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 & 

• Act as the HOS’s first user advocate, capturing feedback and identifying gaps in usability, workflow integration, and performance. This will involve going into the field to understand users across the spectrum; from Community Health Workers to Ministers of Health. 
• Lead user training and change management efforts—ensuring frontline health workers and supervisors can effectively adopt and use digital tools. 
• Actively troubleshoot and triage issues, working closely with the central product and engineering teams to prioritize fixes and feature improvements. 
• Collaborate cross-functionally to support data quality improvement, ensure consistent reporting, and enable value-based decision-making at all levels of the health system. 
• Contribute to product documentation, internal playbooks, and user-facing materials to ensure knowledge is codified and shared. 
• Support value use case development by linking product features with impact metrics, surfacing what’s working and where the next opportunity lies. This will require being able to quickly identify value delivery opportunities and execute on them independently and in collaboration with the rest of the team. 

REQUIREMENTS

•  5+ years of experience in health IT, EMR systems, or digital health delivery—ideally in low-resource settings. 

• Strong experience in product or implementation roles where you've supported tool deployment, end-user onboarding, or process rollout. 
• Familiarity with platforms such as DHIS2, OpenMRS, CommCare, or similar. ● Demonstrated ability to synthesize user feedback into actionable product insights. 
• Clear, empathetic facilitation and training skills—you can turn confusion into confidence. 
• Ability to work comfortably in rural or under-resourced environments and maintain tight feedback loops with distributed teams. 
• Must be based in Guinea Bissau.

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.