Senior Internal Systems Engineer

Work at Radformation

Cancer rates increase year after year, yet high-quality care is not universal. By automating and standardizing the treatment planning workflow, Radformation aims to create a system where any patient anywhere can receive the same high-quality care.

We strive daily to reduce cancer's global impact and help save more of the 10 million lives it claims each year. Our unwavering commitment is to deliver reliable, high-quality, automated solutions that allow clinics to standardized care for every single person in need.

Radformation creates solutions that detect medical errors and save clinical time for clinicians with a focus in radiation therapy.  Using advanced algorithms and optimization techniques, our solutions bring automation to cancer treatments.   Currently, many safety checks and planning steps are manually completed.  Our goal is to help automate these processes for a more efficient and safer healthcare environment.

Our software focuses on three key areas:

1. Time savings through automation.

2. Error reduction through automated systems monitoring patients for errors.

3. Increased quality care through advanced algorithms creating patient treatment plans that are improved from current manual methods.

Job Brief

We are looking for a highly technical and hands-on Senior Internal Systems Engineer to join our innovative team . This role will focus on Revenue Operations systems while also assisting with broader company-wide system implementations, integrations, and ongoing infrastructure upkeep. You will play a critical role in optimizing internal tooling, ensuring seamless data flows, and automating key business processes across multiple departments. This is a fast-paced startup environment where you will have significant ownership over projects and the flexibility to innovate.

The ideal candidate has a positive attitude and thrives on a dynamic team.

• Systems Architecture & Development: Design, build, and maintain internal systems, integrations, and automations that support RevOps, SalesOps, Finance, Customer Success, and other departments.
• Full-Stack Development & Scripting: Develop custom scripts, software, APIs, and automation workflows to improve efficiency, enhance data visibility, and optimize internal processes.
• Data Infrastructure & Management: Define and maintain scalable data architectures, schemas, and pipelines to support reporting, analytics, and business intelligence.
• RevOps & Business System Integrations: Manage CRM, ERP, CPQ, and other operational tools, ensuring seamless integrations with key platforms (e.g., HubSpot, Salesforce, Netsuite, Gong, etc.).
• Process Automation & Optimization: Identify bottlenecks and inefficiencies in internal workflows, implementing automation solutions to improve efficiency and reduce manual effort.
• Project Management & Execution: Own end-to-end system implementation projects, from requirements gathering to development, deployment, and ongoing support.
• Cross-Functional Collaboration: Work closely with Revenue Operations, Sales Operations, Finance, IT, Engineering, and other teams to understand business needs and implement scalable solutions.
• Security & Compliance: Ensure internal systems follow security best practices and comply with data privacy regulations.

• BS in related fields and 5+ years of experience in systems engineering, software development, or internal tooling within a high-growth SaaS or startup environment.
• Full-stack development expertise (JavaScript, SQL, HTML/CSS) with experience building and integrating internal tools.
• Proficiency in Salesforce development, including Apex, SOQL, and UI development (Lightning Web Components, Visualforce, etc.).
• Experience with Google Apps Script for automating workflows and integrating with G Suite services.
• Strong understanding of data architecture and experience working with relational databases, data warehouses, and ETL pipelines.
• Experience with SaaS business applications (CRM, ERP, CPQ, etc.) and API integrations between systems.
• Familiarity with cloud platforms (GCP).
• Ability to manage multiple projects in a fast-paced startup environment while balancing strategic initiatives with hands-on execution.
• Excellent problem-solving skills with a proactive approach to system improvements and process automation.
• Strong communication skills with the ability to explain technical concepts to non-technical stakeholders

• Experience working in Revenue Operations (RevOps) or with SalesOps/Finance-related system implementations.
• Hands-on experience integrating and managing tools such as Salesforce, HubSpot, Netsuite, Gong, CPQ platforms.
• Strong background in building and managing data pipelines, ETL workflows, and real-time data synchronization.
• Experience with low-code/no-code automation tools and custom workflow automation scripting.
• Previous exposure to security and compliance standards related to data governance, privacy, and enterprise SaaS environments.
• Strong ability to troubleshoot and debug complex system integrations across multiple business tools.

What makes us so RAD?

We take care of our people!

Radformation offers top-tier medical, dental, vision care for employees and their families. Each role comes with our 401(k) & employer match vest immediately and you'll never have to stress about taking the time you need with self-managed PTO. We support our growing RAD families with generous parental leave, along with additional part-time work to help transition back into the swing of things. We are a fully remote team and while we may be apart, virtual events, yearly retreats and a collaborative work environment keep us close and connected.

Cancer transcends any individual differences we may have. That's why at Radformation we celebrate diversity and are committed to creating an inclusive environment for all employees. We are proud to be an equal opportunity workplace and an affirmative action employer.