Lead Developer

This is a fully remote role and does not require you to be based in Canada, as long as you have strong overlap with Eastern Time (U.S.) working hours

At AdvaHealth Solutions, we’re reimagining the future of healthcare technology — streamlining clinical workflows, improving diagnostic accuracy, and enabling smarter, connected care. Our cloud-based platform integrates seamlessly with EHRs, imaging systems, and partner ecosystems to support data-driven, interoperable healthcare.

We’re looking for a hands-on Technical Lead who thrives in a fast-paced environment and is excited to shape our imaging architecture and team standards. In this role, you’ll drive engineering excellence, lead code reviews, mentor developers, and set the technical direction across the imaging stack.

Serve as a technical lead for our DICOM viewer initiatives, focusing on high-performance, cloud-native, and standards-compliant imaging solutions. This role will require deep understanding of modern web development, 3D medical image rendering, and interoperability standards such as DICOM and DICOMweb.

This role will require deep understanding of modern web development, 3D medical image rendering, and interoperability standards such as DICOM and DICOMweb.

• Architect, develop, and optimize advanced DICOM viewer capabilities using Cornerstone 3D and other medical imaging libraries.
• Collaborate with product management, UX designers, and backend engineers to create intuitive, powerful imaging tools.
• Lead implementation of highly technical features including volume rendering, segmentation overlays, MPR, CINE, and annotation toolkits.
• Guide the team in integrating DICOMweb protocols (WADO-RS, QIDO-RS, STOW-RS) for seamless image retrieval and submission.
• Conduct code reviews and set engineering best practices around TypeScript, React, and Next.js.
• Support evaluation and integration of 3rd-party tools including OHIF, Orthanc, and AWS HealthLake Imaging.
• Champion secure-by-design development and cloud-native architecture patterns.
• Produce detailed design documentation, developer guides, and internal training.
• Provide senior-level support for escalated customer-facing image-related issues.

• Bachelor’s degree in computer science or equivalent (master’s preferred).
• Proven experience with DICOM, DICOMweb, and imaging standards.
• Expert knowledge of Cornerstone 2D/3D, OHIF viewer, and underlying tools (e.g., vtk.js, dicomParser, dcmjs).
• Strong frontend experience with React, Next.js, and Typescript.
• Experience building imaging microservices using NestJS, Node.js, and connecting with PostgreSQL and AWS services (e.g., S3, Lambda, ECR, RDS).
• Familiarity with PACS/VNA systems, image lifecycle, and data integrity constraints.
• Working knowledge of infrastructure-as-code tooling like Terraform or CloudFormation.
• Bonus: experience with 3D rendering pipelines, WebGL, and GPU optimization.
• Bonus: experience with DevOps tasks such as CI/CD pipelines, deployment automation, and observability tools.
• Clear understanding of cloud security practices in regulated environments (HIPAA/GDPR).
• Effective communicator, mentor, and hands-on contributor.

• Expert knowledge of Cornerstone 2D/3D, OHIF viewer, and underlying tools (e.g., vtk.js, dicomParser, dcmjs).
• Strong frontend experience with React, Next.js, and Typescript.
• Experience building imaging microservices using NestJS, Node.js, and connecting with PostgreSQL and AWS services (e.g., S3, Lambda, ECR, RDS).

• Bonus: experience with 3D rendering pipelines, WebGL, and GPU optimization.
• Bonus: experience with DevOps tasks such as CI/CD pipelines, deployment automation, and observability tools.

1+ years of work experience with DICOM

Ready to join our team? Apply via the link below or send your application directly to careers@advahealthsolutions.com.