Integration Engineer, Clinical Data Path

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🔥 9 hours ago

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a2z Radiology AI

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2024

🏥 Healthcare

🤖 Artificial Intelligence

☁️ SaaS

Healthcare • Artificial Intelligence • SaaS

a2z Radiology AI is a medical imaging AI company that builds FDA-cleared software to triage urgent findings on CT scans. Their current commercial product is a single foundation model that analyzes abdomen-pelvis CT studies and concurrently detects and reprioritizes seven urgent conditions (free air, small bowel obstruction, hydronephrosis, AAA, cholecystitis, diverticulitis, pancreatitis) to surface critical studies at the top of the radiology worklist. The system has been validated across multiple clinical sites and CT vendors, integrates with existing workflow, offers pilots run on a customer’s historical studies, and is extending work into broader CT coverage and image-to-report research.

📋 Description

• 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