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# Integrations Engineer

- **Company:** Sirona
- **Location:** San Francisco, CA, United States
- **Experience:** Expert
- **Salary:** $125,000.0 - $142,500.0
- **Contract:** Permanent contract
- **Skills:** Java (Programming Language), JavaScript (Programming Language), Health Informatics, Software Debugging, Dicom, Design of User Interfaces, Python (Programming Language), PostgreSQL, Meta-Data Management, Rhapsody, SQL Databases, Systems Integration, Extensible Stylesheet Language Transformations (XSLT), Build Management, Health Level Seven International, Data Pipelines
- **Published:** September 17, 2026
- **Apply:** https://startup.jobs/senior-integrations-engineer-sirona-medical-6621597

## About the Role

* Extensive experience working with DICOM, including image routing, metadata management, and PACS/VNA interoperability.
 * Strong technical skills with one or more of: Java, JavaScript, SQL, PostgreSQL, or XSLT. Familiarity with Python is a plus.
 * Experience with integration engines (e.g., Mirth, Cloverleaf, Rhapsody) and system-level debugging
 * Understanding of HL7 and healthcare IT standards
 * Ability to work cross-functionally and communicate clearly with both technical and clinical stakeholders.
 * A practical mindset with a passion for solving real-world healthcare challenges through smart, scalable integrations.

Why Join Now?
This is a rare opportunity to shape a critical function within a company that's growing quickly and solving real problems in healthcare. You'll work on high-impact projects, partner with experienced teams, and help define how Sirona scales imaging integrations across diverse health systems.
If you're a DICOM expert who wants to make an outsized impact, we'd love to talk.

## Description

At Sirona Medical, we're rethinking how radiologists work, building a smarter, faster, and more intuitive platform to support the doctors behind the diagnosis. But none of it works unless we integrate seamlessly with real-world clinical systems. That's why we're investing deeply in our Integrations team. We're looking for a Senior Integrations Engineer with strong DICOM experience to help lead the way. You'll join a capable team that's already delivered critical integrations and you'll play a key role in scaling and evolving that work as we grow. This is a hands-on, high-impact role focused on designing, implementing, and optimizing integrations that make modern radiology tools accessible within complex hospital environments.

Why This Role Matters:
DICOM is core, not a checkbox. Our platform depends on rich, high-fidelity imaging data. Deep DICOM expertise is essential, and this role gives you a chance to apply it across varied environments and architectures. You'll scale what's already working. The groundwork is in place. You'll help us operationalize and expand it. You'll lead technically. From interface design to workflow orchestration, you'll help define best practices for high-performance, clinically safe imaging integrations. You'll impact the mission directly. Every integration you deliver helps radiologists work faster, smarter, and more accurately, with direct impact on patient care.

What You'll Do:

 * Lead customer integration projects with a strong emphasis on DICOM interface design, implementation, and support.
 * Analyze imaging workflows and develop solutions that fit smoothly into hospital PACS, RIS, and VNA environments.
 * Design and build data pipelines that normalize and route imaging and metadata reliably at scale.
 * Collaborate with internal teams to ensure product alignment with real-world imaging use cases and clinical workflows.
 * Improve internal tools, documentation, and architecture to make DICOM integrations more repeatable and maintainable.
 * Participate in an on-call rotation to support live integration environments and troubleshoot urgent issues.