Senior Software Engineer

Job Requirements

Company Overview

ConcertAI is building the future of precision medicine. We use advanced artificial intelligence and real-world data to transform how healthcare and life sciences generate evidence, make decisions, and improve patient outcomes—starting in oncology and rapidly expanding across therapeutic areas. Our teams partner with the world’s leading pharmaceutical companies, providers, and research organizations to solve some of healthcare’s most complex challenges.

At the core of our innovation is CaraAI, our next-generation AI platform that unlocks powerful insights from complex clinical, imaging, and molecular data. Combined with our Precision Suite—which unifies real-world data, advanced analytics, and scalable evidence generation—these solutions are transforming how clinical development, regulatory, and commercialization decisions are made.

ConcertAI brings together a portfolio of purpose-built solutions, including TeraRecon, an industry leader in advanced imaging and AI-driven visualization, and CancerLinQ, the ASCO-originated oncology platform advancing care quality and large-scale discovery.

Joining ConcertAI means working alongside bold thinkers, builders, and healthcare experts on innovative, high-impact products that directly improve patient lives. You’ll be part of a fast-growing, mission-driven organization at the forefront of AI-enabled healthcare, with meaningful opportunities for growth and leadership.

Responsibilities

• Design and develop backend services using C# and ASP.NET Core
• Build and maintain secure RESTful APIs supporting imaging workflows
• Implement real-time communication features using SignalR for:
• Study/series loading status updates
• Viewer synchronization
• Notifications and workflow events
• Develop business logic supporting study, series, and image metadata management
• Integrate backend services with Blazor front-end applications
• Design and optimize database structures (SQL Server)
• Implement authentication and authorization (role-based access, JWT, identity systems)
• Ensure compliance with healthcare security and data protection standards
• Optimize performance for high-volume imaging data workflows
• Participate in architecture discussions and code reviews
• Support deployment and production troubleshooting
  
  

Required Qualifications

• 10+ years of professional backend development experience
• Strong proficiency in C# and ASP.NET Core
• Experience building RESTful APIs
• Hands-on experience with SignalR for real-time web applications
• Experience with SQL Server, Postgres and Entity Framework
• Strong understanding of asynchronous programming and concurrency
• Experience implementing authentication and authorization mechanisms
• Familiarity with secure application development practices
• Experience with Git and team-based workflows
• Design and optimize database structures (SQL Server)
  
  

Preferred Qualifications

• Experience in medical imaging or healthcare applications
• Familiarity with DICOM concepts (Study, Series, SOP Instances)
• Experience integrating with PACS or imaging storage systems
• Experience with AWS or cloud-hosted healthcare systems
• Knowledge of logging, monitoring, and audit trails in regulated environments
• Familiarity with containerization (Docker)
  
  

Desired Attributes

• Strong attention to reliability and data integrity
• Ability to design scalable, maintainable architecture
• Comfortable working in regulated or compliance-sensitive environments
• Strong analytical and problem-solving skills
• Effective communication and collaboration abilities
  
  

Learn More About ConcertAI

Our team at ConcertAI is dedicated to transforming healthcare decision-making through the application of RWE and AI to improve patient outcomes. We work in a fast-paced, dynamic, high-performing culture where diversity, collaboration, and innovation are valued. Join us on our quest to create a world free of disease. Learn more about ConcertAI at www.concertai.com , or follow us on LinkedIn. Serving 1,300 clinical sites globally, TeraRecon - a ConcertAI company - is a Best in KLAS solution provider for AI-empowered radiology, oncology, cardiology, neurology, and vascular surgery. In the future, the combination with ConcertAI could bring a single, advanced AI-augmented diagnosis and interpretation capability from clinical trials to patient care. Learn more about TeraRecon at www.terarecon.com , or follow us on LinkedIn.

EEO

ConcertAI provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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