Staff Software Engineer, Reporting Integrations

About Rad AI

Rad AI is dedicated to transforming healthcare through artificial intelligence. Founded by a radiologist, our solutions are revolutionizing radiology, saving time, reducing burnout, and improving patient care. With a large proprietary radiology report dataset, our AI has uncovered hundreds of new cancer diagnoses and reduced error rates in tens of millions of radiology reports. Rad AI has raised over $140M in funding, including a recent Series C of $68M, bringing our valuation to $528M. Investors include Khosla Ventures, World Innovation Lab, Gradient Ventures, Cone Health Ventures, and others, all supporting our mission to empower physicians with cutting-edge AI.

Responsibilities

• Design, build, and own real-time context synchronization integrations — primarily FHIRcast for context sharing, alongside file-based (XML/JSON drop) integrations with PACS, worklists, and EHRs.
• Help architect a flexible, evolvable integration platform — one where new integrations are composed from reusable building blocks rather than rebuilt from scratch, so we can adapt quickly to the needs of a growing and diverse customer base.
• Work hand-in-hand with Product to shape what's possible with third-party systems — bringing an integrations-first engineering perspective early, when we're weighing the challenges and opportunities of building something new.
• Extend that platform into new categories of integration partners beyond the traditional reporting workflow — non-clinical analytics tools, CDI (clinical document integrity) tools, and clinical AI tools that generate draft reports, among others.
• Design the frameworks that make each new class of integration repeatable.
• Collaborate across a wide set of stakeholders including internal teams, customers, external vendors and integration partners to align on how these integrations should work and where they should head.
• Partner directly with customers and vendors: get on calls, map out their clinical workflows and edge cases, and carry integrations through go-lives and escalations into production.
• Coordinate the connectivity that gets cloud-delivered integrations live by working with hospital IT, security, and identity teams on firewall access, certificate handling, and SSO.
• Drive standardization: turn one-off, customer-specific integrations into reusable connectors that shorten every future go-live.
• Own reliability and observability for integrations including build the logging, tracing, and staging/E2E testing that make issues diagnosable without re-engaging customers and vendors to reproduce them.
• Debug and resolve integration issues end-to-end, often across systems you don't control, using logs, traces, and a strong mental model of how the pieces fit together.
• Raise the bar for the team: document hard-won knowledge about vendor quirks and workflow scenarios, and mentor other engineers working in this space.

Qualifications

A backend leaning full stack engineer who is passionate about integrations in healthcare. This is a niche, and we want someone who wants to go deep in it. Expertise in part of this stack (TypeScript, Node, React, Electron), with interest in picking up the gaps. Experience building and operating production services in a cloud environment. Practical hands-on experience with healthcare context-sharing and data-exchange technologies like FHIRcast, SMART on FHIR, FHIR, or equivalent standards and protocols. A track record of shipping and supporting production integrations with third-party clinical systems. Experience thinking at the platform level by building integrations as reusable, extensible frameworks rather than a pile of one-offs. Strong communication skills where you can run a technical call with a customer, vendor, or partner, diagnose the problem, and propose a standardized path forward in the same conversation. Nice to Haves: Direct radiology experience — this is a major plus. Hands-on experience integrating with PACS, radiology worklists, or Epic. Familiarity with HL7 or DICOM. Familiarity navigating legacy desktop integration mechanisms used by older clinical systems — enough to meet them where they are while pushing toward modern, standards-based approaches. Participation in IHE Connectathons, or experience implementing IHE profiles such as IRA (Integrated Reporting Applications), SWF (Scheduled Workflow).

Benefits

Comprehensive Medical, Dental, Vision & Life insurance
HSA (with employer match), FSA, & DCFSA
401(k) with employer match
11 Paid Company Holidays
Flexible PTO policy
Annual company-wide offsite
Periodic team offsites
Annual equipment stipend

Pay

$175K - $230K

Schedule

Full-time