What you will do
- Own architecture and technical direction for a large-scale healthcare platform supporting primary care programs across Africa;
- Lead modernization, refactoring, and redesign initiatives across existing backend systems and services;
- Design scalable, secure, and maintainable solutions using C#, .NET, Azure, SQL Server/PostgreSQL, and distributed architectures;
- Drive healthcare interoperability initiatives, including HL7/FHIR integrations and connections with national health systems, laboratories, and third-party platforms;
- Guide engineering teams on architecture, coding standards, performance optimization, and technical best practices;
- Mentor engineers through code reviews, design reviews, and day-to-day technical leadership;
- Collaborate closely with leadership, product, clinical, data, and DevOps teams on roadmap execution and technology decisions;
- Support development of offline-first healthcare workflows and synchronization solutions for low-connectivity environments;
- Improve platform reliability, scalability, security, and operational efficiency as the business expands across multiple countries;
- Participate in incident resolution and technical problem-solving for mission-critical healthcare systems requiring rapid response times;
- Evaluate and introduce new technologies, architectural patterns, and AI/data-driven capabilities where appropriate;
- Contribute hands-on to solution design and complex implementation work when needed.
Must haves
- 8+ years software engineering;
- 3+ years Technical Lead / Architect experience;
- Strong experience with C# and .NET Core / .NET 6+;
- Experience with SQL Server and/or PostgreSQL;
- Strong understanding of REST APIs and distributed systems;
- Hands-on experience with Azure;
- Experience in healthcare environments;
- Experience with EMR / EHR systems;
- Experience with HL7 and/or FHIR;
- Strong understanding of healthcare interoperability;
- Experience with architecture ownership;
- Experience mentoring engineers;
- Experience conducting code reviews;
- Experience participating in technical roadmap activities;
- Strong stakeholder communication skills;
- Upper-intermediate English level.
Nice to haves
- Experience with OpenMRS;
- Experience with national healthcare integrations;
- Experience building offline-first systems;
- Experience with Kubernetes;
- Experience with data platforms or analytics;
- Experience with AI in healthcare;
- Experience with public health systems;
- Experience with healthcare programs across Africa.
We are looking for a .NET Software Architect to own the technical direction of a large-scale healthcare platform supporting primary care programs across Africa. You will lead modernization and redesign initiatives using C#, .NET Core, Azure, and SQL Server/PostgreSQL, drive HL7/FHIR interoperability with EMR, laboratory, and national health systems, and mentor engineers through architecture and code reviews. The role includes hands-on contribution to complex implementation work alongside strategic roadmap participation with the CTO and product teams.
About the role
The benefits of joining us
Professional growth
Accelerate your professional journey with mentorship, TechTalks, and personalized growth roadmaps
Competitive compensation
We match your ever-growing skills, talent, and contributions with competitive USD-based compensation and budgets for education, fitness, and team activities
A selection of exciting projects
Join projects with modern solutions development and top-tier clients that include Fortune 500 enterprises and leading product brands
Flextime
Tailor your schedule for an optimal work-life balance, by having the options of working from home and going to the office – whatever makes you the happiest and most productive.
Your AgileEngine journey starts here
2 min
Tell us about yourself
2 sec
Confirm requirements
30 - 60 min
Pass a short test
5 min
Record a short video
→ Introduce yourself on a video, instead of waiting for an interview
Live interview
Ace the technical interview with our team
→ Schedule a call yourself right away after your video is reviewed
Live interview
Final interview with your team
→ Get to know the team you will be working with
Get an offer
As quick as possible
