Staff Software Engineer, Real-Time Radiology Reporting

Cognita Imaging Inc.; United States; Hybrid; USD 190,000 - 210,000; Full time

Job summary

Cognita Imaging is seeking a Senior Staff Software Engineer to scale Mosaic Reporting. You will build full-stack systems powering real-time radiology reporting, collaborating with clinical AI teams to improve product quality.

The role includes in-person and remote/hybrid work in the SF Bay Area, with ownership from design through deployment. You will work on frontend/backend iterations, low-latency streaming, and data-heavy processing, contributing to a product used across radiology partners and

Qualifications

• We are not credential-driven. We only look for evidence of exceptional ability.
• Strong experience building full-stack systems in production.
• Attention to detail and an eye for product design
• Experience designing and operating cloud-based services, ideally on AWS.
• Comfort building and owning API-driven, data-intensive systems.
• Experience working with distributed systems and production reliability concerns.
• Experience with real-time and/or low-latency systems (streaming, WebSocket/WebRTC, SSE, or similar) is a strong plus.
• Familiarity with a modern backend stack such as:
• Strong ownership mindset and good systems judgment.

Responsibilities

• Iterate on the frontend and backend services that power Mosaic Reporting.
• Improve our reporting system that transforms model outputs and radiologist voice dictation into accurate, structured radiology reports in real time.
• Develop workflows for VLM-based pixel-to-text report drafting, editing, resident workflows and clinician sign-off.
• Help scale and harden the real-time streaming dictation pipeline so the system stays efficient and reliable as the load and the team grow.
• Work with large volumes of structured and unstructured data, including imaging metadata and model outputs.
• Ensure platform services are reliable, secure, low-latency, and scalable as the product expands across Radiology Partners and to external customers.
• Collaborate closely with clinical AI, ML training, evaluation, and infrastructure teams to integrate inference into production reporting workflows and improve product quality.
• Own services end-to-end, from design and implementation through deployment and operation.

Skills

Full-stack development experience

Real-time / low-latency systems

Cloud-based services (AWS)

API-driven architectures

Distributed systems reliability

Tools

React

Next.js

WebSocket

SSE

AWS

Job description

Cognita Imaging is seeking a Senior Staff Software Engineer to scale Mosaic Reporting. You will build full-stack systems powering real-time radiology reporting, collaborating with clinical AI teams to improve product quality.

The role includes in-person and remote/hybrid work in the SF Bay Area, with ownership from design through deployment. You will work on frontend/backend iterations, low-latency streaming, and data-heavy processing, contributing to a product used across radiology partners and