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🌐 Remote💼 Full-time🗓 2026-06-25

Core

Design, build, and scale core backend services for a telemedicine and clinical digitization platform serving hospitals, doctors, and patients in Africa.

Role type

Backend Engineer (Volunteer)

Builds

Scalable backend services and APIs for a production-ready telemedicine platform

Domain

Healthcare technology / Telemedicine / Emerging markets (Africa)

Deliverable

production ML models | product features | infrastructure

Required skills

Node.js, TypeScript, SQL/NoSQL databases, microservices architecture, authentication systems (JWT, RBAC, OAuth), API design, system reliability optimization

Preferred skills

AWS/GCP/Azure, healthcare systems (EHR, clinical workflows), realtime communication (WebRTC, WebSockets)

Technologies

Node.js, Fastify, Express, TypeScript, SQL, NoSQL, JWT, RBAC, OAuth, WebRTC, WebSockets, AWS, GCP, Azure

Responsibilities

Design and build backend services and APIs, improve system reliability and security, integrate with external services (payments, messaging), optimize data models for clinical environments, support hospital onboarding, collaborate with mobile/frontend teams

Seniority

Mid-level, hands-on IC

Rewrite
## About the role We're looking for a talented Backend Engineer (Volunteer) to help design, build, and scale our core backend services. You'll work closely with the founding team and mobile/web engineers to evolve our product from MVP to a production-ready platform serving hospitals, doctors, and patients. ## What You'll Do - Design and build backend services and APIs - Improve system reliability, performance, and security - Integrate with external services (payments, messaging, medical services) - Optimize data models and workflows for clinical environments - Support the onboarding of hospitals, clinics, and specialists - Collaborate with mobile/frontend teams to ship product quickly ## What We're Looking For - 2+ years experience in backend development - Strong skills in Node.js / Fastify / Express / TypeScript (preferred) - Experience with SQL or NoSQL databases - Familiarity with microservices and architectural patterns - Understanding of auth systems (JWT, RBAC, OAuth) - Comfortable owning features end-to-end - Excited about healthcare and emerging markets ## Nice to Have - Experience with AWS / GCP / Azure - Healthcare systems experience (EHR, clinical workflows) - Realtime communication experience (WebRTC, WebSockets) ## Why Join - Build a product that improves access to healthcare for millions - Collaborate with mission-driven founders - Gain startup experience in a high-impact space - Flexible remote work - High potential for future paid/full-time role + equity opportunities ## About the company BawaHealth is building an integrated telemedicine + clinical digitization platform that brings fast, affordable care to patients across Africa. We are digitizing the healthcare workflow, from booking to teleconsultation to EHR to payments, starting in Ghana. We recently completed an MVP pilot with a partner hospital and are now building a scalable V2. If you're passionate about using technology to transform healthcare and improve lives, we'd love to hear from you.
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