Senior Backend Engineer - Global Healthtech .NET C

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If you’ve ever used outdated legacy medical software and thought “there must be a better way,” this is the team making it happen.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)<