Skip to main content
TryApplyNow logo
Accuray logo

Fullstack Engineer

Accuray
Full Timemid
Madison, WIPosted 5 weeks ago

Role Overview

Accuray is hiring a mid-level Fullstack Engineer. This is a full-time role in Madison. Part of Accuray's Lifecycle hiring. Full responsibilities, required qualifications, and the apply link are listed in the description below.

Salary Context

Salary is not disclosed in this posting. Market median for Mid-level Lifecycle roles is $105k-$145k (based on 335 comparable listings). Many employers share specifics during the interview process or after an initial screen.

Resume Keywords to Include

Make sure these keywords appear in your resume to improve ATS scoring

PythonJavaGitCI/CDFHIRORComplianceBar

Job description

Give hope. Give health. Make your mark in the fight against cancer.

At Accuray, we make a direct and powerful impact on the lives of cancer patients every day — helping them live longer, better lives. But our commitment to innovation offers a truly unique opportunity: the chance to change the fight against cancer — helping to develop, introduce and support new treatment delivery systems and software that will give new hope and new health to cancer patients and cancer survivors around the world.

Accuray develops, manufactures and sells radiotherapy systems for alternative cancer treatments. Our radiation therapy for cancer makes treatment shorter, safer, personalized and more effective, ultimately enabling patients to live longer, better lives.

Job Description

SUMMARY: 

The Software Engineer participates in requirements, design, development, integration, and testing of software systems used to create, store, optimize, and manage patient treatment plans. The Software engineer collaborates in a complex environment integrating software with other software and hardware subsystems for an advanced medical device. Our work has a daily impact on patients worldwide, and we hold a high bar for quality and rigor.

REPORTING TO/DEPARTMENT: 

Reports to the Manager, Software Engineering in the Software Engineering team

ESSENTIAL DUTIES AND RESPONSIBILITIES

Software Development (Build, Extend, Maintain)

  • Develop and maintain software that supports the lifecycle of a complex radiation therapy medical device.
  • Write high-quality, reliable code that fulfills product and subsystem requirements in a complex clinical domain.
  • Implement automated tests (unit/integration as appropriate) to validate functionality and reduce regressions.
  • Contribute to sustaining engineering by troubleshooting, participating in root-cause analysis, and resolving issues found in new or existing functionality.

Software Design & Architecture (Make the System Better)

  • Directly impact the development and architecture of software that creates, stores, optimizes and delivers patient treatments.
  • Drive critical design and implementation decisions and participate in design discussions for complex systems.
  • Present concise designs through written and oral reviews; contribute to clear documentation of designs, decisions, and outcomes.
  • Contribute to subsystem requirements and verification approaches for new features.

Performance & Computational Solutions (Accuracy + Responsiveness)

  • Participate in decisions affecting high-performance computation solutions to provide responsive and accurate results that meet clinical expectations.
  • Collaborate on technology choices (e.g., languages/libraries, compute approaches) to support performance, maintainability, and testability.

Quality, Compliance, and Ways of Working

  • Work closely with team members to implement quality applications that meet or exceed rigorous testing expectations.
  • Operate effectively in a regulated industry with strict process requirements; document work and follow the defined development processes.
  • Support continuous improvement efforts (e.g., coding standards, code reviews, test coverage, build/test automation) to increase engineering efficiency without sacrificing quality.

Collaboration & Technical Contribution

  • Collaborate across disciplines (software, systems, test, product, clinical/field stakeholders as needed) to deliver integrated solutions.
  • Cross-pollinate the team with theory and practice of software development, object-oriented design, and computer languages.
  • Proactively share information and communicate technical status, risks, and decisions to the right audience at the right level of detail.

Travel

  • Some travel (<10%) may be required.

QUALIFICATIONS

Required

  • BS in Computer Science, Computer Engineering, or an equivalent combination of education and experience.
  • Proficiency in an object-oriented programming language such as C#, Java or C++.
  • Experience with simulators and scaffolding for testing interoperability with third-party system specifications.
  • Experience with object-oriented analysis & design, including correct use of design patterns and awareness of anti-patterns.  Experience with client/server architecture. Strong written and verbal communication skills; able to present and defend designs in reviews.
  • Must be able to work effectively in a team environment

Preferred

  • Experience with interoperability concerns such as Semantic Modeling and Data Exchange protocols such as DICOM, HL7v2 and FHIR.
  • Experience with Medical Device development or other regulated environments.
  • Experience with Python or related languages.
  • Experience with client / server architecture.
  • Strong mathematics and/or physics background.
  • Experience developing software in multi-threaded / multi-core environments.
  • Experience with modern software practices and toolchains (e.g., configuration management such as Perforce/Git; CI/CD build, deployment, and test tooling).

WORKING CONDITIONS

  • Indoor Environment: The position takes place indoors, providing a comfortable and climate-controlled workspace.
  • Sedentary Work: This role involves extended periods of sitting and working at a desk, requiring good ergonomic practices.
  • Computer Usage: Proficiency with computers, including software applications and communication tools, is essential for tasks and collaboration.
  • Minimal Physical Strain: While physical demands are generally low, occasional light lifting and moving of objects might be required.
  • Structured Schedule: This position usually follows regular business hours, promoting a consistent and predictable work routine.

To qualify for this position, candidates must be able to furnish proof that they are authorized to work in the country they are applying on a permanent basis without sponsorship.

EEO Statement

At Accuray, our commitment to patient-first outcomes drives an inclusive and collaborative work environment where the best ideas rise to the top — and everyone works to push them further. We value diversity in both the professional and personal backgrounds of our employees, as this variety adds rich energy to every team, every project and every work day. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or national origin – including individuals with disabilities and veterans.

About Accuray

Accuray logo

Accuray

LifecycleOn-site

24 other open roles at Accuray on TryApplyNow.

Frequently Asked Questions

How do I apply for the Fullstack Engineer position at Accuray?

Use the Apply button above to submit your application directly to Accuray. Most applications take less than 5 minutes if your resume and contact details are ready, and you'll be routed to the employer's official application system to finish.

Where is the Fullstack Engineer position at Accuray located?

This position is based in Madison. Accuray has not indicated remote or hybrid options for this role, so candidates should plan for on-site work.

What does a Fullstack Engineer at Accuray earn?

Accuray has not disclosed a salary range in this posting. Many employers share specifics later in the interview process; you can also ask during a recruiter screen if compensation transparency is important to you.

When was the Fullstack Engineer role at Accuray posted?

This role was posted on June 11, 2026 (40 days ago). It's still listed as actively hiring; we re-confirm openings against the source system multiple times per day and remove closed roles.

AI-powered job search

Get every job scored to your resume

Upload your resume and get jobs ranked, your resume tailored, and employee contacts found automatically.

Get started free

No credit card to start