About The Position

Sigma Systems Inc. is recruiting an experienced Smile CDR Administrator / Platform Engineer for a client. This hands-on role administers, configures, monitors, and supports an enterprise healthcare interoperability platform, including Smile CDR environments and HL7 FHIR-based APIs. The position supports secure and reliable production operations and healthcare interoperability initiatives aligned with CMS and ONC requirements, including Patient Access, Provider Access, Prior Authorization, Payer-to-Payer data exchange, and BCBSA interoperability programs. The role includes administering Development, Test, and Production environments; managing Smile CDR modules and platform configurations; supporting FHIR R4 repositories and SMART on FHIR; maintaining REST APIs and healthcare integration endpoints; monitoring performance and availability; resolving platform, integration, and production issues; and supporting upgrades and maintenance. The engineer also contributes to security and compliance procedures, operational documentation, release and change management, platform improvements, and applicable DevOps and CI/CD practices. This is a 100% remote, three-month contract. U.S. citizenship is mandatory, and candidates must complete the required Glider assessment test. The role requires independent work and collaboration with architecture, engineering, infrastructure, security, business, and vendor support teams.

Requirements

  • At least 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.
  • At least 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.

Nice To Haves

  • Experience supporting CMS interoperability mandates and ONC requirements.
  • Experience with Axway API Gateway.
  • Knowledge of Apache Camel and integration frameworks.
  • Experience with cloud platforms and cloud-based healthcare solutions.
  • Knowledge of healthcare payer systems and payer interoperability workflows.
  • Familiarity with DevOps practices, CI/CD pipelines, and GitLab.
  • Experience supporting regulatory compliance and production healthcare environments.

Responsibilities

  • 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 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 secure API communication using OAuth 2.0, JSON, and XML.
  • Ensure reliable communication between Smile CDR and external healthcare systems.
  • Support CMS and ONC interoperability requirements and initiatives, including Patient Access, Provider Access, Prior Authorization, Payer-to-Payer, and BCBSA programs.
  • Implement and maintain access controls, audit logging, security policies, and compliance procedures.
  • Help prepare the platform for regulatory deadlines, audits, and operational reviews.
  • Investigate platform performance bottlenecks and conduct production incident root cause analysis.
  • Use SQL and database knowledge to investigate data and integration issues.
  • Use Linux environments and scripting tools for administration and operational tasks.
  • 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 on design, implementation planning, and operational improvements.
  • Follow change management, release management, and production support procedures.
  • Contribute to DevOps and CI/CD practices where applicable.

Benefits

  • Opportunity to contribute to enterprise healthcare interoperability initiatives.
  • Work remotely on a specialized healthcare technology platform.
  • Collaborate with experienced engineering, architecture, and healthcare IT teams.
  • Gain experience supporting critical healthcare data exchange and regulatory programs.
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