Cloud Performance Engineering - Site Reliability Engineer

Posted 2 Days Ago
Be an Early Applicant
Hiring Remotely in Toronto, ON, CAN
In-Office or Remote
110K-125K Annually
Senior level
Healthtech • Information Technology
The Role
Design, automate, and maintain cloud performance testing frameworks and observability across multi-cloud platforms. Optimize scalability, autoscaling, Kafka throughput, and resource utilization. Integrate performance tests into CI/CD, maintain cost attribution, support incident response/on-call, and ensure compliance (SOC2/HIPAA/ISO27001) while enabling secure, scalable infrastructure for SaaS delivery.
Summary Generated by Built In
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 Cloud Site Reliability Engineer (SRE) is responsible for ensuring the reliability, scalability, and performance of production-grade services deployed across multiple cloud vendors and infrastructure platforms for Smile Digital Health, its clients, and partners.

This role designs and automates performance testing frameworks, integrates them into CI/CD pipelines, and uses observability tools to proactively detect and resolve bottlenecks. Working closely with engineering, product, and security teams, the SRE ensures systems meet strict SLAs for performance and availability while driving continuous optimization across multiple cloud platforms.

Responsibilities:

  • 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 preferred

Requirements:

  • Demonstrated expertise in cloud service providers and best practices around implementation and configuration, preferably managing Azure on behalf of multiple teams for a company that delivers SaaS products.

  • Proven experience working with microservices architecture, with a strong focus on Java-based services.

  • Experience in applying chaos engineering practices to evaluate and enhance system resiliency.

  • Skilled in troubleshooting performance issues, including analyzing time consumption, allocating resources, and recommending optimizations.

  • Familiar with performance testing methodologies and tools to assess system behavior under load.

  • Experience with deployment and usage of observability tools such as Prometheus and the Grafana suite. 

  • Proven experience designing and executing performance test plans (load, stress, soak, and spike testing) to validate that application services sustain 500+ transactions per second (TPS) within defined latency and error-rate thresholds. 

  • Hands-on experience with performance/load testing tools such as JMeter, Gatling,  Azure Load Testing 

  • Experience tuning and validating autoscaling (Kubernetes/OpenShift HPA, Azure scale sets) to ensure required TPS is met under variable load without breaching cost or resource constraints 

  • Experience tuning Kafka (partitioning, consumer group sizing, throughput/latency trade-offs) and other messaging/queueing components to sustain target transaction rates. 

  • Experience with Azure-native monitoring and diagnostics (Azure Monitor, Application Insights, Log Analytics) to correlate throughput, latency, and error metrics during test execution. 

  • Proven experience with Security and Compliance (SOC2, HIPAA, ISO27001) best practices and how to implement controls that support high-velocity software delivery teams.

  • Proficiency in Terraform, Ansible or Chef.

  • Expertise in troubleshooting, support escalation, on-call process optimization and documenting knowledge.

  • Passionate about Infrastructure as code, automation, and developing solutions that help developers move quickly and safely.

  • Familiarity with infrastructure management and operations lifecycle concepts and ecosystem.

  • Experience operating and maintaining production systems in a Linux and public cloud environment.

  • You have prior experience working in high-performance or distributed systems, while we strive to hire at a variety of experience levels.

  • Working knowledge of industry best practices regarding information security

  • Previous experience building or maintaining a large-scale Cloud service.

  • Proven ability to prioritize and track multiple projects in parallel.

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.

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.

Skills Required

  • Expertise in cloud service providers and cloud implementation best practices (multi-cloud)
  • Experience managing Azure on behalf of multiple teams (preferred)
  • Proven experience with microservices architecture and Java-based services
  • Experience applying chaos engineering practices
  • Skilled in troubleshooting performance issues and recommending optimizations
  • Familiarity with performance testing methodologies and tools
  • Experience implementing and operating Prometheus, Grafana, and OpenTelemetry (Otel)
  • Proven experience designing and executing performance test plans (load, stress, soak, spike) to validate 500+ TPS
  • Hands-on experience with JMeter, Gatling, and Azure Load Testing
  • Experience tuning and validating autoscaling (Kubernetes/OpenShift HPA, Azure scale sets)
  • Experience tuning Kafka and messaging/queueing components for throughput/latency
  • Experience with Azure-native monitoring and diagnostics (Azure Monitor, Application Insights, Log Analytics)
  • Proven experience with Security and Compliance (SOC2, HIPAA, ISO27001) controls implementation
  • Proficiency with Infrastructure as Code tools (Terraform, Ansible or Chef)
  • Experience operating and maintaining production systems in Linux and public cloud environments
  • Experience with on-call incident management, troubleshooting, and escalation processes
  • Proven ability to prioritize and track multiple projects in parallel
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The Company
HQ: Toronto
291 Employees
Year Founded: 2016

What We Do

Smile Digital Health (doing business as Smile CDR Inc.) specializes in delivering fast, secure, compliant data infrastructures as a service to enable and empower interconnectivity for data-intensive sectors such as healthcare. We are a solutions platform helping organizations like governments, researchers, health systems, healthcare providers, and app developers build connected health solutions and products by leveraging our core expertise in health data and HL7 FHIR. Our flagship product, Smile CDR, is the world’s first FHIR-based clinical data repository (CDR) as a service. Smile CDR is a high performance and secure solution built on the principles of Privacy by Design. Flexibility is a hallmark of the service as it can be hosted in the cloud or on-premises depending on your needs. The design was strongly influenced by real-world experience in both the jurisdictional and organizational setting. Smile CDR provides a rich set of features and capabilities including: -Multiple FHIR versions -FHIR Profiles -Full text indexing of clinical records -Type ahead search functionality -FHIR, HL7v2 and custom ETL for data input -Federated identity and identity provider functionality -International character locale support -Terminology services -Auditing -Smart on FHIR support -Rapid deployment -Extensive administrative tooling Leveraging more than 40 years of experience in building enterprise-class systems, our team includes experts in building integrated healthcare systems including FHIR-based solutions such as HAPI, e-prescriptions and other e-health solutions. We were motivated by the need to improve upon existing options for sharing health data within and across organizations. Smile CDR is the maintainer of HAPI FHIR, the prevailing open source reference implementation of FHIR worldwide

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