projecty~25d ago

Senior Backend Engineer – Global Healthtech (.NET / C#)

South Africa·Cape TownRemotesenior

OtherSenior Backend Engineer

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Quick Summary

Overview

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

Key Responsibilities

We are looking for a Senior Backend Engineer (.NET / C#) to take a high-ownership role within a cross-functional product team.

Requirements Summary

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…

Technical Tools

csharpdockergitlab-cipostgresqlagileci-cdcode-reviewhealthtechmentoringpair-programmingtdd

Responsibilities

~1 min read

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Collaborating daily with Product Owners, UX/UI Designers, QA, and DevOps

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Refining requirements, planning user stories, and estimating delivery

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Conducting code reviews and mentoring team members

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Continuously improving code quality, architecture, and engineering processes

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

~1 min read

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

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

C#, .NET Core, ASP.NET, EF Core, PostgreSQL, Git, GitLab, Docker, Visual Studio / Rider

This role is recruited by Project Y, a recruitment agency connecting South African tech talent with global opportunities. Applications will be managed through Project Y.