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International Sales
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Accuray Incorporated

Fullstack Engineer

Remote, United States

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Job details

Posting language: English
Posted: Nov 9, 2026

Original job description

Give hope. Give health. Make your mark in the fight against cancer.

At 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.

Accuray 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.

Job Description

SUMMARY:

The 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.

REPORTING TO/DEPARTMENT:

Reports to the Manager, Software Engineering in the Software Engineering team

ESSENTIAL DUTIES AND RESPONSIBILITIES

Software Development (Build, Extend, Maintain)

Develop and maintain software that supports the lifecycle of a complex radiation therapy medical device.
Write high-quality, reliable code that fulfills product and subsystem requirements in a complex clinical domain.
Implement automated tests (unit/integration as appropriate) to validate functionality and reduce regressions.
Contribute to sustaining engineering by troubleshooting, participating in root-cause analysis, and resolving issues found in new or existing functionality.

Software Design & Architecture (Make the System Better)

Directly impact the development and architecture of software that creates, stores, optimizes and delivers patient treatments.
Drive critical design and implementation decisions and participate in design discussions for complex systems.
Present concise designs through written and oral reviews; contribute to clear documentation of designs, decisions, and outcomes.
Contribute to subsystem requirements and verification approaches for new features.

Performance & Computational Solutions (Accuracy + Responsiveness)

Participate in decisions affecting high-performance computation solutions to provide responsive and accurate results that meet clinical expectations.
Collaborate on technology choices (e.g., languages/libraries, compute approaches) to support performance, maintainability, and testability.

Quality, Compliance, and Ways of Working

Work closely with team members to implement quality applications that meet or exceed rigorous testing expectations.
Operate effectively in a regulated industry with strict process requirements; document work and follow the defined development processes.
Support continuous improvement efforts (e.g., coding standards, code reviews, test coverage, build/test automation) to increase engineering efficiency without sacrificing quality.

Collaboration & Technical Contribution

Collaborate across disciplines (software, systems, test, product, clinical/field stakeholders as needed) to deliver integrated solutions.
Cross-pollinate the team with theory and practice of software development, object-oriented design, and computer languages.
Proactively share information and communicate technical status, risks, and decisions to the right audience at the right level of detail.

Travel

Some travel (<10%) may be required.

QUALIFICATIONS

Required

BS in Computer Science, Computer Engineering, or an equivalent combination of education and experience.
Proficiency in an object-oriented programming language such as C#, Java or C++.
Experience with simulators and scaffolding for testing interoperability with third-party system specifications.
Experience 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.
Must be able to work effectively in a team environment

Preferred

Experience with interoperability concerns such as Semantic Modeling and Data Exchange protocols such as DICOM, HL7v2 and FHIR.
Experience with Medical Device development or other regulated environments.
Experience with Python or related languages.
Experience with client / server architecture.
Strong mathematics and/or physics background.
Experience developing software in multi-threaded / multi-core environments.
Experience with modern software practices and toolchains (e.g., configuration management such as Perforce/Git; CI/CD build, deployment, and test tooling).

WORKING CONDITIONS

Indoor Environment: The position takes place indoors, providing a comfortable and climate-controlled workspace.
Sedentary Work: This role involves extended periods of sitting and working at a desk, requiring good ergonomic practices.
Computer Usage: Proficiency with computers, including software applications and communication tools, is essential for tasks and collaboration.
Minimal Physical Strain: While physical demands are generally low, occasional light lifting and moving of objects might be required.
Structured Schedule: This position usually follows regular business hours, promoting a consistent and predictable work routine.

To 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.

EEO Statement At 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.

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