Radformation

Senior Software Engineer, Adaptive

Radformation$150K — $180K *
US-AnywhereRemote in Canada
Hospitals & Medical Centers
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Computer Science, Electrical Engineering, Physics, Applied Mathematics, or related field
  • 5+ years of professional software engineering experience
  • Proficient in C# and WPF, with production desktop application experience
  • Experience with DICOM data and 3D medical imaging
  • Familiarity with geometric computing, numerical methods, and performance-oriented software development
  • Strong analytical and problem-solving skills
  • Excellent communication skills

Responsibilities

  • Design and maintain features for adaptive radiotherapy workflows
  • Build and optimize algorithms for 3D image processing and dose sampling
  • Develop performance-oriented WPF desktop software
  • Integrate oncology information systems using DICOM
  • Collaborate with physicists to translate clinical needs into software
  • Contribute to software architecture and testing processes
  • Mentor teammates and support knowledge sharing

Benefits

  • Multiple high-quality medical plan options with significant employer contributions
  • Health coverage starts on day one
  • 401(k) with immediate employer match
  • Annual reimbursement for professional memberships
  • Self-managed PTO and 10 paid holidays
  • Fully remote work environment with virtual team-building events
  • Competitive benefits for global teammates, aligned with local standards
Full Job Description

Why This Role Matters

In this role, you will help advance treatment accuracy and efficiency by building software for Radformation's adaptive radiation therapy efforts. The work sits at the intersection of medical imaging, geometric computing, numerical methods, and desktop software engineering. Success requires strong algorithmic thinking, performance-aware implementation, and the ability to translate complex clinical concepts into reliable software. You'll work closely with physicists, product leaders, and engineers; your work will directly influence treatment decisions at the point of care.
Responsibilities Include:
  • Design, develop, and maintain features supporting adaptive radiotherapy workflows: DICOM integration, image registration, dose visualization, DVH evaluation, and machine positioning
  • Build and optimize algorithms for 3D image processing, coordinate transforms, deformable registration, and dose sampling on deformed anatomy
  • Develop performant, reliable WPF desktop software operating under near real-time constraints.
  • Integrate with oncology information systems via DICOM networking and related clinical interfaces
  • Collaborate with physicists and product leaders to translate clinical requirements into production software
  • Contribute to architecture, testing, code reviews, and technical decision-making
  • Support teammates through collaboration, mentorship, and knowledge sharing
Required Experience
  • Bachelor's degree in Computer Science, Electrical Engineering, Physics, Applied Mathematics, or a related technical field
  • Minimum of 5 years of professional software engineering experience
  • Strong proficiency in C# and WPF with experience developing production desktop applications
  • Experience working with DICOM data - including network operations or file processing - and 3D medical imaging
  • Experience with geometric computing, numerical methods, coordinate systems, spatial transformations, and performance-oriented software development
  • Strong analytical, mathematical, and problem-solving skills
  • Excellent written and verbal communication skills
Preferred Experience
  • Master's degree in Computer Science, Engineering, Physics, Mathematics, or a related field
  • Experience in radiotherapy treatment planning and delivery - clinical, research, or industry.
  • Experience with deformable image registration (DIR) algorithms, dose visualization, or DVH-based plan evaluation
  • Experience designing caching strategies and optimizing latency-sensitive desktop applications
  • Experience with .NET Core, C++, or Python
  • Familiarity with Domain-Driven Design principles
  • Experience using AI or LLM-assisted development tools as part of a professional software engineering workflow
What Makes You Successful
  • You enjoy solving complex mathematical and computational problems
  • You balance algorithmic innovation with practical software engineering
  • You collaborate effectively across technical, clinical, and product disciplines
  • You take ownership of your work and write maintainable, well-tested code
  • You are curious, adaptable, and committed to continuous learning
AI & Hiring Integrity

At Radformation we believe AI can be an incredible tool for innovation, but our hiring process is all about getting to know you, your skills, experience, and unique approach to problem solving. We ask that all interviews and assessments be completed without tools that generate answers in real time. This helps ensure a fair process for everyone and allows us to see your authentic work. Using such tools during the process may affect your candidacy.
Benefits & Perks - What Makes Us RAD

We care about our people as much as we care about our mission. We offer competitive compensation, benefits, and the opportunity to make an impact in the fight against cancer.

Compensation Range: $150,000-$180,000 USD annually, commensurate with experience and qualifications.
For US teammates (via TriNet)

Health & Wellness
  • Multiple high-quality medical plan options with substantial employer contributions toward premiums, often covering the full cost depending on the plan selected
  • Health coverage starting on day one
  • Short-term and long-term disability and supplementary life insurance

Financial & Professional Growth
  • 401(k) with employer match vested immediately
  • Annual reimbursement for professional memberships
  • Conference attendance and continued learning opportunities

Work-Life Balance & Perks
  • Self-managed PTO and 10 paid holidays
  • Monthly internet stipend
  • Company-issued laptop and one-time home office setup stipend
  • Fully remote work environment with virtual events and yearly retreats, because we like to have fun while doing work that matters
For Global Teammates (via Deel)

At Radformation, we want every team member to feel supported, no matter where they live. For teammates outside the US, we provide benefits that align with local laws and standards, working with our Employer of Record (EOR) partners to ensure fairness and equity. This means your benefits package will be locally compliant, competitive, and designed to support your health, financial security, and work-life balance.

About Radformation

Radformation is a healthcare technology company that develops software solutions to improve cancer treatment planning. The company's software automates the treatment planning process, reducing the time and effort required to create high-quality treatment plans. Radformation's products are used by radiation oncologists, medical physicists, and dosimetrists in hospitals and clinics around the world. The company was founded in 2014 and is headquartered in San Diego, California.
Learn more about Radformation
Size
50 employees
Industry
Net Income
-$1 million
Founded
2014
Revenue
$2 million

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