Senior Software Engineer – PACS

Experity

. Design, develop, maintain, and modernize desktop and web applications used in medical imaging workflows .

Posted 10/7/2026full-timeUnited StatesSenior💰 $107,750 - $120,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in C# and .NET development for desktop applications, along with strong experience in Java services, PostgreSQL, and modern web technologies like React. Proficient in AWS environments and committed to maintaining high standards in code quality, automated testing, and technical documentation.

Highest-signal resume keywords

C# DevelopmentPostgreSQL Database ManagementAWS Cloud ServicesReact Application DevelopmentAgile Methodologies

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

C#.NETPostgreSQLJavaSpring BootReactTypeScriptJavaScriptREST APIsAutomated Testing

Soft Skills

MentoringCommunicationCollaborationProblem-SolvingTechnical Leadership

Tools & Technologies

AWSDockerKubernetesCI/CDGitHub Copilot

Industry Keywords

Medical ImagingPACSDICOMHL7Healthcare Interoperability

Tech Stack

Tools & technologies

AWSCloudDistributed SystemsDockerHibernateJavaJavaScriptKubernetesPostgresReactSpringSpring BootSpringBootSQLTerraformTypeScriptWPF.NET

About the role

Key responsibilities & impact

Design, develop, maintain, and modernize desktop and web applications used in medical imaging workflows
Serve as a primary contributor to the C# desktop viewer while contributing across Java services, PostgreSQL, React applications, REST APIs, and AWS infrastructure
Deliver complete solutions from technical design through implementation, automated testing, release, production validation, and ongoing support
Write clean, secure, efficient, testable, and maintainable code
Partner with the Staff Engineer on architecture, modernization, technical standards, and complex design decisions
Diagnose and resolve complex issues across application code, APIs, logs, data, cloud services, configuration, and customer workflows
Improve observability, diagnostics, automated testing, documentation, and runbooks
Identify and address technical debt, recurring defects, performance concerns, and reliability risks
Use AI coding assistants responsibly for implementation, debugging, refactoring, testing, documentation, and legacy code analysis
Participate in code reviews, technical design discussions, mentoring, pairing, and knowledge sharing
Collaborate with Product, QA, DevOps, Support, and other stakeholders to clarify requirements and deliver technical solutions
Work within Agile and Scrum practices while maintaining accountability for quality, predictability, and continuous improvement
Leave the codebase, platform, documentation, and team practices better than before
Perform other duties as assigned

Requirements

What you’ll need

Bachelor's degree in Computer Science, Software Engineering, or related field, or equivalent combination of education and experience
Six or more years of professional software engineering experience
Strong hands-on experience developing and supporting production applications using C# and .NET
Experience building and maintaining Windows desktop applications
Experience with Java services, Spring Boot or comparable frameworks, and REST APIs
Experience developing modern web applications using TypeScript, JavaScript, React, or comparable frameworks
Strong SQL skills and practical experience with PostgreSQL, including data investigation, query analysis, indexing, and application performance troubleshooting
Hands-on experience in AWS-hosted environments, including cloud configuration, deployment, observability, security, and production diagnostics
Experience with distributed systems, object-oriented design, software design patterns, automated testing, and maintainable coding standards
Experience troubleshooting production systems across application code, logs, data, infrastructure, configuration, and integrations
Hands-on experience using AI coding assistants such as Claude Code, GitHub Copilot, OpenAI Codex, Kiro, Cline, or comparable tools
Mature judgment regarding the value, limitations, security, quality, and responsible use of AI-assisted software development
Experience with code reviews, source control, CI/CD pipelines, established release processes, and Agile or Scrum delivery
Ability to communicate technical risks, tradeoffs, and recommendations clearly to technical and non-technical stakeholders
Experience mentoring engineers and influencing technical decisions without relying on formal authority
Experience with several of the listed medical imaging, PACS, radiology, healthcare interoperability, DICOM, HL7, viewer technology, regulated software, reliability, performance, security, or operational discipline areas is strongly preferred
Experience with several of the listed C#, .NET, WPF, Windows Forms, Java, Spring Boot, Hibernate, JPA, TypeScript, JavaScript, React, PostgreSQL, REST APIs, AWS, Docker, ECS, Kubernetes, Terraform, CI/CD, observability, performance profiling, concurrency, memory management, secure development, or production support technologies is preferred
Ability to lead through technical credibility, remain hands-on, take ownership, raise risks, improve systems, mentor engineers, and strengthen team capability

Benefits

Comp & perks

Medical, Dental/Orthodontia, and Vision coverage starting first day of employment
Synthetic ownership eligibility after one year of employment, with real financial rewards when the company is successful
Employee Assistance Program including counseling, legal resolution, financial education, pet adoption assistance, and identity theft and fraud resolution
Flexible work scheduling
Generous paid time off (PTO), increasing with milestones
Career development and learning program
Team building events, including a family company picnic and holiday party
Quarterly bonuses
401(k) retirement plan with employer match
Opportunity to work remotely or in an office