Integration Engineer, Clinical Data Path
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Integration Engineer owning DICOM and HL7 clinical data pathways for a FDA-cleared radiology AI company. Building secure hospital ingestion, inference, result delivery, and observability systems.
Responsibilities:
- Own the clinical data path end to end, including how studies enter hospital systems and how results are delivered back
- Build and maintain on-premise DICOM ingest using a pynetdicom C-STORE service
- Assemble studies, handle senders that do not signal completion cleanly, apply backpressure, preserve compressed transfer syntaxes, and spool to disk during link failures
- Build cloud DICOMweb STOW-RS ingestion with streaming, bounded-memory multipart parsing
- Apply per-part study-UID checks and ensure one canonicalization and one inference firing per request
- Determine customer tenancy with no silent default
- Apply DICOM PS3.15 confidentiality rules and fail closed before data leaves the customer network
- Maintain an encrypted re-identification store under a customer-held key
- Implement outbound JSON callbacks, dictation-system autotext, and HL7 v2 ORU^R01 over MLLP
- Adapt integrations to each customer’s interface engine
- Provide per-study tracing and three-component integration health monitoring
- Check drift between expected and deployed configurations
- Bring both gateway repositories under continuous integration during the first week
- Participate in hospital IT and clinical security reviews
- Provide precise documentation and answers about transport, retention, incident handling, and system behavior
- Debug integration failures using packet captures, memory profiles, and protocol specifications
- Remain reachable during the customer’s clinical day and travel occasionally for on-premise installations
Requirements:
- Experience implementing protocols directly from their specifications
- Ability to operate software inside infrastructure without direct SSH access
- Ability to debug bare 502 errors using packet captures or memory profiles
- Ability to read and apply protocol specifications accurately
- Fail-closed approach when handling patient data
- Ability to write precise, trustworthy documentation for hospital IT reviewers
- Experience with Python, FastAPI, and pytest
- Experience with pynetdicom and pydicom
- Knowledge of DICOM PS3.15 and PS3.18
- Knowledge of DICOMweb STOW-RS
- Knowledge of HL7 v2 over MLLP
- Experience with AWS services including S3, SQS, Cognito, ECS/Fargate, WAF, ALB, CloudWatch, and Secrets Manager
- Experience with Terraform and Docker
- Ability to write shell scripts that run on locked-down hospital systems
- Willingness to join hospital IT and clinical security reviews
- Availability during customers’ clinical day
- Ability to travel occasionally for on-premise installation
- Helpful but not required: DICOM, PACS, VNA, teleradiology, HL7 interface engines, medical imaging open source, networking, embedded systems, payments, healthcare or regulated-environment experience, de-identification, privacy engineering, confidential computing, or hardware attestation
Benefits:
- Approximately 10% discretionary bonus for US-based compensation
- Equity may be offered to top candidates (US)
- International offers are cash-only, with no equity
- Remote work from the candidate’s own country for international hires
- No visa needed and no immigration strings for international hires
Similar Jobs
Senior Systems Solutions Architect – Cloud, Virtualization & AI
Senior Systems Solutions Architect modernizing California clients’ cloud, virtualization, identity, and AI infrastructure for GigaKOM. Designing resilient multi-vendor environments while supporting enterprise systems and advising executive stakeholders.
Solutions Architect
Solutions Architect designing Kubernetes networking, application delivery, and security for F5’s AI infrastructure customers. Partnering with sales and engineering teams to build scalable AI Factory architectures using NVIDIA hardware and advanced networking.
Dynamics 365 Customer Engagement Solution Architect
D365 CE Solution Architect designing enterprise Dynamics 365 and Power Platform solutions for Everware Consulting’s Austrian Microsoft practice. Leading implementations, integrations, stakeholder engagement, and technical teams.
Senior AI Solutions Engineer
Senior AI engineer building Salesforce and proprietary CRM solutions for enterprise customers. Creating LLM applications, AI agents and rapid prototypes while shaping AI-native products and customer demonstrations.
Partner Solution Architect, AWS
Platform Evangelist embedding Supabase’s Postgres backend platform into AWS’s global Solutions Architect community. Creating technical enablement, integrations, demos, and co-sell opportunities for AWS partnerships.
Senior Commercial Solutions Manager
Senior Commercial Solutions Manager building financially based value propositions for Calix, a cloud and software provider for communications service providers. Advising Sales on deal strategy, pricing, business cases, and commercial models across US and Canadian markets.
AWS Solution Architect
AWS Solutions Architect designing Amazon Bedrock Agentic AI systems for Capgemini’s global technology transformation clients. Leading enterprise architecture, client workshops, RAG, governance, and evaluation frameworks.
Integration Engineer
Integration Engineer building MuleSoft API-led infrastructure for Redhawk’s U.S. Navy data platform. Designing enterprise integrations and accelerating government client development lifecycles.
Lead Solutions Engineer, Splunk
Solutions Engineering Leader leading presales teams for Splunk, a cybersecurity and observability platform. Driving enterprise technical wins across Energy, Healthcare, and Retail customers.
Industry Solutions Engineer – Healthcare
Healthcare Industry Solutions Engineer driving Cisco technical sales and strategy remotely in North Carolina or Georgia. Advising customers, shaping solutions, and leading cross-architecture roadmaps.
Consultant, Technical Solutions
Technical Solutions Consultant implementing MES/MOM, Unified Namespace, and digital transformation solutions. Delivering automation and manufacturing IT systems for Grantek’s global brand clients.
Innovation and Integrated Solutions Architect
Innovation architect advancing tactical communications for Curtiss-Wright’s PacStar defense systems. Leading systems integration, networking, and go-to-market innovation for DoD and Federal Agency customers.
ERP Solutions Architect / Consultant
ERP Solutions Architect designing scalable ERP architecture, integrations, migrations, and data strategies. Supporting Creative Chaos clients’ digital transformation across web, mobile, and IoT technology initiatives.
Enterprise Solutions Architect
Enterprise Solutions Architect designing and implementing infrastructure and enterprise applications for Navitus, a pharmacy benefit manager. Leading strategic IT initiatives, integrations, capacity planning, and technical solutions across corporate systems.
Technical Solutions Specialist
Technical Solutions Specialist helping ExpertVoice, a platform connecting consumer brands with influential experts, integrate and optimize ecommerce order tracking. Troubleshooting integrations, monitoring performance, and shaping future tracking solutions with cross-functional teams.
Solutions Architect
Solutions Architect designing secure, scalable cloud data platforms for phData, a data and AI consultancy. Advising enterprise clients and leading delivery across distributed global teams.
Oracle Fusion Solution Architect
Oracle Fusion Solution Architect designing and implementing cloud ERP solutions for Avery Dennison, a global materials science and digital identification company. Leading integrations, governance, and full-cycle implementations.
LMS/LXP Integration Engineer – Contract
LMS/LXP Integration Engineer building enterprise learning-platform integrations. Extending Ruby on Rails systems for catalog synchronization and xAPI completion tracking across partner APIs and SFTP.
Solutions Consultant – Site
Solutions Consultant helping clinical research sites and sponsors adopt CRIO’s eSource platform. Analyzing usage, guiding clients, delivering training, and improving platform utilization.
Solutions Engineer
Cisco Solutions Engineer advising New York Metro enterprise customers on networking, security, and AI infrastructure. Designing demonstrations, architectures, and proposals that connect Cisco solutions to business value.