Smile Digital Health

Database Administrator

• Perform Database capacity planning, installation, configuration, database design, migration, performance monitoring, security, troubleshooting, as well as backup and data recovery operations.
• Act as a subject matter expert for data management and interact with internal and external teams to troubleshoot and provide best practices regarding database implementation and maintenance with our core product.
• Contributes and assists with efforts/ projects in the deployment, maintenance, and support of data systems for internal and external projects.
• Write and tune SQL queries and review schema designs for optimal performance.
• Implement and maintain DBMS and data maintenance pipelines/processes to optimize data operations.
• Plan and execute data migration plans for complex systems with large datasets.
• Proactively and regularly make recommendations for data system improvements.
• Collect, collate and present metrics on data systems to be used by internal and external parties.
• Engage with multiple teams across the business including but not limited to the Core Development team, Managed Services team, partners and customers to provide database management best practices and enhancements.
• Accountable for ensuring that all working hours are accurately reported in Netsuite on a daily or weekly basis, that the majority of (if not all) hours are tracked as billable and that the project management tool in Netsuite is properly and fully utilized.
• Tracking and reporting of billable hours is a critical aspect of project management and delivery to our customers and this is a major area of accountability.
• Comply with the privacy, security and confidentiality policies.

Cloud Engineer

• Develop, implement and manage a multi-tenant Cloud strategy for our Managed Services offering.
• Develop cloud reference architectures for various deployment topologies.
• Document architectural guiding principles and standardize specifications for the managed services offering.
• Assess, design, implement, automate, and document security solutions and processes to meet compliance requirements.
• Partner with our Security Operations teams to help define and implement best practices around Cloud security.
• Work with key stakeholders to develop baseline cloud, container, and application security standards.
• Develop cost/utilization tracking and attribution processes for all Cloud Service Providers.
• Develop and maintain documentation for cloud security systems and procedures.
• Drive proof of concepts and proof of technology research while evaluating, selecting, and integrating best-of-breed/innovative technologies.
• Generate detailed documentation including conceptual design, logical design, physical design, bill of materials, as-built diagrams, knowledge transfer materials, FAQs, and transition to operations needs.
• Work as a subject matter expert to deliver projects from initiation to successful implementation.
• Lead C-Level / Executive briefing presentations, covering roadmap direction, technology consideration and fit with client needs in the context of business and IT objectives.
• Evangelize Cloud technology vision and strategy, solutions and best practices with senior management and other groups within the company.
• Provide multi-cloud thought leadership.
• Collaborate with the Operations team to remove technical roadblocks and provide guiding principles for operational efficiency.

Senior Cloud Architect

DevOps Engineer

• Collaborate with our Security Operations teams to help define and implement best practices around Cloud Service Provider configuration for Azure and other cloud providers.
• Develop, implement and coordinate a multi-tenant approach around service offerings for DB, Container platform, Authentication, Certificates, and Product Registries etc.
• Design and maintain performance testing strategies, framework, and environments in the cloud. Develop and maintain cost/utilization tracking and attribution processes for all Cloud Service Providers.
• Create documentation around Cloud Service Provider offerings detailing use cases, best practices, and implementation details.
• Develop and maintain technical relationships with our core Cloud Service Providers.
• Implement and maintain a secure and scalable infrastructure platform for delivering Cloud Services applications.
• Ensure that internal and external SLA’s meet and exceed expectations, and ensure that system centric KPIs are continuously monitored and improved.
• Create tools for automating deployment, monitoring and operations of the overall platform.
• Participate in an on-call rotation to provide application support, incident management, and troubleshooting.
• Provide ongoing maintenance and support of internal tools, improve system health and reliability.
• Assist customers with the on-site deployments when needed.
• Implement and manage observability tools (logging, metrics, tracing) for performance insights, Otel and Grafana Stack preferredOngoing compliance with organizational policies, procedures and practices (such as but not limited to security policies) are an ongoing requirement of the employment or contractual agreement.
• Accountable for ensuring that all working hours are accurately reported in Time Tracking System on a daily or weekly basis, that the majority of (if not all) hours are tracked as billable and that the project management tool in the time tracking system is properly and fully utilized.
• Tracking and reporting of billable hours is a critical aspect of project management and delivery to our customers and this is a major area of accountability.
• Comply with the privacy, security and confidentiality policies. Hold all confidential information in trust and strict confidence and ensure that it shall be used only for the purposes required to fulfill employment obligations, and shall not be used for any other purpose, or disclosed to any third party.

Cloud Site Reliability Engineer

• Develop, test, and maintain cloud-native RESTful APIs using Python, GoLang/ Go and JavaScript/TypeScript.
• Build and manage Docker container images, ensuring best practices for image build, security, cost efficiency and deployments.
• Author, maintain, and version HELM charts for deploying services into Kubernetes/ Openshift Environment, including configuration/ annotation values, templates, upgrades and rollback support.
• Participate in (or build) CI/CD pipelines to automate deployment, testing, monitoring, and roll-back of SaaS services.
• Monitor the performance, reliability, and scaling behavior of services; identify bottlenecks and implement solutions (caching, concurrency, resource limits, horizontal auto-scaling).Develop and maintain serverless SaaS components using AWS CDK, Lambda, API Gateway, and ECS/Fargate.
• Ensure high availability and fault tolerance through Kubernetes features such as readiness and liveness probes, sensible resource requests/limits, and proper namespace/networking isolation.
• Implement and enhance CI/CD pipelines with automated testing, versioning, and documentation publishing.
• Manage in-cluster dependencies such as PostgreSQL, Kafka, Grafana, and ElasticSearch using Helm or Operators.
• Collaborate with security, operations, and infrastructure teams to ensure deployments meet security, compliance, logging, monitoring, and auditing requirements.
• Troubleshoot and debug issues in production and staging environments. Provide root cause analysis and propose corrective measures.
• Maintain clear documentation of architecture, deployment procedures, configuration, and usage of cloud tools.
• Accountable for ensuring that all working hours are accurately reported in Time Tracking System on a daily or weekly basis, that the majority of (if not all) hours are tracked as billable and that the project management tool in the time tracking system is properly and fully utilized.

Cloud Developer

Application Engineer

• Troubleshooting incoming support tickets
• Maintaining and developing software and tools to support the implementation project
• Handling bug fixes and enhancements to the existing implementation
• Working on cloud infrastructure, Helm charts, Azure pipelines, Java source code, configuration files
• Collaborating with the client as well as internal development and QA teams to support the product
• On-call rotation for Tier 2 issue support

Senior Application Support Engineer

Full-stack Engineer

• Develop backend services, adapters, and integrations using Java, Spring Boot, and Apache Camel for CMS mandates (Patient Access, Provider Access, P2P, Prior Auth).
• Deliver FHIR R4+/SMART on FHIR APIs aligned with US Core and applicable Implementation Guides, ensuring full terminology compliance (LOINC, SNOMED CT, RxNorm, ValueSets).
• Participate in customer meetings, office hours, demos, and escalations; explain technical concepts clearly and professionally.
• Code & Test Excellence – Write clean, maintainable code with strong unit/integration testing (JUnit, Testcontainers, MockMVC) and participate in detailed peer reviews.
• Automate & Deploy – Build CI/CD pipelines in GitLab, manage Helm deployments on Kubernetes, and troubleshoot services, pods, and performance issues.
• Integrate & Scale – Work with Kafka or equivalent messaging queues and relational databases (PostgreSQL/MS SQL) to deliver scalable, event-driven data pipelines.
• Mentor & Lead – Review code, guide junior developers, and promote best practices in design, automation, and maintainability.
• Accountable for ensuring that all working hours are accurately reported in the time tracking system on a daily or weekly basis, that the majority of (if not all) hours are tracked as billable and that the integrated project management tool is properly and fully utilized.
• Tracking and reporting of billable hours is a critical aspect of project management and delivery to our customers and this is a major area of accountability.

Senior Full Stack Developer

Technical Product Manager

• Define and own the product strategy for Smile’s Core CDR platform components — including data ingestion pipelines, data quality (master data management, enrichment, etc), persistence layer, and administration capabilities.
• Collaborate with technical teams to perform in-depth technical analysis to identify gaps between product and market/client needs, particularly in interoperability, performance, scalability, and standards compliance.
• Translate architectural patterns and operational needs into clear, actionable product requirements.
• Participate in architecture and code review discussions to validate feasibility, scalability, and maintainability of proposed solutions.
• Maintain a deep technical understanding of the stack (Java, HAPI FHIR, Kubernetes, Postgres, Kafka, etc.) to reason trade-offs and guide prioritization.
• Champion product capabilities related to data quality, deduplication, enrichment, and lifecycle management across ingest and persistence flows.
• Support backlog refinement and delivery oversight by providing technical context, architectural input, and prioritization guidance throughout the implementation lifecycle.
• Support architecture and design discussions to ensure product features are technically feasible, secure, and aligns with agile methodology and long-term platform strategy.
• Participate in architecture discussions to validate feasibility, scalability, and maintainability of proposed solutions.
• Collaborate with cross-functional technical teams to ensure high-fidelity execution of the product roadmap.
• Support cross-functional teams and leaders in developing product communication materials (presentations, articles, white papers), product sales strategies, training, and internal and external demos.
• Conduct competitive research to benchmark and identify differentiators for specific platform capabilities.
• Evangelize product and/or features to both internal cross-functional teams and external customers, hosting customer conversations and attending/presenting at relevant events.
• Guide customer conversations and solutioning discussions as needed to validate technical direction and clarify platform capabilities.
• Enable the success of Smile’s product teams by ensuring platform capabilities are well documented, versioned, and consumable.
• Serve as a technical resource to unblock delivery teams, balancing client requirements with architectural and operational considerations.
• Accountable for ensuring that all working hours are accurately reported in Netsuite on a daily or weekly basis, that the majority of (if not all) hours are tracked as billable and that the project management tool in Netsuite is properly and fully utilized.
• Tracking and reporting of billable hours is a critical aspect of project management and delivery to our customers and this is a major area of accountability.
• Comply with the privacy, security and confidentiality policies.
• Hold all confidential information in trust and strict confidence and ensure that it shall be used only for the purposes required to fulfill employment obligations, and shall not be used for any other purpose, or disclosed to any third party. A breach of policy or misuse of information could result in disciplinary action up to and including termination of employment.

• Collaborate with cross-functional teams to build and deliver complex and highly available cloud and platform solutions for internal and external projects. Develop recommendations and expertise as it relates to cloud and platform provisioning within the organization.
• Lead in cloud and infrastructure deployments and delivery by providing subject matter expertise on infrastructure-related components.
• Develop and maintain infrastructure code for various solutions and provide support to clients or partners on Smile-supported infrastructure codes.
• Maintain documentation, forms and processes to support Smile Digital Health business needs, including but not limited to technical documentation, standard operating procedures, implementation plans and root cause analyses.
• Participate in sprint, project and department planning for technology implementations and transformation. Contribute to tooling capability assessments, proof of concepts and technology roadmaps to ensure that the organization adheres to industry best practices.
• Identify performance and operational gaps in our current practices and develop action plans to address them.
• Provide Cloud and Infrastructure Subject matter expertise on pre-sales and customer support calls. Keep abreast with technology changes to identify novel cloud and platform technologies to enhance operations, maintenance and security across the organization.
• Participate in on-call rotation to provide application and infrastructure support, incident management and troubleshooting, as required.
• Accountable for ensuring that all working hours are accurately reported in NetSuite on a daily or weekly basis, that the majority of (if not all) hours are tracked (billable and non-billable) and that the project management tool in NetSuite is properly and fully utilized.
• When applicable, tracking and reporting of billable hours is a critical aspect of project management and delivery to our customers and this is a major area of accountability.
• Comply with the privacy, security and confidentiality policies.

Senior Cloud Engineer

Production Engineer

• Analyzing and evaluating requirements and proposing high level design and technical solutions to issues that arise from internal and external customer issues.
• Analyzing solutions to ensure that they will be interoperable, performant and maintainable.
• Working with Tier 1 and Tier 2 support teams to diagnose and correct issues raised in customer incidents.
• Collaborating with coredev and client solutions teams to ensure any fixes from the support team meet core and customer technical/architectural requirements.
• Support the mentoring of Tier 1 and Tier 2 Service Desk staff and other developers on technical guidelines, functionality, debugging, performance and operational procedures and troubleshooting techniques and serve as their technical mentor.
• Participate in major incident response teams.
• Ensure relevant documentation is kept up to date.
• Ensure relevant frameworks are kept up to date.
• Research technologies that will be used in new and existing modules of the solution.
• Work closely with all areas of the business to gather product requirements and design, implement and test components of the system.
• Advise and provide input into good technical design and industry trends.
• Ability to analyze and solve problems, identify issues and apply or implement solutions.
• Responsible for mentoring, coaching and leading less experienced (junior/co-op) Developers.
• Analyze and evaluate requirements and propose high level design and technical solutions at all stages of development.
• Break down work for other team members and be the go to person for project issues/status.
• Propose new techniques and technologies for software development.
• Responsible for coding standards of the team/department.
• Responsible for tools and frameworks used by the team/department.

Solutions Engineer

• Act as a trusted technical advisor to prospect and assess existing customers by determining and analyzing complex technical product functionality gaps, and collaborating with various internal teams to develop solutions that meet customer expectations.
• Develop strong relationships with varying levels of strategic clients and maintain up-to-date knowledge of business objectives, vision and goals to determine client roadmap alignment with the Smile product roadmap.
• Proactively lead the customer on their buy Journey by understanding and anticipating their needs and pain points and offering impactful, persuasive solutioning.
• Provide scoping and sandbox environment support and substantiate business and technical solutions offered to existing and prospective clients.
• Identify solutions for existing challenges or obstacles and anticipate potential future challenges.
• Support the design and migration of data to Smile’s platform while being sensitive to the customer’s business model and cultural transformation towards a Smile Health Data Fabric.
• Support and contribute to strategic customer proposals by preparing and delivering technical presentations explaining products and services to prospective strategic clients and on-going technical consultation.
• Participate in the development of product demos and POCs to highlight compelling Smile capabilities.
• Collaborate closely with the Sales team to develop and implement effective account management strategies by providing subject matter expertise on a customer’s current and prospective technical needs and determine how Smile’s solution(s) can meet their business goals and objectives.
• Act as a technical liaison between customers, service engineering teams, product teams and support to bring the voice of the customer to the Smile products.
• Rapidly develop and maintain a deep knowledge of Smile’s products, FHIR, market trends, customer environment and competitive landscape.
• Collaborate cross-functionally to continuously improve product, sales and marketing from a technical perspective.

Senior Client Solutions Architect

Digital Marketing

• Design and optimize HubSpot assets that support enterprise B2B lead generation funnels, account-based marketing campaigns, and multi-persona buyer journeys
• Customize HubSpot themes and templates to reflect evolving brand guidelines
• Implement and track CTAs, forms, and UTM parameters for campaign attribution
• Run A/B tests and optimize for conversion performance
• Set up, launch, and manage Google Ads campaigns across search and display
• Implement conversion tracking via Google Tag Manager and GA4
• Manage campaigns with complex attribution models, long sales cycles, and large budgets
• Align campaign tracking and reporting with enterprise KPIs such as pipeline contribution, MQL→SQL conversion, and ACV impact
• Translate Smile branding into refreshed web, digital ad, and campaign assets
• Create high-quality visuals, graphics, and layouts for web and marketing use
• Ensure brand consistency across all digital channels and touchpoints
• Develop campaign assets tailored to healthcare technology audiences (executives, IT, clinicians, payers, regulators)
• Collaborate with marketing and product teams on brand rollout
• Build dashboards and reporting frameworks for website, campaigns, and ads to track performance, conversion metrics, and ROI
• Recommend improvements to increase engagement and lead generation
• Monitor and address website issues including broken links, redirects, performance, security, and compliance
• Develop a working understanding of Smile Digital Health’s value proposition, target industries, target personas, and solutions.

Web & Digital Marketing Specialist

Account Executive

• Develop and manage sales and account management strategies for the US Payer and Clinical Reasoning territory and accounts to optimize successful target account selling and deal closure as well as efficiently identifying opportunities for contract growth on existing accounts.
• Generate new sales leads and identify new opportunities through networking and prospecting, including cold calling and utilizing the internal services provided to the sales team, by the company (i.e. marketing and public relations activities).
• Lead target account selling (prospecting/lead generation, qualification and scoping, closing strategies, negotiations, etc.).
• Build strong and sustainable relationships with varying levels of client group(s) to develop a deep understanding of business goals and objectives to ensure expectations are met and identify opportunities for contract growth.
• Manage and resolve escalated customer challenges and roadblocks.
• Develop and present insightful business reviews for client’s program performance that align with strategic initiatives.
• Facilitate, coordinate and actively participate in contract negotiations across commercial and regulated healthcare and insurance programs.
• Collaborate with cross-functional teams to ensure clear understanding of client expectations and ensure deliverables are met in a timely manner.
• Review regular sales, end user performance and upcoming requirements to develop plans with cross-functional teams to deliver contract growth.
• Rapidly develop and maintain a strong network and deep knowledge of Smile’s products, CQL, market trends and customer environment.
• Collaborate and support Partners to extend reach and drive product adoption.
• Proactively prioritize sales and retention discussions with client(s).
• Maintain a real-time understanding of the competitive landscape to understand win-based proposals and pricing.
• Maintain in-depth knowledge of Smile Digital Health’s solution offerings, target customers, and product capabilities.
• Participate in and contribute to sales planning status meetings.
• Meet or exceed established sales quotes as well as maintain a robust sales pipeline.

Business Analyst

• Support delivery of healthcare customer projects, focusing on functional requirements gathering, analysis, and documentation.
• Create Functional Requirements Documents, user stories, use cases, process flows, and light data mapping activities (e.g., HL7 v2 to FHIR).
• Work closely with developers, Solution Architects, Product Managers, and customer stakeholders to ensure high-quality delivery.
• Ensure alignment of customer requirements with Smile platform capabilities and project objectives.
• Own and deliver work packages of moderate to large size and complexity across Agile and waterfall approaches.

Senior Business Analyst

QA Engineer

• Identify test scenarios that are critical and repetitive and automate them, overseeing their execution and maintenance.
• Collaborate and lead in ensuring bugs are triaged and resolved in time, creating a culture of quality in the production teams you are part of.
• Develop and execute test plans on multiple projects concurrently, documenting results and working with teammates to identify root causes.
• Proactive in developing in-depth understanding of project(s) and customer context, objectives and use cases.
• Collaborate with project teammates to deliver high quality software that meets customer requirements.
• Develop strategies for continuous improvement of software and its quality, such as manual test plans, automated testing technologies, performance and load testing frameworks, etc.
• Work closely with customers and project teammates to ensure requirements are testable and the delivered solutions are coherent, consistent and complete.
• Contribute to project functions by attending standups and planning meetings, contributing to risk and hazard identification and analysis, identifying issues and working to resolve them.
• Understand the highly technical features and functionality of Smile Digital Health’s products in detail in order to plan for testing and other QA activities.
• Estimate, prioritize, plan and coordinate testing activities
• Mentor new team members and support QA Lead(s), as needed.

Senior QA Analyst

Frontend Engineer

• 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.
• 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 Intermediate Front End Developer is a technical role that supports in building and maintaining the user-facing aspects of Smile Digital Health’s Clinical Intelligence platform.
• This role enables a seamless user experience by translating design concepts into functional technical roadmaps and developing a functional, interactive and intuitive user interface.
• This role will collaborate closely with cross-functional teams to gather requirements, design and implement applications and test components of the system.