{"id":475515,"url":"https://alion.io/job/accuray-fullstack-engineer","title":"Fullstack Engineer","company":{"id":176328,"name":"Accuray","domain":"accuray.com","url":"https://alion.io/company/accuray","size_band":"501-1000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":null},"role":"Backend","role_family":"Backend","seniority":null,"employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Madison, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":105000,"max_usd":226000,"period":"year","method":"role_country_seniority_unknown","sample_n":9411},"experience_years_min":null,"visa_sponsorship":true,"relocation_package":false,"has_equity":false,"technologies":[{"name":"C#","optional":false},{"name":"C++","optional":false},{"name":"CI/CD","optional":false},{"name":"DICOM","optional":false},{"name":"FHIR","optional":false},{"name":"Git","optional":false},{"name":"Java","optional":false},{"name":"Python","optional":false}],"status":"live","first_seen_at":"2026-05-21T00:00:00Z","employer_posted_date":"2026-05-21","last_verified_at":"2026-11-03T18:25:03Z","board_verified":true,"closed_at":null,"days_open":166,"trust":{"level":"stale","repost_count":0,"flags":["stale"],"days_open":166},"description":"Give hope. Give health. Make your mark in the fight against cancer.\nAt Accuray, we make a direct and powerful impact on the lives of cancer patients every day - helping them live longer, better lives. But our commitment to innovation offers a truly unique opportunity: the chance to change the fight against cancer - helping to develop, introduce and support new treatment delivery systems and software that will give new hope and new health to cancer patients and cancer survivors around the world.\nAccuray develops, manufactures and sells radiotherapy systems for alternative cancer treatments. Our radiation therapy for cancer makes treatment shorter, safer, personalized and more effective, ultimately enabling patients to live longer, better lives.\nJob Description\nSUMMARY:\nThe Software Engineer participates in requirements, design, development, integration, and testing of software systems used to create, store, optimize, and manage patient treatment plans. The Software engineer collaborates in a complex environment integrating software with other software and hardware subsystems for an advanced medical device. Our work has a daily impact on patients worldwide, and we hold a high bar for quality and rigor.\nREPORTING TO/DEPARTMENT:\nReports to the Manager, Software Engineering in the Software Engineering team\nESSENTIAL DUTIES AND RESPONSIBILITIES\nSoftware Development (Build, Extend, Maintain)\nDevelop and maintain software that supports the lifecycle of a complex radiation therapy medical device.\nWrite high-quality, reliable code that fulfills product and subsystem requirements in a complex clinical domain.\nImplement automated tests (unit/integration as appropriate) to validate functionality and reduce regressions.\nContribute to sustaining engineering by troubleshooting, participating in root-cause analysis, and resolving issues found in new or existing functionality.\nSoftware Design & Architecture (Make the System Better)\nDirectly impact the development and architecture of software that creates, stores, optimizes and delivers patient treatments.\nDrive critical design and implementation decisions and participate in design discussions for complex systems.\nPresent concise designs through written and oral reviews; contribute to clear documentation of designs, decisions, and outcomes.\nContribute to subsystem requirements and verification approaches for new features.\nPerformance & Computational Solutions (Accuracy + Responsiveness)\nParticipate in decisions affecting high-performance computation solutions to provide responsive and accurate results that meet clinical expectations.\nCollaborate on technology choices (e.g., languages/libraries, compute approaches) to support performance, maintainability, and testability.\nQuality, Compliance, and Ways of Working\nWork closely with team members to implement quality applications that meet or exceed rigorous testing expectations.\nOperate effectively in a regulated industry with strict process requirements; document work and follow the defined development processes.\nSupport continuous improvement efforts (e.g., coding standards, code reviews, test coverage, build/test automation) to increase engineering efficiency without sacrificing quality.\nCollaboration & Technical Contribution\nCollaborate across disciplines (software, systems, test, product, clinical/field stakeholders as needed) to deliver integrated solutions.\nCross-pollinate the team with theory and practice of software development, object-oriented design, and computer languages.\nProactively share information and communicate technical status, risks, and decisions to the right audience at the right level of detail.\nTravel\nSome travel (QUALIFICATIONS\nRequired\nBS in Computer Science, Computer Engineering, or an equivalent combination of education and experience.\nProficiency in an object-oriented programming language such as C#, Java or C++.\nExperience with simulators and scaffolding for testing interoperability with third-party system specifications.\nExperience with object-oriented analysis & design, including correct use of design patterns and awareness of anti-patterns. Experience with client/server architecture. Strong written and verbal communication skills; able to present and defend designs in reviews.\nMust be able to work effectively in a team environment\nPreferred\nExperience with interoperability concerns such as Semantic Modeling and Data Exchange protocols such as DICOM, HL7v2 and FHIR.\nExperience with Medical Device development or other regulated environments.\nExperience with Python or related languages.\nExperience with client / server architecture.\nStrong mathematics and/or physics background.\nExperience developing software in multi-threaded / multi-core environments.\nExperience with modern software practices and toolchains (e.g., configuration management such as Perforce/Git; CI/CD build, deployment, and test tooling).\nWORKING CONDITIONS\nIndoor Environment: The position takes place indoors, providing a comfortable and climate-controlled workspace.\nSedentary Work: This role involves extended periods of sitting and working at a desk, requiring good ergonomic practices.\nComputer Usage: Proficiency with computers, including software applications and communication tools, is essential for tasks and collaboration.\nMinimal Physical Strain: While physical demands are generally low, occasional light lifting and moving of objects might be required.\nStructured Schedule: This position usually follows regular business hours, promoting a consistent and predictable work routine.\nTo qualify for this position, candidates must be able to furnish proof that they are authorized to work in the country they are applying on a permanent basis without sponsorship.\nEEO Statement\nAt Accuray, our commitment to patient-first outcomes drives an inclusive and collaborative work environment where the best ideas rise to the top - and everyone works to push them further. We value diversity in both the professional and personal backgrounds of our employees, as this variety adds rich energy to every team, every project and every work day. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or national origin - including individuals with disabilities and veterans.","description_format":"text","description_chars":6333,"description_truncated":false,"requirements":{"experience_years_min":null,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"bachelor","optional":false},"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Surgical Instruments & Devices"],"lifecycle":[{"event":"open","at":"2026-09-06T14:28:57Z"}],"visa":[{"country":"US","licensed_sponsor":true,"evidence":"H-1B filings in 12 months: 5 · green card filings: 1","filings_12m":5,"filings_prev_12m":4,"green_card_filings_12m":1,"median_offered_wage_usd":118333,"route":null,"cap_exempt":false,"checked_at":"2026-10-29T16:27:21+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)","US Department of Labor: PERM disclosure data (green cards)"],"filings_for_role_12m":0}],"liveness":{"score":8,"band":"cold","label":"Long shot","p_open":1,"p_active":0.28,"p_room":0.28,"age_days":166,"expected_fill_days":46,"reasons":["conf:3","win:tail","crowd:"],"computed_at":"2026-11-03T05:54:40Z"},"pay":null,"html_url":"https://alion.io/job/accuray-fullstack-engineer","json_url":"https://alion.io/job/accuray-fullstack-engineer.json","meta":{"generated_at":"2026-11-03T21:28:38Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":686,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-04T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":176328},"rest":"https://alion.io/mcp/rest/get_company?id=176328"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Faccuray-fullstack-engineer"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Faccuray-fullstack-engineer"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Faccuray-fullstack-engineer"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/accuray-fullstack-engineer\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Faccuray-fullstack-engineer"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":475515}},{"tool":"search_jobs","arguments":{"company":"accuray.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":475515},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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