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 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. 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. 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.