Integration Engineer, Clinical Data Path

🕒 Agosto 10

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $140.000 - $180.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

💻 Engenheiro de Soluções

👻 Score fantasma 31%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of a2z Radiology AI

a2z Radiology AI

11 - 50 funcionários

Fundada em 2024

🏥 Saúde

🤖 Inteligência Artificial

☁️ SaaS

Healthcare • Artificial Intelligence • SaaS

A a2z Radiology AI é uma empresa de inteligência artificial para imagens médicas, que desenvolve software aprovado pela FDA para triagem de achados urgentes em tomografias computadorizadas (TCs). Seu produto comercial atual é um modelo base único que analisa estudos de TC de abdômen e pelve e detecta e reclassifica simultaneamente sete condições urgentes (ar livre, obstrução do intestino delgado, hidronefrose, AAA, colecistite, diverticulite, pancreatite) para destacar estudos críticos no topo da lista de trabalho da radiologia. O sistema foi validado em vários locais clínicos e fornecedores de TC, integra-se com o fluxo de trabalho existente, oferece testes piloto com base em estudos históricos do cliente e está ampliando o trabalho para uma cobertura mais ampla de TC e pesquisa de imagem-para-relatório.

Descrição

• 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

🎯 Requisitos

• 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

🏖️ Benefícios

• 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

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