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Sr Solutions Architect - Health Tech- Remote US

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 Senior Solutions Architect is a hands-on, customer-facing role responsible for designing scalable, standards-aligned healthcare data solutions using Smile Digital Health’s platform. You’ll partner closely with enterprise clients during discovery and early design, often when requirements are incomplete, and help guide them toward the right architecture.

 

Success in this role requires more than technical knowledge. It’s about the art of asking the right questions, helping customers uncover what they don’t know, and shaping practical, future-proof solutions based on Smile best practices, regulatory frameworks, and your past experience. You’ll need to be curious, quick to learn, enthusiastic, and committed to delivering the best outcome, even in fast-moving or ambiguous situations.

 

This role goes beyond design. You’ll maintain architectural oversight throughout the implementation and post-go-live phases, ensuring the solution continues to work as expected, adjusting designs as needed, and supporting performance tuning, edge cases, and real-world constraints. You’ll collaborate with cross-functional teams, product, engineering, delivery, and TAMs, to turn vision into execution.

 


Responsibilities:
  • Lead architectural design and solutioning during discovery and early implementation phases, partnering with healthcare customers to uncover requirements and design scalable, standards-aligned solutions.
  • Provide architectural oversight across the full implementation lifecycle and post–go-live, ensuring solutions remain aligned with Smile’s best practices, technical standards, and platform capabilities.
  • Assess customer-specific requirements and recommend approaches for performance optimization, data ingestion workflows, bundle design, and terminology mapping.
  • Collaborate with Product, Engineering, QA, Agile Leads, Solution Architects, and Technical Account Managers to resolve architectural questions and validate implementation patterns.
  • Adapt and evolve solution designs as delivery progresses, addressing new constraints, scalability challenges, and deployment issues.
  • Participate in customer-facing engagements including design reviews, technical workshops, retrospectives, and escalation discussions, providing clear technical direction at key decision points.
  • Contribute to internal architecture governance through design reviews, documentation, and reusable solution assets, while staying current with Smile’s product roadmap and relevant regulatory requirements (e.g., CMS interoperability mandates).


Requirements:
  • 10+ years of experience in software engineering, technical consulting, or solution architecture, supporting complex healthcare implementations.
  • Proven ability to lead customer-facing architecture and design discussions with payer, provider, or government healthcare organizations.
  • Experience designing solutions involving real-time data ingestion technologies such as Kafka, Camel, or Pulsar, and implementing FHIR-based data workflows.
  • Strong understanding of clinical data models and healthcare terminology standards (e.g., SNOMED CT, RxNorm, LOINC), including their use across ingestion, transformation, and API layers.
  • Working knowledge of cloud-native environments (AWS, Azure, or GCP) and containerized deployments using technologies such as HELM, Docker and Kubernetes.
  • Demonstrated ability to evaluate technical trade-offs and adapt solution designs as new constraints, requirements, or implementation challenges emerge.
  • Excellent communication and collaboration skills, with the ability to translate complex technical concepts for both technical and non-technical stakeholders.
  • Proficiency with solution diagramming tools such as Lucidchart (or equivalent) to clearly communicate architecture, system interactions, and data flows.


Nice to Haves:
  • 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


$135,000 - $155,000 a year

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.

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Average salary estimate

$145000 / YEARLY (est.)
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$135000K
$155000K

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Full-time, remote
DATE POSTED
March 18, 2026
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