Senior Developer (DICOM)

Infinite Computer Solutions; United States; On-site; USD 140,000 - 190,000; Full time

Job summary

Infinite Computer Solutions seeks a highly skilled Developer to design and develop a shared DICOM Routing Module enabling enterprise imaging interoperability across Cardiology and Radiology vendors. The role focuses on scalable, asynchronous workflows for DICOM dispatch, polling, and write-back, with strong emphasis on standards compliance and integration across PACS, VNA, EMR/EHR systems.

Ideal candidates will have deep DICOM expertise, experience with event-driven architectures, and a track

Qualifications

• Experience designing DICOM Routing Modules and imaging interoperability.
• Strong knowledge of PACS, VNA, EMR/EHR integration.
• Experience with event-driven architectures and microservices.

Responsibilities

• Design, develop, and maintain an enterprise DICOM Routing Module for multiple vendors.
• Build scalable asynchronous workflows for study and image polling, packaging, and write-back.
• Develop integration services between PACS, VNA, imaging modalities, and EMR/EHR systems.
• Implement routing rules, workflow orchestration, and fault-tolerance features.
• Prepare technical specs and collaborate with architects and stakeholders.

Job description

Seeking a highly skilled Developer to design and develop a shared DICOM Routing Module that serves as the integration foundation across multiple Cardiology and Radiology imaging vendors. This role will focus on building scalable, asynchronous imaging workflows that facilitate DICOM dispatch, image polling, image pointer packaging, and structured write-back capabilities across enterprise healthcare platforms.

The ideal candidate will have deep expertise in DICOM standards and protocols, healthcare imaging interoperability, event-driven architectures, and integration of PACS, VNA, and specialty imaging systems.

Key Responsibilities

• Design, develop, and maintain a reusable enterprise DICOM Routing Module supporting multiple Cardiology and Radiology imaging vendors.
• Build scalable, high-performance asynchronous workflows for:
• Study and image polling
• Image metadata and pointer packaging
• Structured write-back and acknowledgment processing
• Develop integration services between PACS, VNA, imaging modalities, EMR/EHR systems, and vendor applications.
• Implement routing rules, image orchestration, workflow management, and exception handling.
• Design solutions supporting large-scale medical imaging data exchange and storage.
• Develop APIs and services enabling seamless access to imaging assets and metadata.
• Collaborate with architects, clinical informatics teams, vendors, and product stakeholders to define interoperability requirements.
• Optimize performance, reliability, monitoring, and fault tolerance for imaging workflows.
• Troubleshoot complex DICOM communication, networking, and interoperability issues.
• Ensure compliance with healthcare security, privacy, and interoperability standards.
• Produce technical specifications, design documentation, and operational support procedures.
• Mentor junior developers and participate in architecture and code reviews.

Required Technical Skills

DICOM & Medical Imaging

• Strong expertise in:
• DICOM Protocol
• DICOM Networking
• DICOM Messaging
• DICOM Query/Retrieve
• DICOM Storage Services
• DICOM Structured Reports (SR)
• Modality Worklist (MWL)
• Image Exchange and Routing
• Experience integrating:
• PACS
• VNA
• Imaging Modalities
• Experience designing asynchronous and event-driven architectures.
• Strong understanding of:
• Messaging systems
• Queue-based processing
• Workflow orchestration
• Distributed systems
• Experience implementing:
• DICOM Dispatch Services
• Polling Frameworks
• Image Pointer Packaging Services
• Structured Write-Back Processing
• REST API development and integration expertise.
• Experience with microservices-based architecture.

Development Technologies

• Strong experience with one or more:
• Java
• C#
• .NET
• Experience with:
• SQL databases
• NoSQL databases (preferred)
• XML and JSON processing
• Familiarity with cloud-native development and containerized deployments.

Preferred Qualifications

• Experience with imaging interoperability standards:
• HL7
• FHIR
• IHE Profiles
• Experience integrating EMR/EHR systems such as Epic, Cerner, or equivalent.
• Familiarity with healthcare workflow orchestration platforms.
• Experience with cloud platforms (Azure, AWS, GCP).
• Knowledge of Kubernetes, Docker, and CI/CD pipelines.
• Experience with enterprise monitoring and observability tools.

Domain Knowledge

• Understanding of clinical imaging workflows across:
• Radiology
• Cardiology
• Knowledge of imaging lifecycle management and image archival strategies.
• Understanding of image metadata management, study identifiers, and patient context synchronization.
• Familiarity with healthcare privacy and security regulations.