Software Engineer – Smile CDR Administrator, Platform Engineer

Sigma Systems

. Administer and configure Smile CDR environments across Development, Test, and Production .

Posted 10/22/2026contractRemote • Pennsylvania • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in administering and configuring Smile CDR environments, with a strong focus on healthcare interoperability, FHIR standards, and API integrations. Proficient in troubleshooting, operational monitoring, and implementing security and compliance measures within healthcare platforms.

Highest-signal resume keywords

Smile CDR AdministrationHL7 FHIR R4 StandardsREST API IntegrationSQL Database FundamentalsLinux Environment Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Smile CDR ConfigurationFHIR R4 Repository SupportAPI ConfigurationData Ingestion TroubleshootingOperational MonitoringJSON Data FormatXML Data FormatOAuth 2.0 AuthenticationRoot Cause AnalysisHealthcare Interoperability Workflows

Soft Skills

Effective CommunicationCollaboration SkillsAnalytical AbilitiesIndependent Work

Tools & Technologies

Smile CDRRESTful APIsLinuxScripting Tools

Industry Keywords

Healthcare InteroperabilityCMS Interoperability RequirementsONC Interoperability RequirementsBCBSA InitiativesPatient AccessProvider AccessPrior AuthorizationPayer-to-Payer Programs

Tech Stack

Tools & technologies

LinuxSQL

About the role

Key responsibilities & impact

Administer and configure Smile CDR environments across Development, Test, and Production
Manage Smile CDR modules, partitions, repositories, channels, security settings, and API configurations
Support FHIR R4 repositories and SMART on FHIR implementations
Monitor platform health, performance, availability, capacity, and system reliability
Troubleshoot platform configuration, data ingestion, operational, API integration, authentication, and data exchange issues
Support platform upgrades, maintenance, and production incident resolution
Configure, maintain, and support RESTful APIs and healthcare integration endpoints
Support HL7 FHIR-based healthcare data exchange and interoperability implementations
Support CMS and ONC interoperability requirements, including Patient Access, Provider Access, Prior Authorization, and Payer-to-Payer programs
Support BCBSA interoperability initiatives
Implement and maintain access controls, audit logging, security policies, and compliance procedures
Perform troubleshooting and root cause analysis for production incidents
Use SQL and database knowledge to investigate data and integration issues
Work with Linux environments and scripting tools
Develop operational runbooks, deployment procedures, support documentation, and platform standards
Coordinate with vendor support teams while maintaining internal platform ownership
Collaborate with architecture, engineering, infrastructure, security, and business teams
Support platform design, implementation planning, operational improvements, change management, release management, production support, DevOps, and CI/CD practices

Requirements

What you’ll need

3+ years of experience administering or supporting Smile CDR
Strong knowledge of Smile CDR architecture, configuration, modules, repositories, partitions, and platform operations
Experience managing and supporting production healthcare interoperability platforms
Ability to troubleshoot Smile CDR configuration, performance, and integration issues
5+ years of healthcare interoperability experience
Strong understanding of HL7 FHIR R4 standards and healthcare data exchange
Hands-on experience with REST APIs and API integrations
Knowledge of SMART on FHIR and OAuth 2.0 authentication and authorization
Experience working with JSON and XML data formats
Understanding of healthcare interoperability workflows and integration requirements
Strong SQL and database fundamentals
Experience with Linux environments and scripting
Experience troubleshooting API integrations, platform performance, and production issues
Understanding of platform security, access management, audit logging, and operational monitoring
Ability to investigate incidents, perform root cause analysis, and implement corrective actions
Strong analytical and troubleshooting abilities
Effective communication and collaboration skills
Ability to work independently in a remote contract environment
Ability to document technical procedures and operational standards
U.S. citizenship is mandatory
Candidates must complete the required Glider assessment test

Benefits

Comp & perks

100% remote work
Opportunity to contribute to enterprise healthcare interoperability initiatives
Collaborate with experienced engineering, architecture, and healthcare IT teams
Gain experience supporting critical healthcare data exchange and regulatory programs