Technical Manager (Implementations & Delivery) - Remote US

Smile Digital Health; Northern (KY); Hybrid; USD 145,000 - 160,000; Full time

Benefits offered by this job

Remote Work

Flexible PTO

Health benefits

RRSP/TFSA/401K

Life & Disability

Employee Assistance

FHIR Study Program

HAPI Fun Club

Job summary

Smile Digital Health in the United States is seeking a Technical Implementation Manager to lead a team of Implementation Leads and Developers delivering healthcare interoperability solutions. The role combines hands-on programming guidance with people management to ensure successful project delivery.

You will guide architecture, estimation, testing, and documentation across the full lifecycle, mentoring engineers and collaborating with product, QA, CloudOps, and customer success to build

Qualifications

• Extensive experience in Java and healthcare interoperability projects.
• Proven leadership of technical teams and project delivery.
• Experience with HL7 FHIR, v2, CDA/CCDA and enterprise integrations.
• Strong planning, estimation, and documentation skills.
• Excellent stakeholder management and communication.

Responsibilities

• Lead and mentor a team of Technical Implementation Leads and Developers.
• Oversee end-to-end implementation lifecycle from discovery to go-live.
• Guide solution design and technical decision-making across projects.
• Collaborate with Product, QA, CloudOps, and Support teams.
• Create reusable implementation assets and playbooks.
• Address escalations and complex technical challenges.
• Ensure proper documentation and operational handover.
• Identify recurring issues and drive process improvements.
• Maintain high-quality code and delivery standards.
• Coordinate with customers and executives through workshops.

Skills

Java development

Healthcare interoperability

Team leadership

Mentoring

Solution design

Customer escalation handling

Education

Bachelor's degree in Computer Science or related

Tools

Kubernetes

Docker

PostgreSQL

SQL Server

REST APIs

Job description

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 helpgenerate andliberate structured healthcare data to ensure effective delivery across care teams and health systems bringing #BetterGlobalHealth to patients everyday!

The Technical Implementation Manager is a hands-on people leader responsible for building, mentoring, and leading a team of Technical Implementation Leads and Software Developers delivering complex, customer-facing healthcare interoperability solutions. This role blends technical leadership with people management, ensuring successful project delivery while fostering the growth, performance, and engagement of a high-performing technical team.

The successful candidate will have a strong Java development background and be comfortable providing technical guidance throughout the implementation lifecycle. They will oversee implementation planning, solution design, estimation, technical execution, troubleshooting, testing, documentation, and operational readiness, while remaining actively involved in resolving complex technical challenges and supporting customer escalations.

Responsibilities:

• Lead, mentor, and manage a team of Technical Implementation Leads and Software Developers, fostering technical excellence while delivering complex, customer-facing healthcare interoperability implementations and strategic initiatives.
• Provide hands-on technical leadership throughout the implementation lifecycle, including discovery, solution architecture, estimation, implementation planning, development, testing, deployment, operational readiness, and post-go-live support.
• Leverage deep technical expertise in Java, HL7 FHIR, HL7 v2, CDA/CCDA, REST APIs, SQL, data mapping, and enterprise integration patterns to guide solution design, implementation, troubleshooting, and technical decision-making.
• Participate in customer-facing technical discussions, escalations, root cause analysis, mitigation planning, writing executive summaries, and implementation troubleshooting activities.
• Collaborate closely with Product, QA, CloudOps, Support, Architecture, Agile Leads, and Customer Success teams to deliver scalable and supportable customer solutions.
• 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 translate them into actionable process improvements, feature requests, and bug reports.
• Drive implementation quality through technical reviews, implementation standards, testing practices, peer mentorship, and reduction of delivery defects and rework.
• Mentor, guide, and support Technical Implementation Leads and Software Developers through technical coaching, prioritization guidance, 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 other senior-level technical delivery roles, with a proven track record of leading complex enterprise implementations.
• 3+ years of experience leading, mentoring, and managing technical teams, with demonstrated success developing high-performing Technical Leads, Software Developers, or Implementation Engineers.
• Strong hands-on technical expertise across the software implementation lifecycle, including customer discovery, solution architecture, estimation, Java development, implementation planning, technical troubleshooting, testing, deployment, and operational readiness.
• Expertise in Java, Kubernetes, Docker, cloud-native architectures, distributed systems, event-driven architectures, monitoring and observability, healthcare platform deployments, and modern cloud implementation practices.
• Demonstrated experience troubleshooting complex customer-facing implementation, integration, data ingestion, scalability, performance, infrastructure, deployment, and operational issues within enterprise software environments.
• Experience designing and implementing enterprise integrations using HL7 FHIR, HL7 v2, CDA/CCDA, REST APIs, SQL, data mapping, validation frameworks, and interoperability best practices.
• Strong experience working with relational and distributed database technologies, including PostgreSQL, SQL Server, Oracle, MongoDB, or other enterprise database platforms.
• Deep understanding of software development and implementation lifecycle management, including solution design, estimation, APIs, source control, code reviews, CI/CD pipelines, build processes, testing strategies, deployment coordination, release management, and version control.
• Strong healthcare industry experience, including payer, provider, interoperability, terminology services, CMS initiatives, or other regulated healthcare implementation programs.
• Excellent written, verbal, interpersonal, organizational, and stakeholder management skills, with the ability to communicate complex technical concepts to both technical and non-technical audiences while confidently leading customer discussions, executive presentations, technical workshops, and high-priority escalations.
• Bachelor's degree in Computer Science, Software Engineering, Informatics, information Systems, or a related technical discipline, or an equivalent combination of education and practical experience.

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.

$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.