Senior Software Engineer – Interoperability

Centaur Health

Senior Software Engineer developing DICOM-RT interoperability features for radiotherapy products at Leo Cancer Care. Leading technical projects to connect treatment systems with clinical workflows.

Posted 7/23/2026full-timeMiddleton • Wisconsin • 🇺🇸 United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in DICOM-RT interoperability, medical device software engineering, and regulatory compliance, with a strong focus on developing and integrating radiotherapy systems. Proven ability to lead technical projects, mentor engineers, and ensure adherence to industry standards.

Highest-signal resume keywords

DICOM-RT StandardsMedical Device Software EngineeringRegulatory Submissions (510(k), CE Technical File)Python ProgrammingAPI Design and Integration (REST, gRPC)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

DICOM Networking ProtocolsIEC 62304 ComplianceSoftware Development LifecycleUML DesignTCP/IP NetworkingLinux Systems-Level DebuggingVersion Control (Git)CI/CD PipelinesSoftware Testing FrameworksHL7/FHIR Messaging

Soft Skills

Technical LeadershipMentoringCross-Functional Collaboration

Tools & Technologies

Oncology Information Systems (OIS)PACS ServersDICOM Conformance StatementService and Validation Tools

Industry Keywords

RadiotherapyRadiation OncologyMedical Device StandardsISO 14971IEC 62443

Tech Stack

Tools & technologies

Cyber SecurityFirewallsGRPCJavaLinuxPythonShell ScriptingTCP/IP

About the role

Key responsibilities & impact

Join our dynamic engineering team to help develop our revolutionary radiotherapy products for upright therapy
Lead the design, specification, and implementation of DICOM-RT interoperability features, including RT Plan, RT Dose, RT Structure Set, RT Image, and RT Ion Plan objects
Architect and develop network API interfaces enabling communication between the treatment delivery system, OIS (e.g. ARIA, Mosaiq), and PACS servers
Define and maintain the system’s DICOM Conformance Statement and related integration documentation
Drive end-to-end integration testing with clinical systems, including HL7/FHIR messaging where applicable
Perform as a technical lead on significant software development projects spanning interoperability and clinical connectivity
Write specifications, requirements, design documents, and test protocols for software projects in accordance with IEC 62304 and the company design control process
Develop safety-critical software for imaging and treatment delivery systems
Work with external partners and clinical customers to develop, validate, and support system interfaces and integrations
Contribute to the design and development of service and validation tools for DICOM interoperability
Provide engineering support to partners, customers, and field service teams
Support regulatory submissions (e.g. 510(k)) as they relate to interoperability and software
Contribute to system architecture and software development process improvements
Mentor less experienced engineers in interoperability standards and medical device software practices
Manage contractors relating to software component development where applicable

Requirements

What you’ll need

Minimum 5 years of domain-specific experience in medical device software engineering within radiotherapy, radiation oncology, or a closely related imaging/treatment modality
10+ years of total software engineering experience, with demonstrated seniority in at least one prior role, is strongly preferred
Experience working in cross-functional teams including clinical physics, systems engineering, quality, and regulatory affairs
Ability to mentor and provide technical leadership to less experienced engineers
Deep working knowledge of DICOM-RT standards: RT Plan, RT Dose, RT Structure Set, RT Image, RT Ion Plan, and related SOP classes
Practical experience integrating radiotherapy treatment systems with Oncology Information Systems (OIS) such as Varian ARIA or Elekta Mosaiq, and PACS servers
Proficiency with DICOM networking protocols: C-STORE, C-FIND, C-MOVE, C-GET, DICOM TLS, Storage Commitment, and Worklist services
Experience developing or maintaining a DICOM Conformance Statement
Familiarity with HL7 v2 and/or FHIR messaging as used in oncology workflows is advantageous
Understanding of IHE Radiation Oncology profiles (e.g. RO-PIR, IHE-RO) is a plus
Proven experience developing medical device software in compliance with IEC 62304, including software lifecycle planning, classification, architecture, unit testing, and maintenance
Familiarity with associated standards and guidance: ISO 14971 (risk management), IEC 62443 (cybersecurity), and applicable FDA/CE regulatory requirements for software
Experience supporting regulatory submissions (510(k), CE Technical File) for software-intensive medical devices
Experience with design and specification of software systems using UML
Solid understanding of TCP/IP networking: routing, firewalls, VLANs, TLS/SSL, and network security as it applies to connected medical devices
Experience with REST and/or gRPC API design and integration in a clinical or embedded systems context
Strong programming skills in Python and at least one of C++, C#, or Java
Experience with Linux, shell scripting, and systems-level debugging
Proficiency with version control (Git), CI/CD pipelines, and software testing frameworks.

Benefits

Comp & perks

Full-time position
Hybrid-Office 3 days a week
Health insurance
Flexible work arrangements
Professional development opportunities