Senior Backend Engineer – Global Healthtech

### **Senior Backend Engineer – Healthtech (.NET / C#)** **Remote (South Africa) | Full-Time | Salary Package: R100,000 – R115,000 per monthIncludes: base salary, employer retirement contribution, monthly medical aid contribution** ### ****About the Company**** **Our client is a European healthtech startup building modern practice management software for healthcare professionals. They are building modern, intuitive practice management software that reduces administrative burden for medical professionals and enables deeper system-wide healthcare integration.** **If you’ve ever used outdated legacy medical software and thought “there must be a better way,” this is the team making it happen. Their mission: enable better healthcare experiences through thoughtful technology. They operate with strong values of ownership, excellence, integrity, and collaboration, and their lean, product-driven team focuses on building software used by healthcare professionals** ### ****The Role**** **We are looking for a **Senior Backend Engineer (.NET / C#)** to take a high-ownership role within a cross-functional product team.** **You will build the core services layer of a sophisticated cross-platform application, designing secure, scalable, and maintainable backend systems that directly support healthcare delivery. This role goes beyond coding, it requires **architectural input, mentoring teammates, and shaping the long-term technical direction** of the platform.** ### ****What You’ll Be Responsible For**** * **Designing and building APIs for frontend applications and external integrations** * **Managing complex, structured, and sensitive healthcare data** * **Contributing to architectural decisions grounded in **Domain-Driven Design (DDD)** and **SOLID principles**** * **Collaborating daily with Product Owners, UX/UI Designers, QA, and DevOps** * **Refining requirements, planning user stories, and estimating delivery** * **Conducting code reviews and mentoring team members** * **Continuously improving code quality, architecture, and engineering processes** ### **Requirements** ### ****Required Experience and Skills**** * **8+ years of backend engineering experience** * **Expert-level proficiency in **C# and .NET Core**** * **Strong experience with **ASP.NET** and **Entity Framework Core**** * **Solid experience with relational databases (**PostgreSQL preferred**)** * **Strong Git experience in collaborative environments (branching, merge requests, conflict resolution)** * **Experience in cross-functional Agile (Scrum) teams** * **Comfortable with pair programming and code reviews** * **Strong written and verbal English communication skills** ### ****Nice to Have**** * **Experience in regulated industries (healthcare strongly preferred)** * ### **Familiarity with DDD and CQRS** * ### **API-first and RESTful design experience** * ### **Automated testing experience (TDD/BDD)** * **Knowledge of **FHIR** and **HL7** standards** * ### **Strong PostgreSQL expertise** * ### **GitLab CI/CD experience** * ### **Docker experience** * **General understanding of frontend fundamentals** ### ****Who This Role Is For**** * **Self-starters who can operate independently and own mission-critical systems** * **Engineers who thrive in lean, high-accountability environments** * **Individuals who care deeply about **code quality and product impact**** ### ****Tech Stack**** **C#, .NET Core, ASP.NET, EF Core, PostgreSQL, Git, GitLab, Docker, Visual Studio / Rider** ### ****About [Project Y](https://himalayas.app/companies/project-y)**** **This role is recruited by [Project Y](https://himalayas.app/companies/project-y), a recruitment agency connecting South African tech talent with global opportunities. Applications will be managed through [Project Y](https://himalayas.app/companies/project-y).** ### **Highlights** **Senior Backend Engineer (.NET/C#) | Remote South Africa | R100k–R115k | Build high-impact healthcare software in a fast-growing, mission-driven startup.** Originally posted on [Himalayas](https://himalayas.app)