Full Stack Engineer for Enterprise Products

5C Network; Bengaluru; On-site; INR 1,000,000 - 1,800,000; Full time

Job summary

5C Network in Bengaluru is building IRIS, a radiology operating system for large multi-site hospitals. You will own its production architecture and take it live in hospitals from a live Bengaluru site.

You will work on hospital integrations, real-time worklists, and role-based access, with on‑prem deployments and AI-enabled workflows to support radiologists and operators.

Qualifications

• Strong full-stack skills: React and TypeScript on the frontend, Node.js or Python on the backend.
• Solid PostgreSQL and API design. Comfortable with queues, caching and containerized deployment (Docker).
• You've shipped production software that real users depend on, and owned it end to end.
• AI-native: you use Claude, Cursor or similar daily to build faster, and you know where to trust it and where not to.
• High ownership. You can take a rough mockup and a clinical workflow and ship it without waiting.
• You've worked on B2B software products end to end, ideally 0-to-1, with real customers.

Responsibilities

• Build IRIS, 5C Network's Radiology Operating System for large multi-site hospitals: RIS, PACS integration, reporting and operations on one platform.
• Own production architecture and take it live in hospitals.
• Implement hospital integrations: HL7 orders, DICOM worklist sync, and real-time worklists across sites.
• Ensure production-grade reliability with observability, audit logs and uptime expectations.
• Collaborate with radiologists, hospital ops teams and the founder to shape the product and roadmap.

Skills

React

TypeScript

Node.js

Python

PostgreSQL

API design

Docker

AI tools (Claude/Cursor)

On-prem deployments

Tools

Docker

PostgreSQL

APIs

Job description

About the role

• You will build IRIS, 5C Network's Radiology Operating System for large multi-site hospitals: RIS, PACS integration, reporting and operations on one platform. You will own its production architecture and take it live in hospitals.
• 5C has built teleradiology in India since 2017. Today we read 20,000+ scans a day, with 400+ specialist radiologists working in our ecosystem. All of it runs on software we built ourselves: worklist, routing, AI pre-read, reporting, QC and turnaround control. IRIS turns that system into a product hospitals run themselves. It isn't a guess at what hospitals need; it's built on years of running radiology at scale.
• Our first deployment is with one of India's leading hospital chains, across multiple hospitals and a central hub. A working sandbox (the MVP) is already live.
• Bengaluru, on-site, 6 days a week. 2–4 years of experience.

What you'll build

• Hospital integrations: HL7 orders coming in from the hospital information system and reports going back out, plus DICOM worklist sync with scanners across sites
• Real-time worklists: routing studies between hospitals and the hub, with turnaround timers that doctors and ops teams act on live
• Roles and permissions for 8+ clinical roles: receptionist, technician, nurse, medical officer, residents, consultants and QA, each with its own workflow
• On-prem deployments that keep running when hospital networks don't
• AI in the clinical loop: turning AI pre-reads into something radiologists trust, with evals, feedback loops and audit trails
• Production-grade reliability: observability, audit logs and uptime a hospital can depend on

Your first 90 days

• Week 1: shadow technicians and radiologists in a live radiology department
• Day 15: ship your first feature to the sandbox, in front of real users
• Day 30: own a full module end to end: design, build, deploy and support
• Day 60: ship your module to production in a live hospital
• Day 90: run your module in production across sites, and help shape the IRIS roadmap and technical decisions for the next phase

Must have

• Strong full-stack skills: React and TypeScript on the frontend, Node.js or Python on the backend
• Solid PostgreSQL and API design. Comfortable with queues, caching and containerized deployment (Docker)
• You've shipped production software that real users depend on, and owned it end to end
• AI-native: you use Claude, Cursor or similar daily to build faster, and you know where to trust it and where not to
• High ownership. You can take a rough mockup and a clinical workflow and ship it without waiting
• You've worked on B2B software products end to end, ideally 0-to-1, with real customers

Good to have

• Healthtech experience (RIS, PACS, HIS, EMR) or exposure to DICOM, HL7 or FHIR
• Auth and permissions (Keycloak, policy engines), on-prem deployments, observability
• Experience with workflow-heavy enterprise software used by hospitals or operations teams

Why join

• Building AI into high-stakes clinical workflows, not demos
• Real scale from day one: a business already reading 20,000+ scans a day, a live MVP and a committed first customer. Not a blank page or a pitch deck
• Architecture decisions most engineers wait 8+ years to make
• Work directly with the founder. As IRIS grows, you'll help hire and lead the next engineers, with a clear path to tech lead
• AI-native team: paid Claude and Cursor seats, and the freedom to shape how the team builds with AI
• Product judgment: you'll work directly with radiologists, hospital ops teams and the founder, and join customer demos and go-lives

What this is not

• Not a ticket‑taking role on a mature codebase
• Not a frontend‑only or backend‑only role
• Not a role where you wait for specs