Staff Software Engineer, Imaging Integration

About Cleerly

We’re Cleerly – a healthcare company that’s revolutionizing how heart disease is diagnosed, treated, and tracked. We were founded in 2017 by one of the world’s leading cardiologists and are a growing team of world-class engineering, operations, medical affairs, marketing, and sales leaders. We raised $223M in Series C funding in 2022 which has enabled rapid growth and continued support of our mission. In December 2024 we received an additional $106M in a Series C extension funding. Most of our teams work remotely and have access to our offices in Denver, Colorado, New, York, New York, Dallas, Texas, and Lisbon, Portugal with some roles requiring you to be on-site in a location. 

Cleerly has created a new standard of care for heart disease through value-based, AI-driven precision diagnostic solutions with the goal of helping prevent heart attacks. Our technology goes beyond traditional measures of heart disease by enabling comprehensive quantification and characterization of atherosclerosis, or plaque buildup, in each of the heart arteries. Cleerly’s solutions are supported by more than a decade of performing some of the world’s largest clinical trials to identify important findings beyond symptoms that increase a person’s risk of heart attacks. 

At Cleerly, we collaborate digitally and use a wide variety of systems. Our people use Google Workspace (GMail, Drive, Docs, Sheets, Slides), Slack, Confluence/Jira, and Zoom Video, prior experience in these areas is a plus. Role or department specific technology needs may vary and will be listed as requirements in the job description. 

While we are mostly a remote company, travel is required for some team meetings and cross function projects typically once per month or once per quarter, for some roles like sales or external facing roles travel could be up to 90% of the time.

Cleerly is committed to providing safe and effective medical software that meets customer needs and our intended use. The adherence to all applicable regulatory and statutory requirements establishes a clear framework for setting measurable quality objectives. Our commitment to continually improving our products and processes proactively manages risks, ensuring ongoing compliance throughout the entire software lifecycle. Understanding this role's relevance and importance is critical to achieving Cleerly's quality objectives.

About the Opportunity

We are seeking an experienced Imaging Integration Backend Engineer to join the core technical team of our growing next-generation enterprise-level imaging platform. This individual, leveraging versatile software engineering skills, will be responsible for the design, implementation, and deployment of core platform components. A key focus will be the integration of best-in-class cardiac applications into the platform. The Staff Software Engineer will collaborate closely with Product, Program, SRE, SQA, and other Software Engineers, as well as development partners, to build the next generation product for heart disease diagnosis.

The ideal candidate is a highly motivated, hands-on self-starter who thrives in a fast-paced environment. We are seeking an individual who is:

• A strong team player, highly accountable, and committed to high-quality deliverables.


• Possesses strong communication skills and a genuine interest in collaborating with third-party development teams as needed.

Imaging Integration & Data Movement

• Own Data Connectivity : Implement and own the core data movement patterns that connect hospital PACS/VNAs, 3rd party applications, and external AI endpoints to our platform Hub.


• Deliver Robust Ingest/Write-back : Deliver robust ingest and write-back paths, specifically including DICOMweb, proxying/presigned access, site networking playbooks, and edge connector patterns for legacy/on-prem vendors. This ensures predictable and supportable deployments.

Engineering Excellence

• Full Cycle Participation : Participate actively in the full software development life cycle (SDLC) from requirements analysis through testing, release, and maintenance.


• Drive Code Quality : Perform rigorous code reviews, ensure excellent unit test coverage, and actively drive bug triage and resolution.


• Design & Document Solutions : Design, document, and demonstrate technical solutions by creating necessary flowcharts, layouts, diagrams, and clear code comments.

Platform and Observability

• Development Contribution : Participate in developing and maintaining the necessary APIs, integrations, and libraries that support the platform.


• Implement Observability : Integrate logging, metrics, and tracing tools to effectively meet and maintain the platform's observability goals.

Requirements

Integration & Clinical Systems Expertise

• Experience & Scale : +8 years of professional experience integrating medical imaging systems in clinical production environments.


• PACS/Cloud Integration : Strong experience integrating PACS/DICOM systems with cloud-hosted services (AWS preferred), utilizing secure transfer patterns (DICOMweb, presigned URLs, private networking/VPN).


• DICOM Protocol Mastery : Strong hands-on DICOM knowledge (C-STORE, C-FIND, C-MOVE) and expert-level troubleshooting capabilities.


• On-Prem Edge : Experience deploying and managing on-prem "edge" components (VM/appliance deployment, outbound-only connectivity).

Data Reliability & Standards

• Ingestion Reliability : Ability to design and implement reliable ingestion and write-back paths (including acks, retries, queueing, and replay mechanisms).


• DICOM Structure : Understanding of core DICOM identifiers (Study/Series/SOP UIDs) and spatial concepts (Frame of Reference, overlay alignment basics).


• Toolkits : Comfortable working with common imaging toolkits (dcm4che, Orthanc, pydicom, fo-dicom, etc.).

Security & Operations

• PHI Security : Proven ability for secure handling of PHI (minimization, encryption, retention/deletion practices).


• Operational Mindset : Strong operational mindset focused on providing site support readiness via logs, metrics, and trace IDs.

Nice-to-have

• Professional experience with Java and the Spring framework.


• IHE profiles (e.g., Invoke Image Display) and enterprise imaging integrations.


• Familiarity with DICOM-SR/SEG/PR content and validation tooling.


• Familiarity with HIPAA/HITRUST security requirements.


• Experience with imaging workflows.

Education

• Bachelor’s degree in computer science, Engineering, or other advanced technical degree preferred.

  Why you should apply:

• PURPOSE: Cleerly’s purpose is to create a world without heart attacks. With our new paradigm for precision heart care, we will leave big footprints in the sands of time. Help us make that a reality!


• COMMUNITY: We are building a truly world class team of talented problem solvers. While we have diverse backgrounds, we are united in our commitment to each other, to our customers, and to the patients our technology serves.


• GROWTH: We prioritize learning and growth. As a rapid growth company, there is always space for new challenges and responsibilities. And, through Cleerly U, we invest in the development of our team.


• OWNERSHIP: Everyone on the team contributes to our success, so everyone has equity in the company through our employee stock option incentive plan.


• BENEFITS: Cleerly offers a variety of medical, dental, and vision plans, designed to fit you and your family’s needs. Our 401(k) program helps you invest in the future.

OUR COMPANY IS AN EQUAL OPPORTUNITY EMPLOYER. We do not discriminate on the basis of race, color, national origin, ancestry, citizenship status, protected veteran status, religion, physical or mental disability, marital status, sex, sexual orientation, gender identity or expression, age, or any other basis protected by law, ordinance, or regulation.

Job duties, activities, and responsibilities are subject to change by our company.

The base salary range for this role varies by location and is aligned to market benchmarks.

• Candidates located in higher-cost labor markets , including California, Washington, New York, New Jersey, Connecticut, Massachusetts, and Washington, DC represent the middle to high end of the range, while candidates located in all other U.S. locations represent the low to middle end of the range.


• Final compensation is determined based on location, experience, skills, and internal equity.

This role is eligible for a 15% target annual bonus , resulting in the following base salary and Total Target Compensation (TTC) ranges:

• Base Salary: $175,000 - $201,000


• TTC: $200,000 - $231,000

*Total Target Compensation (TTC): Total Cash Compensation (including base pay, variable pay, commission, bonuses, etc.) Additionally, stock options, paid benefits, and employee perks are part of your total rewards.

Working at Cleerly takes HEART. Discover our Core Values:

• H: Humility - be a servant leader


• E: Excellence - deliver world-changing results


• A: Accountability - do what you say; expect the same from others


• R: Remarkable - inspire & innovate with impact


• T: Teamwork - together we win

Don’t meet 100 percent of the qualifications? Apply anyway and help us diversify our candidate pool and workforce. We value experience, whether gained formally or informally on the job or through other experiences. Job duties, activities and responsibilities are subject to change by our company.

OUR COMPANY IS AN EQUAL OPPORTUNITY EMPLOYER. We do not discriminate on the basis of race, color, national origin, ancestry, citizenship status, protected veteran status, religion, physical or mental disability, marital status, sex, sexual orientation, gender identity or expression, age, or any other basis protected by law, ordinance, or regulation.

For more information see our Privacy Policy ( . All official emails will come from @cleerlyhealth.com email accounts. 

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