Technical Architect

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.