Technical Manager (Implementations & Delivery) - 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 Technical Implementation Manager is a hands‑on technical people 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 successful candidate will provide technical leadership across discovery, estimation, implementation, troubleshooting, testing, documentation, and operational readiness while driving scalable implementation practices and reusable delivery assets across the organization.

Responsibilities

1. Lead and manage Technical Implementation Leads and Software Developers delivering customer‑facing healthcare interoperability implementations and strategic customer initiatives.
2. Provide hands‑on technical leadership across discovery, solution design, estimation, implementation planning, troubleshooting, testing, deployment, and operational readiness activities.
3. Lead technical implementation delivery across multiple concurrent customer projects while ensuring delivery quality, scalability, maintainability, and alignment with customer expectations.
4. Provide hands‑on technical guidance for HL7 FHIR, HL7 v2, CDA/CCDA, REST APIs, data mapping, SQL, validation, integration workflows, troubleshooting, and implementation best practices.
5. Participate in customer‑facing technical discussions, escalations, root cause analysis, mitigation planning, writing executive summaries, and implementation troubleshooting activities.
6. Collaborate closely with Product, QA, CloudOps, Support, Architecture, Agile Leads, and Customer Success teams to deliver scalable and supportable customer solutions.
7. Develop and maintain reusable implementation assets including buildbooks, implementation playbooks, troubleshooting guides, reference architectures, and solution/problem pattern libraries.
8. Identify recurring implementation challenges, operational gaps, customer pain points, and technical risks and translate them into actionable process improvements, feature requests, and bug reports.
9. Drive implementation quality through technical reviews, implementation standards, testing practices, peer mentorship, and reduction of delivery defects and rework.
10. Mentor, guide, and support Technical Implementation Leads and Software Developers through technical coaching, prioritization guidance, workload management, and professional development.
11. Ensure implementation work is properly documented through Jira, technical documentation, testing evidence, operational handover materials, and implementation standards.
12. Research, evaluate, and recommend technologies, implementation patterns, and operational improvements for new and existing customer solutions and platform capabilities.

Requirements

1. 8+ years of experience in software development, technical implementations, healthcare interoperability, clinical informatics, or equivalent senior‑level technical delivery experience, combined with 3+ years of experience managing and/or leading technical resources.
2. Expertise in Kubernetes, Docker, cloud‑native environments, distributed systems, monitoring, event‑driven architectures, healthcare platform deployments, and cloud implementation practices.
3. Demonstrated experience troubleshooting customer‑facing implementation, integration, data ingestion, scalability, performance, infrastructure, and operational issues in complex enterprise environments.
4. Experience working with relational and/or distributed database technologies such as Java, PostgreSQL, SQL Server, Oracle, MongoDB, or similar enterprise data platforms.
5. Strong understanding of software development and implementation lifecycle management including solution design, estimation, APIs, HL7 FHIR, HL7 v2, code reviews, source control management, build processes, testing, deployment coordination, and versioning.
6. Strong healthcare domain experience including payer, provider, interoperability, terminology, CMS, or regulatory healthcare implementation programs.
7. Excellent written, verbal, interpersonal, organizational, and stakeholder management skills.
8. Ability to communicate effectively with both technical and non‑technical stakeholders, including participation in customer‑facing technical discussions and escalations.
9. Post‑secondary education in informatics, computer science, engineering, or a related technical field and/or equivalent practical experience preferred.

Additional Information

Smile discloses that artificial intelligence (AI) may be used in portions of the recruitment and selection process, such as resume screening or application assessment. All hiring decisions are ultimately made by qualified human decision‑makers, and AI tools are used to support — not replace — fair and equitable hiring practices.

This position is a new role, created to support Smile’s continued growth and commitment to operational excellence.

$145,000 - $160,000 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.