All active Engineering Manager roles based in Bissau.
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ABOUT SAND
Sand Technologies is a global Physical AI company using data and AI to make critical industries work better. We partner with governments, cities and enterprises to improve how essential systems operate across healthcare, water, energy, telecommunications and infrastructure.
Our work delivers proven real-world impact. We have built AI systems that help manage London’s water supply, supported telecom network planning across hundreds of cities, and developed digital healthcare platforms serving tens of millions of people across Africa. From intelligent command centers to AI-powered infrastructure platforms, we help organizations sense, analyze and act in complex environments.
Our people are ambitious, curious and relentlessly practical. Our teams work alongside clients in the field, solving hard problems and deploying solutions that last. With colleagues across Africa, Europe, the UK and the US, we operate across the full stack - from research and engineering to deployment and capability building.
Our mission is simple: to harness AI to solve humanity’s most pressing challenges.
ABOUT THE ROLE
Sand is expanding across Africa and beyond, partnering with governments and public sector officials to deliver transformative AI and data solutions. We have deployed our flagship platform - the Health Operating System (HOS) - in more than 5 countries already.
In Rwanda, hundreds of clinics have already been digitized, transforming rural facilities into next-generation health centers that are redefining care in Africa. Sand’s groundbreaking HOS integrates data and services to drive better outcomes - from maternal health to chronic disease management - already reaching more than 1 million patients. Designed for digital empowerment, the HOS equips thousands of frontline health workers with the tools and support they need to magnify their impact and strengthen community health.
The HOS is already operational across multiple countries, with plans to expand to 16 countries by the end of 2026, led by our Country Directors.
This is not an idea — it’s already happening, and the momentum is accelerating. But healthcare is only one example; Sand is growing in various industries, namely water, energy, and telecommunications.
As a Solution Manager you will work closely with the Ministry of Health (MoH) and our health system clients. You will be the strategic and operational anchor for all in-country activities—from managing the intelligence center launch to driving partnerships with Ministries of Health. You’ll wear two hats: country representative and solutions champion.
Our ideal candidate for this role is customer-obsessed, deeply curious, and adaptable in a dynamic environment. We’re looking for someone who will help define and scale our healthcare solutions as we continue to grow and expand.
RESPONSIBILITIES
Own & drive the product backlog, and manage the configuration, testing, and rollout of products and solutions at rural health Facilities and Intelligence Centers &
REQUIREMENTS
5+ years of experience in health IT, EMR systems, or digital health delivery—ideally in low-resource settings.
Work Environment
This is a hybrid role with significant in-person requirements. While some responsibilities can be performed remotely, the role demands regular presence on the ground to build relationships, oversee implementation, and liaise with local stakeholders. At the same time, given the high degree of virtual collaboration with colleagues and partners across multiple geographies, the successful candidate must be highly self-driven, comfortable working in small in-person teams while contributing to larger efforts virtually, and disciplined in using online collaboration tools and video conferencing to maintain constant communication.
Ready to apply?
Apply to Sand Tech Holdings LimitedSand Technologies is a global Physical AI company using data and AI to make critical industries work better. We partner with governments, cities and enterprises to improve how essential systems operate across healthcare, water, energy, telecommunications and infrastructure.
Our work delivers proven real-world impact. We have built AI systems that help manage London’s water supply, supported telecom network planning across hundreds of cities, and developed digital healthcare platforms serving tens of millions of people across Africa. From intelligent command centers to AI-powered infrastructure platforms, we help organizations sense, analyze and act in complex environments.
Our people are ambitious, curious and relentlessly practical. Our teams work alongside clients in the field, solving hard problems and deploying solutions that last. With colleagues across Africa, Europe, the UK and the US, we operate across the full stack - from research and engineering to deployment and capability building.
Our mission is simple: to harness AI to solve humanity’s most pressing challenges.
Sand is scaling rapidly across Africa, partnering with Ministries of Health to deploy the Health Operating System (HOS) — a decision-support and execution platform that transforms how health systems sense, analyze, and act on data. The HOS is already operational across multiple countries, with plans to expand to 15 countries by end of 2026, supported by 80+ Forward Deployed Engineers.
As a Forward Deployed Engineer (FDE), you are the technical spearhead of our client engagement in Guinea-Bissau. Unlike our roaming FDE roles, this is a permanently embedded position. You will be based full-time within the Ministry of Health in Guinea-Bissau, becoming a long-term extension of the client's operational team. Your mandate is to build deep institutional relationships, develop comprehensive understanding of the national health system, and deliver sustained value over an extended engagement — not just rapid sprints, but lasting transformation.
This is not staff augmentation. You are an amalgamation of three roles:
Your primary mission is to prove our value fast, delivering functional solutions rapidly using Sand's products, playbooks, and tools, and then maturing those solutions into mission-critical infrastructure that the Ministry depends on daily. Over time, you become the institutional memory of the deployment — the person who understands the data landscape, the stakeholder dynamics, and the operational realities better than anyone.
The Forward Deployed Engineer is a highly ambitious individual. You are someone who is deeply keen on learning — someone who dives in headfirst to solve some of the hardest, most complex problems in global health. You thrive on understanding the technology, understanding the stakeholders, understanding our product suite, and weaving all three together to deliver solutions that change how health systems operate.
This role is not for someone looking for comfort or routine. It is for someone who wants to step outside of their comfort zone, build something they can be proud of, and grow faster than they thought possible. The FDE programme is a career accelerator — an intensive rotation that exposes you to technical depth, strategic thinking, and client leadership in equal measure, all while working on problems that matter for millions of people.
For this permanently embedded role, you also need the maturity and resilience to sustain deep client relationships over months and years — not just weeks. You will become the face of Sand in Malawi, and that requires patience, cultural fluency, and the ability to navigate institutional complexity while maintaining momentum.
This is a permanently embedded role. You will work on-site at the Ministry of Health in Guinea-Bissau 4 days per week, with 1 day for focused remote work, internal collaboration, and knowledge sharing with the broader FDE community. You should expect to be based in Guinea-Bissau for a minimum of 12-24 months.
You must be self-driven, comfortable operating as Sand's primary technical representative in-country, and disciplined with online collaboration tools to stay connected with the broader Sand team across geographies. Cultural sensitivity, adaptability, and genuine interest in the local context are essential — you are not passing through, you are putting down roots.
Ready to apply?
Apply to Sand Tech Holdings LimitedCookies & analytics
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