Software Developer, Medical Imaging, PACS

Aspire Software

. Design, build, and maintain features across the Keystone PACS platform .

Posted 9/30/2026full-timeRemote • United StatesMid-LevelSenior💰 $115,000 - $150,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in designing and maintaining features for the Keystone PACS platform, with a strong focus on DICOM data, medical imaging, and cloud technologies. Proficient in modern object-oriented programming, relational databases, and healthcare integrations, ensuring high availability and performance in solutions.

Highest-signal resume keywords

DICOM StandardC# / .NET or C++Relational DatabasesAWS or AzureMedical Imaging

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Software DevelopmentObject-Oriented ProgrammingSQLNetworking3D Rendering

Soft Skills

Problem-SolvingIndependent Work

Tools & Technologies

PACSImage StorageCloud Platforms

Industry Keywords

Healthcare IntegrationsHL7Imaging Workflows

Tech Stack

Tools & technologies

AWSAzureCloudSQLC++.NET

About the role

Key responsibilities & impact

Design, build, and maintain features across the Keystone PACS platform
Work with DICOM data and imaging workflows, including storage, transfer, viewing, and reporting
Build and support integrations with imaging modalities and practice management systems
Design services with a strong focus on high availability, scalability, performance, and observability
Take end-to-end ownership of the quality, testing, and production readiness of what you build
Write clean, well-documented code and take part in code and design reviews
Build prototypes and proofs of concept to evaluate new technologies
Work with the Support team to identify and fix performance, scalability, and production issues
Collaborate with Product and Support to translate client needs into solutions

Requirements

What you’ll need

3+ years of professional software development experience
Hands-on experience with medical imaging, PACS, and the DICOM standard
Strong skills in a modern object-oriented language, such as C# / .NET or C++
Experience with relational databases and SQL
Solid understanding of networking and client/server architecture
Strong problem-solving skills and the ability to work independently in a remote team
Experience with HL7 or healthcare integrations
Experience with cloud platforms such as AWS or Azure, and image storage at scale
Experience with 3D rendering or advanced image viewers

Benefits

Comp & perks

Competitive base salary
Comprehensive benefits: medical, dental, and vision, plus basic life, AD&D, short- and long-term disability, and voluntary life coverage
401(k) program
Unlimited paid time off
Fully remote, work-from-home role
The chance to make a real impact on a growing team in a specialized, mission-driven industry