Working for a company like Smile Digital Health means supporting our mission for #BetterGlobalHealth. We work toward this goal every day, and you can see the results in the impact of our innovative health data platform and data management solutions, which are used in more than 20 countries. We ranked #19 on Deloitte’s Technology Fast 50 for 2024!
Smile Digital Health makes it easy for healthcare stakeholders to collect and share data through our leading FHIR-based data liberation platform.
At its core, the Smile platform helps people and organizations better manage healthcare data. We generate and release structured healthcare data to enable effective care delivery across teams and health systems—bringing #BetterGlobalHealth to patients every day!
Apply today and find plenty of reasons to SMILE!
The Technical Implementation Manager is a hands-on technical leader responsible for managing Technical Implementation Leads and Software Developers delivering customer-facing healthcare interoperability implementations. This role combines technical execution, delivery oversight, people management, implementation quality, escalation support, and cross-functional collaboration. The ideal candidate will provide technical leadership across discovery, estimation, implementation, troubleshooting, testing, documentation, and operational readiness, while driving scalable implementation methods and reusable delivery assets across the organization.
Responsibilities:
– Lead and manage Technical Implementation Leads and Software Developers delivering customer-facing healthcare interoperability implementations and strategic customer initiatives.
– Provide hands-on technical leadership across discovery, solution design, estimation, implementation planning, troubleshooting, testing, deployment, and operational readiness activities.
– Lead technical implementation delivery across multiple concurrent customer projects while ensuring delivery quality, scalability, maintainability, and alignment with customer expectations.
– Provide hands-on technical guidance on HL7 FHIR, HL7 v2, CDA/CCDA, REST APIs, data mapping, SQL, validation, integration workflows, troubleshooting, and implementation best practices.
– Participate in customer-facing technical discussions, escalations, root cause analysis, mitigation planning, executive summary writing, and implementation troubleshooting.
– Collaborate with Product, QA, CloudOps, Support, Architecture, Agile Leads, and Customer Success to deliver solutions that are scalable and supportable.
– 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 convert them into actionable process improvements, feature requests, and bug reports.
– Drive implementation quality through technical reviews, implementation standards, testing practices, peer mentorship, and reducing delivery defects and rework.
– Mentor, coach, and support Technical Implementation Leads and Software Developers through technical guidance, prioritization, 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.
Requirements:
– 8+ years of experience in software development, technical implementations, healthcare interoperability, clinical informatics, or equivalent senior-level technical delivery experience, plus 3+ years of experience managing and/or leading technical resources.
– Expertise in Kubernetes, Docker, cloud-native environments, distributed systems, monitoring, event-driven architectures, healthcare platform deployments, and cloud implementation practices.
– Proven experience troubleshooting customer-facing implementations, integrations, data ingestion, scalability, performance, infrastructure, and operational issues in complex enterprise environments.
– Experience working with relational and/or distributed database technologies such as PostgreSQL, SQL Server, Oracle, MongoDB, or similar enterprise data platforms.
– Strong understanding of the software development and implementation lifecycle, including solution design, estimation, APIs, HL7 FHIR, HL7 v2, code reviews, source control, build processes, testing, deployment coordination, and versioning.
– Strong healthcare domain experience, including payers, providers, interoperability, terminology, CMS, or regulatory healthcare implementation programs.
– Excellent written, verbal, interpersonal, organizational, and stakeholder management skills.
– Ability to communicate effectively with both technical and non-technical stakeholders, including participating in customer-facing technical discussions and escalations.
– Post-secondary education in informatics, computer science, engineering, or a related technical field and/or equivalent practical experience preferred.
Additional Information:
Smile may use artificial intelligence (AI) in parts of the recruitment and selection process, such as resume screening or application assessment. Final hiring decisions are made by qualified human decision-makers, and AI tools are used to support—never replace—fair and equitable hiring practices.
This is a new role created to support Smile’s continued growth and commitment to operational excellence.
Salary: $145,000 – $160,000 per year
Some of the benefits we offer:
– Remote work environment
– Flexible time away from work policy, including PTO, personal days, and sick days
– Competitive salary and health/medical benefits
– RRSP/TFSA/401K employee contribution
– Life and disability coverage
– Employee assistance program
– FHIR Study Program and Skillsoft Learning
– Super HAPI Fun Club
Smile’s core values include respect, inclusion, embracing differences, and celebrating shared values. Our people are the foundation of our success. We focus on building a sense of belonging and empowering each other to bring our authentic selves to work. We are committed to fostering a workplace that values diversity, equity, and inclusion.
We welcome and encourage candidates from all backgrounds to apply. If you would like to discuss or need accommodations during interviews or while working at Smile, please let us know.
To apply for this job, please visit the application page

