> AI agents: this is one page of Nextmove’s FDE site, in Markdown. Nextmove is a job board and free career service for forward deployed engineers (FDEs). Each posting is classified from its text, not its title: the kind of work, how much of it is production code, pre-sales weight, time at customer sites, travel, remote arrangement, level and posted base pay. The site also publishes the aggregates: median pay by level, metro, company and kind of work, and which companies started hiring FDEs each week. Every page under https://nextmove.md/fde is served this way; the index of pages is https://nextmove.md/llms.txt. # Senior Integrations Engineer Canonical URL: https://nextmove.md/fde/jobs/e654483fcfa7ddf3 Sirona Medical posts a senior FDE role to integrate and configure the product in San Francisco, CA, at $125,000–$142,500 base, below the senior FDE median of $190,000 across 1,864 postings with pay. Leads hands-on design, delivery, and support of DICOM integrations that connect Sirona’s radiology platform with hospital PACS, RIS, and VNA environments. Read from the employer’s posting on November 8, 2026. - [Sirona Medical](https://nextmove.md/fde/companies/sirona-medical) Posted Apr 14, 2025 by Sirona Medical · open on Greenhouse as of Nov 8, 2026 **$125,000–$142,500** + equity San Francisco, CA Full-time Leads hands-on design, delivery, and support of DICOM integrations that connect Sirona’s radiology platform with hospital PACS, RIS, and VNA environments. - [See roles that fit me](https://nextmove.md/sign-up?from=%2Ffde%2Fjobs%2Fe654483fcfa7ddf3&placement=top) - [View posting at Sirona Medical](https://job-boards.greenhouse.io/sironamedical/jobs/4553795005) Free. Upload your resume once, see why each FDE role fits, and get introduced only when you say so. ## At a glance ### Posted base pay $125K–$143K Below the median Midpoint $134K · median $190K This job $125K to $143K. Senior FDE postings, 1,864 postings: the middle 50% of posted pay is $160K to $220K, median $190K. ### The work Integrates and configures it Balance **Mostly building** Project stages 1. Pre-sales (not covered) 2. Proof of concept (not covered) 3. Implementation 4. Operations - **Coding**: Writes production code - **Builds for**: External customers - **Level**: Senior - **Role**: Technical lead ### Do you meet what the posting states? The posting reads as a senior role. What level are you at now? The job is in San Francisco, CA. Could you work there? Which of these have you used in production? Answer each one. Nothing is saved or sent. [What postings ask for, by background →](https://nextmove.md/fde/paths) ## Conditions - **Location**: San Francisco, CA - **Employment type**: Full-time - **Pay**: ## More like this [Tempus](https://nextmove.md/fde/companies/tempus) ### [Solution Architect](https://nextmove.md/fde/jobs/91ace0e301c6a383) New York, NY · Redwood City, CA · +1 more New · 5d ago $100,000–$130,000 [Heidi Health](https://nextmove.md/fde/companies/heidi-health) ### [Clinical Engineer Associate](https://nextmove.md/fde/jobs/8ddd7c3768476feb) New York, NY · San Francisco, CA On-site 4w ago $100,000–$120,000 [AKASA](https://nextmove.md/fde/companies/akasa) ### [Forward Deployed Engineer](https://nextmove.md/fde/jobs/6b9e2488e7fb7a49) San Francisco, CA Hybrid 3mo ago $150,000–$170,000 ## The job description from Sirona Medical Posted by Sirona Medical on Apr 14, 2025 ### About Sirona Medical At **Sirona Medical**, we’re building software that enables physicians to work as fast as they can think. Each year in the U.S., **billions of patient images** are captured—and nearly all of them are reviewed and diagnosed by radiologists. These specialists are the central hub of diagnostic medicine: **over 80% of all healthcare data flows through radiology IT systems**. Yet despite their pivotal role, radiologists are overburdened by outdated, fragmented software which limits their efficiency and ultimately the quality and efficiency of care that health systems can provide patients. That’s where Sirona comes in. We’re a **San Francisco-based, cloud-native software company** with employees around the world. Our deep understanding of both the **practice and business of radiology** has allowed us to build **RadOS**—a unified, AI-powered operating system powering the entire radiology workflows. ### How Sirona Solves the Problem Sirona is **uniquely positioned to transform the way radiology is practiced**. We're delivering the organizational shift that both individual radiologists and entire practices urgently need: - A **unified**, intuitive, and **platform-agnostic** solution - A streamlined workspace that makes **every part of the radiologist’s workflow faster and easier** - The freedom to **read from anywhere, for anyone** By cutting clicks, optimizing diagnostic time, and unlocking efficiencies that extend **far beyond the reading room into all care settings**, Sirona empowers radiologists—and in doing so, we help the entire healthcare system move faster, smarter, and with greater impact on patient outcomes. For more information, please visit https://sironamedical.com/join/. ### Senior Integrations Engineer Scale what works. Shape what’s next. Bring modern radiology to life. At Sirona Medical, we’re rethinking how radiologists work, building a smarter, faster, and more intuitive platform to support the doctors behind the diagnosis. **But none of it works unless we integrate seamlessly with real-world clinical systems.** That’s why we’re investing deeply in our Integrations team. We’re looking for a Senior Integrations Engineer with strong DICOM experience to help lead the way. You’ll join a capable team that’s already delivered critical integrations and you’ll play a key role in **scaling and evolving that work** as we grow. This is a hands-on, high-impact role focused on designing, implementing, and optimizing integrations that make modern radiology tools accessible within complex hospital environments. **Why This Role Matters:** DICOM is core, not a checkbox. Our platform depends on rich, high-fidelity imaging data. Deep DICOM expertise is essential, and this role gives you a chance to apply it across varied environments and architectures. You’ll scale what’s already working. The groundwork is in place. You’ll help us operationalize and expand it. You’ll lead technically. From interface design to workflow orchestration, you’ll help define best practices for high-performance, clinically safe imaging integrations. You’ll impact the mission directly. Every integration you deliver helps radiologists work faster, smarter, and more accurately, with direct impact on patient care. ### What You’ll Do - Lead customer integration projects with a strong emphasis on DICOM interface design, implementation, and support. - Analyze imaging workflows and develop solutions that fit smoothly into hospital PACS, RIS, and VNA environments. - Design and build data pipelines that normalize and route imaging and metadata reliably at scale. - Collaborate with internal teams to ensure product alignment with real-world imaging use cases and clinical workflows. - Improve internal tools, documentation, and architecture to make DICOM integrations more repeatable and maintainable. - Participate in an on-call rotation to support live integration environments and troubleshoot urgent issues. ### What We’re Looking For - Extensive experience working with DICOM, including image routing, metadata management, and PACS/VNA interoperability. - Strong technical skills with one or more of: Java, JavaScript, SQL, PostgreSQL, or XSLT. Familiarity with Python is a plus. - Experience with integration engines (e.g., Mirth, Cloverleaf, Rhapsody) and system-level debugging - Understanding of HL7 and healthcare IT standards - Ability to work cross-functionally and communicate clearly with both technical and clinical stakeholders. - A practical mindset with a passion for solving real-world healthcare challenges through smart, scalable integrations. **Why Join Now?** This is a rare opportunity to shape a critical function within a company that’s growing quickly and solving real problems in healthcare. You’ll work on high-impact projects, partner with experienced teams, and help define how Sirona scales imaging integrations across diverse health systems. If you’re a DICOM expert who wants to make an outsized impact, we’d love to talk. ### Benefits - Stock Options - Unlimited PTO - Medical, dental, vision insurance - Life insurance - Maternity and Paternity Leave - 401K matching - Apple equipment - Sponsorship for conferences, continuing education, etc - Dynamic role–technological innovation is at the core of our business - Growth and learning opportunities from a startup environment include working closely with an international team of scientists, engineers, platform architects, programmers and professionals The annual US base salary range for this full-time position is $ **125,000 - $142,500** + equity + benefits. Pay scale is flexible depending on experience. Within the range, individual pay is determined by work location and additional factors, including job-related skills, competencies, experience, relevant education and training. Your recruiter can share more about the specific salary range for your preferred location during the hiring process. [View posting at Sirona Medical](https://job-boards.greenhouse.io/sironamedical/jobs/4553795005) ## About Sirona Medical Builds cloud-native software that unifies radiology imaging, reporting, worklists, and AI workflows for practices and health systems. Series D · 100–200 people ## Similar jobs [Clera](https://nextmove.md/fde/companies/clera) ### [Forward Deployed Engineer (Founding Customer Engineer)](https://nextmove.md/fde/jobs/e87e2b23652d75c7) San Francisco, CA On-site 5mo ago $140,000–$185,000 [Metriport](https://nextmove.md/fde/companies/metriport) ### [Senior Implementation Engineer](https://nextmove.md/fde/jobs/f6973ddff81ab382) San Francisco, CA Hybrid 5w ago $160,000–$190,000 [Noble Machines](https://nextmove.md/fde/companies/noble-machines) ### [Forward Deployed Engineer](https://nextmove.md/fde/jobs/77d9339706f473d9) Sunnyvale, CA On-site 2mo ago $140,000–$195,000 [Instrumental](https://nextmove.md/fde/companies/instrumental) ### [Forward Deployed Manufacturing Engineer](https://nextmove.md/fde/jobs/fb34b85a552cdce2) Palo Alto, CA On-site 2mo ago $140,000–$200,000 [Accenture](https://nextmove.md/fde/companies/accenture) ### [Salesforce Forward Deployed Engineer Lead (Agentforce)](https://nextmove.md/fde/jobs/73e5924621161727) New York, NY · Milwaukee, WI · +39 more New · 2d ago $62,800–$218,800 - [Compare senior FDE salary ranges](https://nextmove.md/fde/salary/senior) - [Similar jobs in SF Bay Area](https://nextmove.md/fde/jobs?region=sf-bay-area) - [Similar jobs that integrate and configure the product](https://nextmove.md/fde/jobs?role=technical-delivery) Hiring at Sirona Medical and want this page changed or removed? 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