Sr. Integrations Engineer, Care Delivery Platform

About Imagen

Imagen Technologies is building the AI-enabled teleradiology practice of the future. We operate the first vertically integrated medical practice and AI development platform focused on reducing diagnostic error and giving radiologists superpowers through industry-leading AI solutions developed in-house. With over $200 million in funding from investors such as Google Ventures and some of the largest clinical networks in the country, we are rapidly expanding this platform across the U.S.—from 22 states and 2.7 million patients in 2025 to more than 35 states and over 5 million patients annually by 2027. We are the fastest-growing teleradiology group in the U.S., and by the end of next year, we will have the fifth-largest practice in the country.

About the Role

We’re looking for an experienced Sr. Integrations Engineer to join our Care Delivery Integrations team as our company continues to scale. This is a critical role where you will be responsible for helping our radiology platform scale as we integrate with new customers, internal data systems, and AI tools to improve the productivity of our practice.

Your primary focus will be to build features to support new workflows, and scale our operations teams efficiently. This involves expertise in clinical data standards, DICOM, HL7, and EMR/EHR integrations. A key requirement for this role is being well-versed in middleware technologies (IRIS, Mirth), including the processes of building, monitoring, and optimizing these systems to ensure seamless and high-throughput data flow. You will manage the entire lifecycle of our integration pipelines to ensure reliable integration with our AI devices and clinical systems.

This role includes providing client-facing support to key partners, ensuring our patient care delivery meets or exceeds expectations. We need a Sr. Integration Engineer with deep healthcare and technical experience who can apply creative thinking and innovative solutions within our highly regulated industry.

In this role, you will help shape the strategy and drive execution of our integration infrastructure, guiding the development efforts to connect and manage data pipelines. This position is ideal for a hands-on engineer who is passionate about building robust, scalable integrated solutions, workflows, and data exchange systems and wants to see their work have a tangible impact on patient outcomes. You will initially report to the Director of Integrations, with the opportunity to grow this function over time.

Responsibilities:

• Drive design, development, and implementation of complex, integrated solutions to deliver new radiology products and new customer onboarding.
• Design, build, monitor, and optimize robust integration pipelines for ingesting and transforming clinical data, including medical images (DICOM), HL7 messages, and clinical reports.
• Lead technical efforts for new customer integrations, serving as a client-facing resource to configure, test, and optimize connectivity which includes implementing data validation and quality frameworks at the point of ingress to ensure patient care delivery meets expectations.
• Serve as a technical partner for Product, AI, and Engineering teams. You will collaborate closely to understand new product requirements and build integrated solutions and workflows that accelerate the delivery and performance of our AI devices and clinical systems

Required Qualifications:

• Mission-driven and passionate about building foundational technology to improve healthcare
• 5+ years of hands-on experience with systems integration, or software engineering within healthcare.
• 2+ years of experience in a senior role, with a proven track record of owning technical roadmaps and making significant architectural decisions.
• Advanced-level proficiency in Intersystems IRIS (or equivalent interface engine) and good programming fundamentals which include object-oriented programming and SQL.
• Hands-on experience with other modern data integration technologies, such as:
• DICOM Routers (Laurel Bridge Compass, Mirth, UltraRad).
• Integration Engines (e.g., Mirth, Intersystems Iris, Rhapsody).
• BS in Computer Science or a related field, or equivalent real-world experience
• Experience working with healthcare data standards (e.g., DICOM, HL7, FHIR).

Preferred Qualifications:

• Direct experience with integrating DICOM heavy solutions from multiple medical imaging modalities (e.g., CT, MR, XR, Ultrasound)
• Direct experience integrating using FHIR or other API standards with modern EHR/EMR/PACs technologies.
• Direct experience integrating using DICOMweb and DIMSE protocols.
• Managing a diverse ecosystem of integrated clinical systems.
• Experience with AWS for Healthcare
• Located in the PST timezone

Imagen Technologies is a remote-first company and this job is conducted remotely.

The base salary is between $125,000 - $140,000, plus equity and benefits. Please note that the range is a guideline, and individual total compensation will vary based on factors such as qualifications, skill level, competencies, and work location.

Imagen is committed to the principle of equal employment opportunity for all employees and applicants for employment and prohibits discrimination and harassment of any kind without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Imagen will not tolerate discrimination or harassment based on any of these characteristics. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Imagen Technologies maintains a Substance Abuse and Testing policy. Being under the influence of alcohol or controlled substances while on the job or while conducting business on Imagen’s behalf is prohibited. Imagen reserves the right to test any applicant or employee for alcohol and/or drug use, subject to compliance with any applicable state and/or federal laws.