What you will do
- Own architecture and technical direction for a large-scale healthcare platform across Africa;
- Lead modernization and redesign of backend systems using C#, .NET, Azure, SQL Server/PostgreSQL, and distributed architectures;
- Drive HL7/FHIR integrations with national health systems, labs, and third-party platforms;
- Set coding standards, guide performance optimization, and mentor engineers through reviews and day-to-day leadership;
- Collaborate with CTO, product, clinical, data, and DevOps teams on roadmap and technology decisions;
- Build offline-first workflows and sync solutions for low-connectivity environments;
- Improve platform reliability, scalability, and security as the business expands across multiple countries;
- Resolve incidents and technical issues in mission-critical systems requiring rapid response;
- Evaluate and introduce new technologies, architectural patterns, and AI/data capabilities as appropriate;
- Contribute hands-on to complex design and implementation work when needed.
Must haves
- 8+ years software engineering experience;
- 3+ years Technical Lead / Architect experience;
- C#;
- .NET Framework;
- .NET Core / .NET 6+;
- SQL Server and/or PostgreSQL;
- REST APIs;
- Distributed systems;
- Azure;
- EMR / EHR experience;
- HL7 and/or FHIR;
- Healthcare interoperability;
- Architecture ownership;
- Mentoring engineers;
- Code reviews;
- Technical roadmap participation;
- Strong stakeholder communication;
- Upper-intermediate English level.
Nice to haves
- OpenMRS;
- National healthcare integrations;
- Offline-first systems;
- Docker/Kubernetes;
- Data platforms / analytics;
- AI in healthcare;
- Public health systems;
- Africa healthcare programs;
- Knowledge of DevSecOps and CI/CD pipelines;
- Experience supporting large-scale distributed healthcare deployments.
We are looking for a Technical Architect / Solutions Architect to lead modernization of a large-scale healthcare platform supporting primary care programs across Africa. You will design and evolve distributed backend systems built in C#/.NET on Azure with SQL Server/PostgreSQL. The role focuses on HL7/FHIR interoperability, offline-first workflows, and scalable, secure architecture.
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
