The Role
- You'll own critical parts of 5C's radiology platform — the system that processes millions of medical scans, routes them to radiologists, delivers AI-assisted reports, and powers dashboards for hundreds of hospitals. This is a senior engineering role where your architectural decisions directly affect clinical outcomes.
- We need engineers who can design systems, not just write code. You'll make trade-offs between speed and reliability, decide when to build vs. buy, and mentor other engineers — all while shipping at startup pace.
What You'll Own
- Design and build core platform services: scan routing, report delivery, real-time notifications, billing, and analytics
- Architect APIs and data models that scale — our platform handles thousands of concurrent imaging workflows
- Build and maintain clinical dashboards used daily by radiologists, hospital admins, and operations teams
- Own infrastructure decisions: database design, caching strategies, queue systems, deployment pipelines
- Integrate with hospital systems (PACS, RIS, HL7) and AI model serving infrastructure
- Mentor junior engineers and establish engineering best practices
How We Work
- AI-assisted development is the baseline. We use Claude Code, Cursor, and Codex daily — you should already be shipping faster because of these tools
- Our stack: TypeScript (React, Node.js), Python (FastAPI), PostgreSQL, ClickHouse, Redis, AWS. You don't need to know everything, but you should be comfortable across the stack
- Small team, high ownership. No PRDs, no sprint ceremonies, no managers breathing down your neck. You own the problem, you own the solution
- We ship to production multiple times a day. Move fast, but don't break healthcare
You Should Have
- 3+ years building and deploying production web applications
- Strong system design skills — you can whiteboard a distributed system and explain trade-offs
- Deep experience with TypeScript/JavaScript (React, Node.js) and at least basic Python proficiency
- Production database experience: PostgreSQL, query optimization, schema design, migrations
- Experience building and consuming RESTful APIs at scale
- A public GitHub profile or portfolio that demonstrates your engineering depth
Even Better If You Have
- Experience with healthcare IT systems (DICOM, HL7, FHIR)
- Infrastructure and DevOps experience: Docker, AWS, CI/CD, monitoring/alerting
- Experience building real-time systems (WebSockets, event-driven architecture)
- Contributions to open-source projects
Why 5C
- 5C is one of the best places to work for serious, engaged builders. We are a leading company in agent-driven software development and a leading business in AI for medical imaging — both at the same time
- Small, highly empowered teams. High execution capability, high taste, high agency. No committees, no approval chains — just builders who ship
- Resumes are not important. Proof of work and proof of a high learning rate is everything we look for. Show us what you've built
- Build the platform that connects AI to patient care across thousands of hospitals in India
