Lead Ultrasound Imaging Engineer (AI & Systems)

Lead Ultrasound Imaging Engineer (AI & Systems)

iSono Health is a dynamic and rapidly growing early clinical-commercial stage medical device company dedicated to saving lives and transforming care through innovative robotics, AI, and 3D ultrasound technologies.

At iSono Health, we're pioneering a new era of breast care. We believe every woman deserves access to fast, affordable, and comfortable screenings. That's why we developed ATUSA, the world's first AI-powered platform with a point-of-care, automated 3D ultrasound system.

To succeed here, you need to think like an entrepreneur, act like a leader, and execute with precision. We value individuals who take initiative, embrace challenges, and are excited to wear multiple hats. Creativity, resilience, and a commitment to excellence are essential as we push the boundaries of what's possible in healthcare.

Our work is exciting because it’s meaningful. Together, we’re empowering women to take control of their health by expanding access to potentially lifesaving ultrasound technology. If you’re passionate about making a difference and ready to be part of a nimble, scrappy team that values impact over hierarchy, iSono Health is the place for you.

At iSono Health, success isn’t just about the work—it’s about the mindset. We’re a small but mighty team of dedicated individuals driven by a shared mission: revolutionizing women’s health and making a profound impact for patients and clinicians. With big ambitions and innovative plans, we thrive in a fast-paced, dynamic environment where every team member owns what they build.

Join us in transforming healthcare and be part of a team where every voice matters, every idea counts, and every action contributes to a greater purpose.

About the role

The Imaging Engineer at iSono Health will be a highly visible, mission-critical role that begins as a hands-on technical contributor and evolves into a team leader and strategic owner of our imaging systems. You will bring expert-level engineering experience across imaging modalities—particularly diagnostic ultrasound—and play a pivotal role in product development and commercialization. The position drives breakthrough imaging and ultrasound systems to elevate clinicians' vision, encompassing mechanical, optical, electrical, and algorithmic design elements.

We are looking for a hands-on, ambitious Imaging Engineer who thrives in a fast-paced environment at the intersection of hardware and software and AI (can learn), someone who can write code, tune beamforming parameters, and ship a real product. This is an excellent role for someone who takes pride in building from the ground up, embraces complexity, and sees leadership as something earned through execution, with real ownership of the existing and future generation of our automated breast ultrasound device.

The role is responsible for the smooth and successful transition of product designs to scalable manufacturing, and for ongoing design improvements for launch onward to ensure excellent field performance, high reliability, supply continuity, efficient manufacturing, and product cost optimization.

At iSono Health, we’re transforming how and where people access health and diagnose cancer. If you’re passionate about healthcare innovation, motivated to make a global impact, and ready to grow into a leadership role at a venture-backed startup in Sunnyvale, we’d love to meet you.

What you'll do

Technical Leadership & Execution

• Take ownership of critical imaging initiatives from concept to execution, driving technical decisions, prototyping rapidly, and guiding system development across mechanical, electrical, and algorithmic domains.


• Lead hands-on development of Gen 2 hardware and software upgrades to our ultrasound imaging system


• Design, implement, and optimize beamforming algorithms and real-time signal processing pipelines


• Integrate and evaluate Nvidia and other GPU platforms (e.g., Jetson) for edge AI inference and image processing acceleration


• Build and maintain automated testing and validation frameworks for imaging performance


• Collaborate with AI/ML engineers to develop and deploy machine learning-based image enhancement solutions


• Conduct imaging performance evaluations, support reader studies, and generate technical documentation for regulatory submissions