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# Backend Engineer

- **Company:** Agileengine
- **Location:** Spain
- **Contract:** Permanent contract
- **Skills:** .NET Framework, Artificial Intelligence, Architectural Patterns, Microsoft Azure, C Sharp (Programming Language), Code Review, DevOps, Distributed Systems, Interoperability, PostgreSQL, Microsoft SQL Server, Performance Tuning, Software Engineering, .NET Core, Fast Healthcare Interoperability Resources, Backend, Kubernetes, Data Analytics, Health Level Seven International, Data Management, Software Coding, Restful APIs, Docker
- **Published:** August 16, 2026
- **Apply:** https://es.trabajo.org/oferta-9000-ee7045fd44703abb116283c9b34877bb

## About the Role

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

## Description

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


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