Company

Building the connectivity layer for healthcare in Africa.

Pierflow is health data exchange infrastructure. We connect the systems, organisations, and data that healthcare in Africa depends on — starting where the friction is highest, building toward a continent where health data flows the way it should.

Pierflow is not a health insurance company. We are the data exchange and connectivity infrastructure for healthcare in Africa — the layer that makes health data, financial flows, clinical records, and coverage move seamlessly between every player in the ecosystem.

We built Pierflow AI-native from the start — not because AI is fashionable, but because health data is too complex and too variable for static rules to handle at scale. The intelligence layer is not something we added. It is how the platform was designed.

We started with insurance distribution because it is the most acute, most visible, and most immediately solvable connectivity gap. Every HMO has products. Every fintech, HR platform, bank, and cooperative has users who need them — and the infrastructure between them doesn't exist. We are building it, then expanding the same connectivity layer into clinical records, payments, referrals, and provider exchange.

And we are building it here, for here — by a team that understands what it means to navigate healthcare in Nigeria, with the global ambition to make every lesson learned here work across the continent.

Manifesto

What we believe.

  1. 01

    Health data is not the property of any system, any insurer, or any government. It belongs to the person it describes.

  2. 02

    Infrastructure is neutral. Pierflow does not take sides in the healthcare ecosystem. We make every player more capable.

  3. 03

    AI in healthcare should work invisibly — improving decisions, catching errors, and surfacing insight — without ever replacing the human judgment that health demands.

  4. 04

    Africa should not have to wait for the rest of the world to build this. We are building it here, for here, first.

  5. 05

    If a child in Maiduguri receives worse healthcare than a child in Lagos because her records cannot travel, we have not done our job.

Values

How we work.

Data sovereignty

Members own their health data. Every transaction respects that, by design.

Infrastructure neutrality

We do not compete with the participants in the ecosystem. We make them stronger.

Built for Africa

Built here, by people who understand the constraints, ambitions, and realities of African healthcare.

Radical transparency

Every AI decision is logged and explainable. Every change is visible. No black boxes.

Infrastructure thinking

We optimise for durability, correctness, and reliability — not novelty.

Urgency with care

Health systems demand speed and discipline at the same time. We do both.

Story

The shortest path to a connected continent.

  • 2024

    Pierflow founded in Lagos to build the connectivity layer for health in Africa.

  • 2025

    First HMOs onboarded. AI-native data exchange in production.

  • 2026

    Public API access opens. Seven HMOs connected. Fintechs and HR platforms embedded.

  • Next

    Cross-border health data exchange and pan-African expansion.

Careers

Build the layer that moves health in Africa.

Full-time · Lagos / Remote

Founding backend engineer

Own the canonical data layer and the FHIR R4 mappings powering every HMO connection.

Full-time · Lagos / Remote

Applied ML engineer

Build the scoring layer: fraud, lapse, identity, value. Production-grade, auditable AI.

Full-time · Lagos

Partnerships, HMO ecosystem

Bring every HMO in Nigeria onto the network. Then take it across the continent.

Build with us.

Connect your product to the health data layer. Talk to the team or request API access.