Technical Lead / Solution Architect (Healthcare Platform) ID68730

Posted 2026-06-26
Remote, USA Full-time Immediate Start

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.

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