The Role
Lead architecture and technical direction for a large-scale healthcare platform. Modernize backend systems using C#/.NET and Azure, implement HL7/FHIR interoperability with EMRs and national systems, mentor engineers, drive reliability and offline-first solutions for low-connectivity environments, and contribute hands-on to complex implementations with occasional travel to Africa.
Summary Generated by Built In
AgileEngine is an Inc. 5000 company that creates award-winning software for Fortune 500 brands and trailblazing startups across 17+ industries. We rank among the leaders in areas like application development and AI/ML, and our people-first culture has earned us multiple Best Place to Work awards.
WHY JOIN US
If you're looking for a place to grow, make an impact, and work with people who care, we'd love to meet you!
ABOUT THE ROLE
We are looking for a Senior Backend Engineer to own the technical direction and architecture 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 and national health systems, and mentor engineers through architecture and code reviews. The role includes hands-on contribution to complex implementation work and occasional travel to Africa.
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 the CTO, 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;
- This role may require occasional travel to Africa based on business and project requirements.
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.
PERKS AND BENEFITS
- Professional growth: Mentorship, TechTalks, and personalized growth roadmaps.
- Competitive compensation: USD-based pay with education, fitness, and team activity budgets.
- Exciting projects: Modern solutions with Fortune 500 and top product companies.
- Flextime: Flexible schedule with remote and office options.
Meet Our Recruitment Process
Application → Coding Challenge → Video Interview → Technical Interview or Hiring Manager Interview
Each step helps us understand your skills and overall fit.
If it’s a match, you’ll receive an offer.
Skills Required
- 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 experience
- Architecture ownership
- Mentoring engineers
- Code reviews
- Participation in technical roadmap
- Strong stakeholder communication
- Upper-intermediate English level
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The Company
What We Do
AgileEngine is a privately held company established in 2010 that builds dedicated teams of designers and developers. We turn good ideas into awesome software that people actually want to use. Some of the biggest names and the hottest startups around the world chose us to build their tech.
