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 â Coding Challenge â Video Interview â 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.
