
The Intermediate Backend Developer works closely with engineering teams to design, implement, and maintain components of the Smile Digital Health platform. This position operates with a good degree of independence, contributing across the full development lifecycle from requirements analysis through to delivery, while developing deeper technical expertise in preparation for senior-level responsibilities.
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.

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