite, NIST validators, or similar conformance tools
  • TOGAF or equivalent architectural certification

Generating a company summary.

Company Size

201-500

Company Stage

Debt Financing

Total Funding

$65M

Headquarters

Toronto, Canada

Founded

2016

Simplify Jobs

Simplify's Take

What believers are saying

  • West Coast Informatics certification on February 13, 2025, automates data mapping boosting efficiencies.
  • $30M Series B from UPMC Enterprises fuels interoperability platform growth.
  • $15M Firepower Capital financing on February 6, 2025, accelerates U.S. payer compliance expansion.

What critics are saying

  • Redox partnership diverts payers and providers to its network within 12-24 months.
  • Firepower debt burdens cash flow with high interest if growth stalls in 6-12 months.
  • Optum and Change Healthcare undercut pricing capturing U.S. payer mandates in 12-18 months.

What makes Smile Digital Health unique

  • Smile Digital Health maintains open-source HAPI FHIR project led by CTO James Agnew.
  • Health Data Platform offers FHIR-native data fabric with CDR and clinical reasoning tools.
  • Supports hybrid deployment avoiding vendor lock-in for global healthcare clients.

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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

0%

1 year growth

-1%

2 year growth

0%
PharmiWeb.com
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.com
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.com
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

The Journal of Healthcare Contracting
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.

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