C++ / Systems Integration Engineer

We are looking for an experienced C++ / Systems Integration Engineer to work across Custom Surgical’s software and hardware platforms, solving complex integration challenges that sit at the intersection of software, hardware, imaging, and clinical systems .

This role focuses on highly specialized engineering tasks that require a deep understanding of system-level programming, performance-critical code, and real-world constraints. You will work across desktop, embedded, and cloud-connected environments, enabling reliable integration between Custom Surgical’s products and external devices and systems used in clinical settings.

You will play a key role in ensuring that our solutions integrate seamlessly into clinics and hospitals, supporting both product development and large-scale customer deployments.

Tasks

• Design, develop, and maintain C++-based components across desktop, embedded, and system-level applications;
• Build and extend integration layers between Custom Surgical software and external devices or systems;
• Work on performance-critical and hardware-adjacent functionality , including image and video processing;
• Contribute to system architecture and interface design for complex integrations;
• Develop and maintain APIs and services that enable interoperability between platform components;
• Support the integration of Custom Surgical solutions into clinical environments ;
• Troubleshoot, debug, and resolve complex issues spanning software, hardware, and networking;
• Collaborate with frontend, backend, mobile, AI, and hardware teams on cross-platform projects;
• Maintain high standards for code quality, documentation, and long-term maintainability.

Requirements

Nice to have (but not required) :

What we expect from Custom Surgical Candidates :

Benefits

Custom Surgical is building the digital infrastructure for global eye care — from smart imaging hardware to AI diagnostics. Used in 80+ countries, our plug-and-play tools and cloud platform empower eye doctors to digitize their workflow, streamline collaboration, and improve outcomes. We're on a mission to make ophthalmology smarter, more accessible, and powered by data.