Technical Architect

ID68730 Aperture Cloud 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 Senior Backend Engineer to own the technical direction and architecture 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 and national health systems, and mentor engineers through architecture and code reviews. The role includes hands-on contribution to complex implementation work and occasional travel to Africa. 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 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 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 of DevSecOps and CI/CD pipelines; Experience supporting large-scale distributed healthcare deployments. The benefits of joining us Professional growth Accelerate your professional journey with mentorship, TechTalks, and personalized growth roadmaps Competitive compensation We match your ever-growing skills, talent, and contributions with competitive USD-based compensation and budgets for education, fitness, and team activities A selection of exciting projects Join projects with modern solutions development and top-tier clients that include Fortune 500 enterprises and leading product brands Flextime Tailor your schedule for an optimal work-life balance, by having the options of working from home and going to the office – whatever makes you the happiest and most productive. Meet Our Recruitment Process Asynchronous stage – An automated, self-paced track that helps us move faster and give you quicker feedback: Short online form to confirm basic requirements 30–60 minute skills assessment via Codility – a platform founded in Poland that helps us provide quicker feedback and streamline this stage of the process. 5-minute introduction video Synchronous stage – Live interviews Technical interview with our engineering team (scheduled at your convenience) Final interview with your future teammates If it’s a match — you’ll get an offer!