Senior Cloud Engineer (Remote US)

Sorry, this job was removed at 04:23 p.m. (UTC) on Tuesday, Aug 11, 2026
Hiring Remotely in US
Remote
120K-135K Annually
Senior level
Healthtech • Information Technology
The Role
Design, build, and maintain cloud-hosted SaaS platforms and deployment artifacts. Own Helm charts, containers, IaC, CI/CD pipelines, and serverless components. Ensure scalable, secure Kubernetes/OpenShift deployments, monitor performance, troubleshoot production issues, and collaborate with platform, security, and infrastructure teams.
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 Senior Cloud Engineer is responsible for designing, building and maintaining cloud hosted services and platforms to support Smile Digital Health’s SaaS and offering. This includes, but not limited to, owning the development and maintenance of deployment artifacts such as HELM charts, docker container/ compose configurations, infrastructure as code and build/deployment/automation pipelines. The role works closely with platform, infrastructure, architecture and security teams to ensure cloud deployments are scalable, reliable, secure and aligned with enterprise architecture patterns.

Reponsibilities:

  • 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.
  • 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.

Requirements:

  • 7+ years of professional experience in cloud development or infrastructure engineering roles.
  • Bachelor’s degree in Computer Science, Software Engineering, or a related discipline (or equivalent work experience).
  • Proven experience working to design and build SaaS applications and multi-cloud solutions.
  • Understanding of DevOps and hands-on experience working with DevOps tooling including, but not limited to, Gitlab CI, GitHub Actions, Azure Devops etc.
  • Working knowledge of public cloud SDKs/APIs (Azure SDK, AWS SDK, GCP SDK, etc.) for interacting with provider services (storage, identity, secrets, etc.). Boto3 and AWS CDK preferred. 
  • Strong experience building APIs (REST or GraphQL) in Python and/or JavaScript/ TypeScript.
  • Solid knowledge of Docker, containerization best practices, and experience deploying containers in Kubernetes and OpenShift.
  • Experience authoring and maintaining Helm charts and Operators for complex deployments. 
  • Familiarity with monitoring/logging/tracing tools (e.g., Prometheus, Grafana, OpenTelemetry, Elasticsearch/Loki, etc.).
  • Strong understanding of cloud hosting (AWS and Azure preferred) and cloud storage, secrets, and security services.
  • Familiarity with GitOps tooling and principles. 
  • Working experience with Hashicorp Terraform to build and deploy complex environments.
  • Ability to work in cross-functional teams and communicate effectively, both written and verbal.
  • Self-motivated, detail-oriented, with strong problem solving and troubleshooting skills

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.

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

  • 7+ years of professional experience in cloud development or infrastructure engineering roles.
  • Bachelor's degree in Computer Science, Software Engineering, or related discipline (or equivalent experience).
  • Proven experience designing and building SaaS applications and multi-cloud solutions.
  • Hands-on experience with DevOps tooling (GitLab CI, GitHub Actions, Azure DevOps).
  • Working knowledge of public cloud SDKs/APIs (AWS SDK, Azure SDK, GCP SDK).
  • Boto3 and AWS CDK experience.
  • Strong experience building APIs (REST or GraphQL) in Python and/or JavaScript/TypeScript.
  • Solid knowledge of Docker, containerization best practices, and deploying containers in Kubernetes and OpenShift.
  • Experience authoring and maintaining Helm charts and Kubernetes Operators.
  • Familiarity with monitoring/logging/tracing tools (Prometheus, Grafana, OpenTelemetry, Elasticsearch/Loki).
  • Strong understanding of cloud hosting and cloud storage, secrets, and security services (AWS and Azure preferred).
  • Familiarity with GitOps tooling and principles.
  • Working experience with HashiCorp Terraform for building and deploying environments.
  • Ability to work in cross-functional teams and strong written and verbal communication skills.
  • Self-motivated, detail-oriented, strong problem solving and troubleshooting skills.

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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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