Fullstack Engineer

Accuray

. Participate in requirements, design, development, integration, and testing of software systems used to create, store, optimize, and manage patient treatment plans .

Posted 11/9/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in developing and maintaining software for complex radiation therapy medical devices, with a strong focus on object-oriented programming, interoperability, and compliance within regulated environments. Proficient in implementing automated testing and collaborating across multidisciplinary teams to deliver high-quality patient treatment solutions.

Highest-signal resume keywords

Object-Oriented Programming (C#, Java, C++)Medical Device DevelopmentInteroperability (DICOM, HL7v2, FHIR)Automated Testing and CI/CDMulti-Threaded Software Development

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Object-Oriented Analysis and DesignDesign PatternsClient/Server ArchitecturePython ProgrammingHigh-Performance Computational SolutionsCoding Standards and Code ReviewsConfiguration Management (Perforce/Git)Test Coverage and Build/Test AutomationMathematics and Physics BackgroundSoftware Development Theory and Practice

Soft Skills

Strong Written and Verbal CommunicationTeam CollaborationProblem-SolvingTechnical Presentation Skills

Tools & Technologies

Simulators and ScaffoldingIntegration Testing ToolsDevelopment ToolchainsCI/CD Deployment Tools

Industry Keywords

Regulated IndustryClinical DomainPatient Treatment PlansRoot-Cause AnalysisSoftware Architecture

Tech Stack

Tools & technologies

JavaPythonC++

About the role

Key responsibilities & impact

Participate in requirements, design, development, integration, and testing of software systems used to create, store, optimize, and manage patient treatment plans
Develop and maintain software supporting the lifecycle of a complex radiation therapy medical device
Write high-quality, reliable code fulfilling product and subsystem requirements in a complex clinical domain
Implement automated unit and integration tests to validate functionality and reduce regressions
Troubleshoot, participate in root-cause analysis, and resolve issues in new or existing functionality
Influence software development and architecture for software creating, storing, optimizing, and delivering patient treatments
Drive design and implementation decisions and participate in complex-system design discussions
Present designs through written and oral reviews and document designs, decisions, and outcomes
Contribute to subsystem requirements and verification approaches for new features
Participate in high-performance computational solution decisions for responsive and accurate clinical results
Collaborate on technology choices to support performance, maintainability, and testability
Implement quality applications in a regulated industry while following strict development processes
Support continuous improvement through coding standards, code reviews, test coverage, and build/test automation
Collaborate across software, systems, test, product, clinical, and field disciplines to deliver integrated solutions
Share software development theory and practice, object-oriented design, and computer language knowledge with the team
Communicate technical status, risks, and decisions to appropriate audiences
Travel occasionally, less than 10%

Requirements

What you’ll need

BS in Computer Science, Computer Engineering, or an equivalent combination of education and experience
Proficiency in an object-oriented programming language such as C#, Java or C++
Experience with simulators and scaffolding for testing interoperability with third-party system specifications
Experience with object-oriented analysis and design, including correct use of design patterns and awareness of anti-patterns
Experience with client/server architecture
Strong written and verbal communication skills; able to present and defend designs in reviews
Must be able to work effectively in a team environment
Experience with interoperability concerns such as Semantic Modeling and data exchange protocols such as DICOM, HL7v2 and FHIR
Experience with medical device development or other regulated environments
Experience with Python or related languages
Strong mathematics and/or physics background
Experience developing software in multi-threaded/multi-core environments
Experience with modern software practices and toolchains, including configuration management such as Perforce/Git and CI/CD build, deployment, and test tooling
Must provide proof of permanent authorization to work in the country of application without sponsorship

Benefits

Comp & perks

Some travel (<10%) may be required
Inclusive and collaborative work environment
Equal employment opportunity regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status