Staff Software Engineer, Reporting Integrations

Rad AI•,

3d•$175,000 - $230,000

About The Position

Rad AI is a healthcare AI company on a mission to transform healthcare. Our AI-driven solutions are revolutionizing radiology by saving time, reducing burnout, and improving patient care. We have secured over $140M in funding and our AI is used by thousands of radiologists daily, supporting over one-third of radiology groups and healthcare systems in the U.S. We are recognized as one of the most promising healthcare AI companies and ranked by Deloitte as the 19th fastest-growing company in North America. We are building AI-powered solutions that make a real impact. This role owns the integrations between radiologists' various applications, including PACS, worklists, and our reporting platform. You will build and standardize real-time context synchronization and data exchange to make Rad AI's reporting platform feel native within any radiology environment. As a Staff Software Engineer for Reporting Integrations, you will set the technical direction for the platform these integrations are built on, enabling us to support new partners and systems efficiently. Getting integrations right is crucial for customer go-lives, often determining whether they occur in weeks or months.

Requirements

Backend leaning full stack engineer passionate about integrations in healthcare.
Expertise in part of the stack (TypeScript, Node, React, Electron), with interest in picking up the gaps.
Experience building and operating production services in a cloud environment.
Practical hands-on experience with healthcare context-sharing and data-exchange technologies like FHIRcast, SMART on FHIR, FHIR, or equivalent standards and protocols.
A track record of shipping and supporting production integrations with third-party clinical systems.
Experience thinking at the platform level by building integrations as reusable, extensible frameworks.
Strong communication skills, capable of running technical calls with customers, vendors, or partners, diagnosing problems, and proposing standardized solutions.

Nice To Haves

Direct radiology experience.
Hands-on experience integrating with PACS, radiology worklists, or Epic.
Familiarity with HL7 or DICOM.
Familiarity navigating legacy desktop integration mechanisms used by older clinical systems.
Participation in IHE Connectathons, or experience implementing IHE profiles such as IRA (Integrated Reporting Applications), SWF (Scheduled Workflow).

Responsibilities

Design, build, and own real-time context synchronization integrations, primarily FHIRcast for context sharing, alongside file-based (XML/JSON drop) integrations with PACS, worklists, and EHRs.
Help architect a flexible, evolvable integration platform where new integrations are composed from reusable building blocks rather than rebuilt from scratch.
Work with Product to shape possibilities with third-party systems, bringing an integrations-first engineering perspective early in the development process.
Extend the platform into new categories of integration partners beyond the traditional reporting workflow, such as non-clinical analytics tools, CDI tools, and clinical AI tools.
Collaborate with internal teams, customers, external vendors, and integration partners to align on integration functionality and direction.
Partner directly with customers and vendors to map clinical workflows and edge cases, and manage integrations through go-lives and escalations.
Coordinate connectivity for cloud-delivered integrations by working with hospital IT, security, and identity teams on firewall access, certificate handling, and SSO.
Drive standardization by turning one-off, customer-specific integrations into reusable connectors.
Own reliability and observability for integrations, including building logging, tracing, and staging/E2E testing.
Debug and resolve integration issues end-to-end, often across systems not directly controlled, using logs, traces, and a strong understanding of system interactions.
Mentor other engineers and document knowledge about vendor quirks and workflow scenarios to raise the bar for the team.