Altera Digital Health

Senior Solutions Architect - Remote Canada

Canada

Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Health Data, Healthcare TechnologyIndustries

Senior Solutions Architect – Implementations

Position Overview

Smile Digital Health is seeking a hands-on, customer-facing Senior Solutions Architect – Implementations. This role is responsible for designing scalable, standards-aligned healthcare data solutions using Smile Digital Health’s innovative health data platform. You will partner closely with enterprise clients during discovery and early design phases, even when requirements are incomplete, guiding them toward the optimal architecture. Success requires a blend of technical expertise, strong questioning skills to uncover customer needs, and the ability to shape practical, future-proof solutions based on Smile best practices, regulatory frameworks, and your experience. You should be curious, a quick learner, enthusiastic, and committed to delivering excellent outcomes in dynamic or ambiguous situations.

Beyond design, you will maintain architectural oversight throughout implementation and post-go-live, ensuring the solution functions as expected, adjusting designs as necessary, and supporting performance tuning, edge cases, and real-world constraints. Collaboration with cross-functional teams, including product, engineering, delivery, and TAMs, is key to transforming vision into execution.

Company Information

Working for Smile Digital Health means supporting our mandate for #BetterGlobalHealth. We strive towards this goal daily, evidenced by the impact of our innovative health data platform and data management solutions, which are utilized in over 20 countries. We were recognized as #19 on Deloitte's Technology Fast 50 Ranking for 2024! Smile Digital Health simplifies the collection and exchange of data for healthcare stakeholders through our leading FHIR-based data liberation platform. At its core, the Smile platform empowers people and organizations to better manage healthcare data, generating and liberating structured healthcare data for effective delivery across care teams and health systems, bringing #BetterGlobalHealth to patients every day!

Responsibilities

  • Lead architectural design and solutioning during discovery and early implementation phases, working directly with healthcare customers to surface unknowns, ask the right questions, and co-design scalable, standards-aligned solutions.
  • Provide ongoing architectural oversight and hands-on technical guidance (if needed) throughout the full implementation lifecycle and post-go-live, ensuring the solution remains aligned with Smile’s best practices, technical standards, and product capabilities.
  • Evaluate customer-specific requirements and make technical recommendations around performance tuning, ingestion workflows, bundle design, and terminology mapping.
  • Collaborate regularly with internal teams, including Product, Engineering, QA, Agile Leads, Solution Architects, and Technical Account Managers, to resolve architectural questions, validate patterns, and provide feedback that shapes future product improvements.
  • Take ownership of evolving or refactoring designs when new constraints, blockers, or learnings emerge during delivery (e.g., scalability issues, deployment friction, real-time ingest gaps).
  • Actively participate in customer-facing meetings, design reviews, retrospectives, and change discussions; support technical communication during escalations and decision points.
  • Contribute to Smile’s internal architecture review boards, design documentation, reusable delivery assets, and solution playbooks to help scale implementation excellence across teams.
  • Stay current with Smile’s product roadmap, technical stack, and regulatory mandates (e.g., CMS interoperability requirements); demonstrate curiosity and initiative in learning new tools and approaches.
  • Accurately track time and ensure that billable hours and project management artifacts are logged in NetSuite on a daily or weekly basis, in alignment with delivery operations standards.

Requirements

  • 10+ years of experience in relevant technical roles.

Application Instructions

Apply today and find plenty of reasons to SMILE!

Skills

Solutions Architecture
Healthcare Data
FHIR
Data Management
Client Facing
Requirements Gathering
System Design
Performance Tuning

Altera Digital Health

Cloud-based EMR solutions for healthcare providers

About Altera Digital Health

Altera Health provides technology solutions for hospitals and health networks in Australia and New Zealand, focusing on enhancing patient care and improving clinical workflows. Their main product is a cloud-based Electronic Medical Record (EMR) system that allows healthcare providers to digitally store, manage, and access patient information. This system is designed to be user-friendly, enabling clinicians to prioritize patient care over administrative tasks. Altera Health differentiates itself from competitors by offering a scalable and cost-effective SaaS model, which includes subscription fees for their EMR system and additional services like scanning and document management. The company's goal is to support healthcare providers in modernizing their operations and achieving better patient outcomes through improved information flow and operational efficiency.

Maipú, ChileHeadquarters
2017Year Founded
ACQUISITIONCompany Stage
Enterprise Software, HealthcareIndustries
1,001-5,000Employees

Benefits

Remote Work Options
Flexible Work Hours

Risks

Generative AI adoption may increase competition, challenging Altera's market position.
Paymentus integration could expose Altera to financial technology risks.
Delays in Paragon Denali deployment may impact customer satisfaction.

Differentiation

Altera's cloud-based EMR system enhances patient care and streamlines clinical workflows.
Partnership with Microsoft Azure boosts Altera's cloud-native EHR capabilities for rural hospitals.
Altera's offensive cybersecurity approach proactively addresses vulnerabilities before exploitation.

Upsides

Generative AI collaboration with EPAM enhances efficiency and reduces operational costs.
Paragon Denali offers scalable, cost-effective solutions for smaller hospitals on Microsoft Azure.
Altera's Sunrise EHR ranked top inpatient EHR for community and acute rehabilitation hospitals.

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