.NET Software Architect

About the role

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.

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.