Senior Backend Developer for Health Data

last updated December 29, 2025 12:28 UTC

Smile Digital Health

HQ: Remote

  • OFF: Remote
  • Full-Time
  • Full-Stack Programming

Working at a company like Smile Digital Health means contributing to our mission of achieving better global health. We pursue this goal every day, and the impact is clear through our innovative health data platform and data management solutions, now used in more than 20 countries. We also ranked #19 on Deloitte’s 2024 Technology Fast 50 list.

Smile Digital Health enables healthcare organizations to easily collect and share data through our leading FHIR-based data liberation platform.

At its core, the Smile platform helps individuals and organizations manage healthcare data more effectively. We support the creation and release of structured healthcare data to ensure coordinated, efficient care across teams and health systems, bringing better global health to patients every day. Apply today and discover many reasons to smile.

Primary Functions
• Independently design and build applications using web technologies.
• Develop and maintain reference implementations of HL7 FHIR standards.
• Write and update product and support documentation.
• Review requirements and propose high-level designs and technical solutions throughout development.
• Assess solutions to ensure interoperability, performance, and maintainability.
• Follow established coding standards.
• Participate in and provide final approval for code reviews.
• Research technologies for new and existing solution modules, such as machine learning tools and data storage frameworks.
• Offer guidance on strong technical design and industry best practices.
• Break down tasks for teammates and act as the main point of contact for project issues and updates.
• Model best practices for the team and department.
• Ensure all working hours are accurately logged in NetSuite, with most or all marked as billable, and fully leverage the project management features in NetSuite.
• Track and report billable hours, a key responsibility for project delivery.
• Follow privacy, security, and confidentiality policies.

Prerequisites
• Over 8 years of software development experience.
• Full‑stack expertise in Java, NextJS (JavaScript), and HAPI FHIR (especially CQF Ruler), with a strong focus on backend development.
• Senior-level proficiency with Java, Spring, REST APIs, SQL, and Git.
• At least intermediate-level skills in UI development.
• Ability to work independently, handle ambiguity, and remain solutions-focused.
• Experience developing middleware products, writing unit tests, and handling transaction processing.
• Strong documentation skills.
• Ability to maintain repositories with an emphasis on code quality and health.
• Experience building features end-to-end.
• Healthcare, HL7, or FHIR experience is strongly preferred.

Some of the benefits we offer:
• Remote work environment
• Flexible time-off policies, including PTO, personal days, and sick days
• Competitive salary and medical benefits
• RRSP/TFSA/401K contribution options
• Life and disability coverage
• Employee Assistance Program
• FHIR study program and Skillsoft learning resources
• Super HAPI Fun Club

At Smile, our core values include respect, inclusion, and appreciation of our differences, as well as celebrating what we share. Our people are the foundation of our success, and we strive to create a workplace where everyone feels a sense of belonging and is encouraged to bring their authentic selves to work. We are committed to building an environment rooted in diversity, equity, and inclusion.

We welcome candidates from all backgrounds. Please let us know if you need accommodations during the interview process or while working at Smile.

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