This role was posted on April 16, 2026. Please note that we will review applications on a rolling basis.

The Role

At Last Mile Health (LMH), we make bold commitments that inspire innovation. Do you enjoy building applications using data and AI to solve real-world health challenges? If so, you may be our next Senior Engineer, AI & Digital Health.

Last Mile Health is expanding digital health systems across Ethiopia, Liberia, Malawi, Sierra Leone, and through Africa CDC partnerships. The Senior Engineer, AI & Digital Health will design and build AI-enabled systems that integrate health data platforms to improve how data is captured, processed, and used across health programs and support AI powered features for LMH’s programs. This role focuses on end-to-end AI and data application development, from user-facing interfaces to backend APIs, data integrations, and model deployment. The engineer will work across both frontend and backend tasks within a small, fast-paced development team serving multi-country and cross-cultural contexts.

This is a hands-on engineering role, a good match for someone who can work closely with end users to build scalable solutions in low-resource, multi-country environments. The ideal candidate is motivated to bring modern AI solutions into the hands of frontline workers and has experience integrating third-party APIs, deploying AI/LLM-powered features, and designing systems that are both technically robust and contextually appropriate and capable of reducing manual effort and operational burden. This role requires a strong commitment to reducing reporting burdens, improving data visibility, and strengthening the delivery of primary healthcare in underserved communities. Examples of problem areas this role may undertake  include: reducing reporting burden through automation and intelligent data processing; improving supply chain visibility and forecasting through integrated data systems; strengthening disease surveillance through faster data aggregation and anomaly detection; or enabling more efficient data access and analysis for program and government teams. 

This is a 24-month fixed-term contract with potential for renewal.

This role is based in Nairobi and is open to Kenyan nationals. The position will start as fully remote with a potential shift toward a hybrid or co-working environment in the future.

What you’ll do

Application Development & Systems Integration

  • Develop user interfaces for Community Health Workers (CHWs), program managers, and other end users using  React, HTML, and related frontend frameworks, with an eye toward usability in low-literacy and low-bandwidth contexts.
  • Develop secure backend APIs and services for data ingestion, processing, and exchange
  • Integrate data from DHIS2, Kobo, ODK, CommCare, and IoT/sensor devices
  • Optimize data workflows for speed, cost, and reliability in AWS/GCP/Azure
  • Develop mobile software apps on Android or iOS

Data Management & Analytics

  • Prepare high-quality datasets, (feature engineering, labeling,  metadata management) to enable reliable AI-driven workflows and automation
  • Perform complex data retrieval, transformation, and validation using SQL and scripting languages
  • Develop and manage BI dashboards (PowerBI, Looker Studio, Superset)
  • Ensure data quality and validation across integrated health systems

Applied AI & Data Solutions

  • Build and manage applied AI and data solutions for quick insights
  • Prototype and iterate on AI use cases; develop intelligent alerts, data summarization features
  • Integrate AI/LLM APIs (e.g., OpenAI, Anthropic, or similar) into LMH applications.
  • Build and maintain AI-powered chatbots for querying and summarizing LMH program data

Technical Support & Capacity Building

  • Work closely with programmatic teams within and outside LMH to ensure the right problems are being approached in the right way
  • Work with and build capacity in LMH and MoH staff on developing various tools incorporating data security, APIs, and integration
  • Support deployment of AI-enabled applications and services
  • Support DevOps workflows including Git, CI/CD, microservices, and serverless infrastructure.
  • Troubleshoot platform failures and data flow interruptions
  • Manage and optimize cloud server infrastructure for performance, cost effectiveness and uptime
  • Perform routine health checks on cloud services to ensure minimal failures/downtime

What You'll Bring

  • Bachelor’s in Software Engineering, Computer Science, Informatics, or related field, or equivalent experience. 
  • Demonstrated and deep experience in software engineering or backend development.
  • Proficiency in Python and one modern frontend framework (React, Vue, or Angular).
  • Strong SQL proficiency and experience with relational databases .
  • Version control proficiency (Git) and CI/CD familiarity.
  • Demonstrated experience integrating or deploying AI/ML models into production applications.
  • Experience with cloud environments (AWS or GCP), serverless architecture and deploying web applications.
  • Experience with ETL, orchestration tools, APIs, event-driven systems.
  • Experience integrating AI/LLM APIs (OpenAI, Anthropic, or similar).

You’ll Impress Us If

  • You have significant prior experience in resource-constrained or low-bandwidth environments.
  • You have hands-on experience with BI tools (PowerBI, Looker, Tableau).
  • You have certification in AWS/GCP/Azure.
  • You have an understanding of healthcare interoperability (FHIR, HL7).

Compensation Information

At Last Mile Health, we strive to reward our employees equitably and transparently. This means that we pay our employees based on a clear and consistent methodology and without regard to their identity or personal relationships. We have made this model fully transparent so that everyone has access to all information related to compensation. We hope this helps you better understand Last Mile Health’s values and commitments to our employees. We look forward to answering any questions you may have during the hiring process.

Before applying to this role, please take a moment to learn more about our approach to compensation and how compensation works in each of the countries where we operate. Please find the link to our compensation model below:

OVERVIEW OF LAST MILE HEALTH’S COMPENSATION MODEL

Compensation for this position: 

The Band for this position: KNY-3

The base salary range for this position is  KES 6,458,797.25 - KES  7,750,556.70 per annum (payable in Kenyan Shillings), depending on experience doing an equivalent role. Please note that this compensation is subject to statutory taxes. 

As we expand into the Kenyan market, we are in the process of  developing our full country compensation overview.  Last Mile Health offers a generous benefits package to all employees, including comprehensive medical insurance, life insurance, paid time off, retirement, and a host of supplemental benefits. Please refer to page 21 in our compensation model overview to learn more about our offerings. These benefits vary across geography according to market expectations and local labor laws and our team is happy to discuss any questions you may have throughout the hiring process.

About Last Mile Health

Last Mile Health partners with governments to design, scale, strengthen, and sustain high-quality community health systems, which empower teams of community and frontline health workers to bring life-saving primary healthcare to the world’s most remote communities. LMH is a registered 501(c)3 non-profit organization. For more information, visitwww.lastmilehealth.org.

We are an equal-opportunity employer and value diversity at LMH. We do not discriminate on the basis of race, religion, colour, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.


 
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