(Apr 2025 - Present)
Engineering Manager
TachyHealth
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Ahmed Shaltoot
Engineering Manager
I lead engineering, DevOps and AI teams building healthcare platforms that process claims at national scale — distributed systems in .NET and Python, PostgreSQL under real load, and large language models in clinical workflows.
publicclassAhmed: IEngineeringManager{publicstring[]Stack=> [".NET", "Python", "PostgreSQL","Kubernetes", "LLMs"];publicstringFocus=>"Healthcare at scale";publicintCoffeePerDay=> 4;// minimumpublicasyncTask<Impact>BuildAsync(){while(true){awaitShip();awaitLearn();awaitMentor();awaitScale();}}}About
I'm Ahmed — 10+ years in software, the last 8 of them in healthcare technology. I lead the engineering, DevOps, and AI teams at TachyHealth in Riyadh, behind a multi-tenant claims platform serving payers and providers across Saudi Arabia, the UAE, and the US.
I've worked on EMRs, insurance platforms, claims processing, pharmacy systems, and everything in between. Went from writing CRUD apps to architecting a real-time claims and pre-authorization engine that handles 120M+ claims a month.
Three promotions in five years took me from senior engineer to lead to engineering manager, and I now run a 20+ person organisation across three cloud providers in regulated environments.
I still write code most days — I don't think you can lead engineers well if you stop building things yourself.
Core Expertise
Engineering Leadership
Leading 20+ across Eng, DevOps & AI
Technical Roadmaps & Architecture
Hiring & Mentoring Engineering Leads
Healthcare Platforms
EMR/HIS, RCM & Claims Adjudication
NPHIES (FHIR R4) & Payer Integrations
HIPAA & PDPL in Regulated Environments
Backend & Distributed Systems
.NET / ASP.NET Core & Python
Microservices & Event-Driven Design
gRPC, RabbitMQ & REST APIs
Data at Scale
PostgreSQL Performance Tuning
Zero-Downtime Migrations
Redis, Elasticsearch & MongoDB
Cloud & Delivery
Kubernetes & Progressive Delivery
Azure, Oracle Cloud, GCP & AWS
CI/CD, Argo CD & Argo Rollouts
Applied AI
LLMs in Clinical Workflows
Evaluation, Guardrails & Human-in-the-Loop
GPU Capacity Planning
Where I've Worked
(Jan 2022 - Mar 2025)
Lead Software Engineer
TachyHealth
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(Sep 2020 - Jan 2022)
Senior Software Engineer
TachyHealth
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(2021 - 2024)
Founder
Core System
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(2017 - 2020)
Freelance .NET Full-Stack Developer
Independent
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(2019 - 2020)
Full Stack .NET Developer
United Integrated Solution (UISCOM)
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(2018 - 2019)
.NET Developer
MolTaqa
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Skills
Things I've Built
Education
~/education
2018
Professional Diploma, Software Engineering
Information Technology Institute (ITI)
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2014 - 2017
B.Sc. Computer Software Engineering
Damietta University
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Blogs
0
609
Should You Let an Agent Modernize Your Legacy .NET?
4 Min Read
A checklist before pointing GitHub Copilot's modernization agent at a legacy codebase: test coverage as a prerequisite, review capacity as the real constraint, and what to keep humans in front of.
0
1327
Your CI Is Slow and the Logs Won't Tell You Why
4 Min Read
Pipeline duration is an observability problem, not a performance problem. Why CI runs deserve traces rather than transcripts, what usually turns up, and why flakiness costs more than slowness.
0
12
Putting an LLM in the Clinical Loop: ICD-10 Coding to Production
5 Min Read
Taking LLM-assisted ICD-10 coding from benchmarking to production — evaluation on real clinical data, guardrails, human-in-the-loop design, and honest notes on GPU capacity planning.
0
14
Testcontainers and Argo Rollouts: Progressive Delivery When a Bad Deploy Costs You
4 Min Read
Why integration tests against real PostgreSQL containers and metric-gated canary rollouts solve different halves of the same problem — and why you should adopt them in that order.
0
14
Twenty Engineers, Three Clouds: What Changed When I Stopped Writing Most of the Code
5 Min Read
Eighteen months into an engineering manager role: the leverage shift, hiring leads, why multi-cloud is an organisational problem, and the two metrics I actually watch.
0
510
Service Templates Are Governance, Not Scaffolding
4 Min Read
A service template is how an engineering org makes its standards the default instead of the aspiration — and why drift, not creation, is the problem that kills most of them.
Get in Touch
Contact me
If you have any questions or concerns, please don't hesitate to contact me. I am open to any work opportunities that align with my skills and interests.