Synthesis Health

Role Description This is a high-impact, high-autonomy role at the center of our IT and security operations. As our IT Security Engineer, you'll own the day-to-day administration and ongoing maturation of a modern Microsoft 365 E5/E7 environment supporting a fully remote healthcare SaaS company. You'll be the primary technical hand across identity, endpoints, security tooling, and compliance evidence generation, working directly on the systems that keep our clinical AI platform secure and our five compliance frameworks audit-ready. This is a small-team environment where you'll have real ownership and the latitude to improve, automate, and architect rather than just maintain. If you want your decisions to matter and your work to be visible, this is the role you have been searching for. Key Responsibilities - End-user IT support: first point of contact for the company across Microsoft 365, identity, devices, SaaS access, and general technology issues, with ownership of the internal support queue - Endpoint administration across macOS and Windows: Intune compliance and configuration policies, application deployment, endpoint DLP, OS update management - Entra ID operational ownership: Conditional Access lifecycle, group and license hygiene, access reviews, PIM - Microsoft Purview, Sentinel, Defender, and Global Secure Access: ongoing tuning, alert triage workflows, evidence pipelines, secure access policy management - Automation and integration: building and maintaining workflows across our SaaS estate using APIs, webhooks, and appropriate tooling - Joiner-mover-leaver execution and the tooling that supports it - Compliance evidence generation and audit support across our compliance frameworks - SaaS administration hygiene: Vanta posture, app registrations, license reconciliation - Identifying opportunities to improve, replace, or consolidate our existing tooling Qualifications - Microsoft Sentinel: KQL, data connectors, analytics rules, workbook authoring, cost management - Microsoft Purview hands-on: DLP, sensitivity labels, retention, eDiscovery - Microsoft Defender XDR: Defender for Endpoint, Defender for Office 365, Defender for Cloud Apps - macOS administration: configuration profiles, shell scripting (bash, zsh) - Experience operating in a one-person or small-team IT environment, with the prioritization judgment that comes from it. Preferred Qualifications - Microsoft 365 E5 or E7 license tier experience specifically - Microsoft Security Copilot exposure - Microsoft Global Secure Access: Internet Access, Private Access, traffic forwarding profiles - macOS administration at depth: declarative device management, Platform Single Sign-On - GCP IAM exposure: Workload Identity Federation, org policies, IAM roles and bindings - Vanta or comparable GRC automation tooling - Enterprise password management administration - HITRUST CSF i1 or r2 familiarity - ISO 27017 and ISO 27018 cloud-specific control familiarity - SCIM provisioning experience across multiple SaaS applications - Self-hosted automation platform experience including deployment, upgrades, and monitoring - Microsoft Graph PowerShell SDK at an advanced level: app-only authentication, custom Entra app registrations - Conditional Access policy design at scale, including structured policy taxonomies - Azure VM and Docker Compose administration - SharePoint Online administration and Viva Connections - Apple Business Manager and Automated Device Enrollment workflows - Windows Autopilot deployment experience - Experience supporting a SOC 2 Type II or ISO 27001 Stage 2 audit as the named technical owner. Benefits - Typical salary range for this position is $105,000 - $125,000, adjusted based on candidate's residence. - Medical, Dental, Vision benefits - “Use as needed” vacation policy - Participation in our employee option program Company Description We’re a mission- and values-driven company with tremendous dedication to our customers. Our 100% remote team is dedicated to a common goal – to revolutionize healthcare through innovation, collaboration, and commitment to our core values and behaviors.

Role Description Synthesis Health is looking for a detail-oriented and organized Accounting Manager to manage the bookkeeping and accounting transactions. The Accounting Manager will report to the Vice President of Financial Operations but work with the People and Culture team to manage the payroll and state registration processes. Key Responsibilities: - Accounting Management - Prepare accurate financial statements, ensuring compliance with IFRS accounting standards and company policies. - Reconcile various General Ledger accounts and appropriate sub-ledgers. - Compile and analyze financial information to prepare journal entries to general ledger accounts documenting business transactions. - Manage day-to-day accounting activities, including accounts payable/receivable, and financial reporting. - Preparation of balance sheet reconciliations. - Work with the FP&A on customer invoices. - Timely close monthly financials in accordance with the reporting schedule. - Ensure accurate and timely management of company accounts and financial transactions. - Remit tax payments and prepare government filings. - Oversee and manage audit process, ensuring timelines are met. - Build a robust system of controls, ensuring total confidence in transparent and honest financial systems. - Payroll Processing - Process biweekly payroll. - Remit payments to benefit carriers and HR vendors. - Register states and provinces for the appropriate tax filings. - Prepare 1099 contractor forms. - Assist with HR vendor, preparation of T4 and W2 forms for Synthesis employees. Qualifications - Bachelor’s degree in accounting, finance, business administration or related field. - Five years' experience in accounting operations. - Demonstrated experience managing payroll processing. - Must have experience with IFRS accounting standards. Preferred Qualifications - Experience working in a SaaS company or healthcare company. - Adhere to the company’s values and behaviors in interactions with colleagues and customers. Values - Clinical service first. - Collaborate with our customers. - Listen, respect, learn. - Innovate to excel. Behaviors - Be nice. - Be creative. - Be honest. - Be helpful. Compensation and Benefits - Salary range is $90,000-$110,000 CAD for Canadian candidates and commensurate on experience for candidates outside of Canada. - Other benefits include but are not limited to: - Medical - Dental - Vision - “Use as needed” vacation policy - Participation in our employee option program

Synthesis Health Who We Are We’re a mission and values driven company with tremendous dedication to our customers. Our 100% remote team, spread across the US and Canada, is dedicated to a common goal – to revolutionize healthcare through innovation, collaboration and commitment to our core values and behaviors. The Synthesis team is seeking a highly motivated and detail-oriented Customer Support Specialist Level 1 to join our growing company. About the Opportunity As a Customer Support Specialist L1, you will be the first point of contact for customers seeking assistance with our Synthesis technology solutions and services. You will play a key role in ensuring that our customers (Internal and external) receive timely support, addressing technical inquiries, troubleshooting issues and providing exceptional service while resolving within our SLA. Key Responsibilities: - Provide first-level support for customer inquiries related to Synthesis technology solutions products services via phone, email and other omni-channel options. - Diagnose and resolve basic technical issues related to product functionality, installation and usage. - Escalate unresolved or complex issues to higher-level technical support or internal teams. - Log all customer interactions and troubleshooting steps into the customer support system, ensuring accurate and detailed records. - Assist customers in setting up and configuring Synthesis systems, providing step-by-step guidance when necessary. - Educate customers on the use of software and hardware features, ensuring they understand key functionalities and best practices. - Collaborate with the product and engineering teams to stay up to date on new product features, updates and enhancements. - Follow up with customers to ensure their issues are fully resolved and they are satisfied with the service provided. - Maintain and contribute to a knowledge base, updating solutions and FAQs for internal use and customer reference. - Assist in managing customer expectations and delivering solutions within agreed timelines. - Adhere to company policies, processes and service level agreements (SLAs) to ensure consistent and high-quality customer service. About the Right Candidate Qualifications - Education: Associate degree in a related field (e.g., healthcare technology, IT, or radiology) or equivalent work experience. - Experience: - Minimum 1-2 years of experience in a customer support, technical support, or helpdesk role, preferably in the healthcare or technology sector. - Experience with radiology systems or medical technology products is a plus. - Skills: - Strong technical troubleshooting skills, with the ability to understand and resolve basic software and hardware issues. - Excellent communication skills, with the ability to explain complex technical concepts clearly and understandably. - Ability to handle multiple tasks and prioritize effectively in a fast-paced environment. - Proficient in using customer support tools, ticketing systems, and Microsoft Office Suite (or equivalent). - Empathy and patience when dealing with customers, with a focus on delivering outstanding service. - Strong attention to detail and commitment to accurate documentation. Preferred Qualifications - Knowledge of radiology imaging systems or software (PACS, DICOM, etc.) is highly desirable. - Familiarity with customer relationship management (CRM) and ticketing platforms. You will adhere to our company’s values and behaviors and incorporate them in your interactions with colleagues and customers. Values: - Clinical service first. 2. Collaborate with our customers. 3. Listen, respect, learn. 4. Innovate to excel. Behaviors: - Be nice. 2. Be creative. 3. Be honest. 4. Be helpful. Compensation and Benefits Compensation is fair market rates based on the country where the individual is hired. For US candidates, the salary range for this position is $20 - $22 USD. Other benefits include but not limited to: Medical, Dental, Vision, “Use as needed” vacation policy, and participation in our employee option program.

Synthesis Health Who We Are We’re a mission and values driven company with tremendous dedication to our customers. Our 100% remote team, spread across the US and Canada, is dedicated to a common goal – to revolutionize healthcare through innovation, collaboration and commitment to our core values and behaviors. The Synthesis team is seeking a highly motivated and detail-oriented Customer Support Specialist Level 1 to join our growing company. About the Opportunity As a Customer Support Specialist L1, you will be the first point of contact for customers seeking assistance with our Synthesis technology solutions and services. You will play a key role in ensuring that our customers (Internal and external) receive timely support, addressing technical inquiries, troubleshooting issues and providing exceptional service while resolving within our SLA. Key Responsibilities: - Provide first-level support for customer inquiries related to Synthesis technology solutions products services via phone, email and other omni-channel options. - Diagnose and resolve basic technical issues related to product functionality, installation and usage. - Escalate unresolved or complex issues to higher-level technical support or internal teams. - Log all customer interactions and troubleshooting steps into the customer support system, ensuring accurate and detailed records. - Assist customers in setting up and configuring Synthesis systems, providing step-by-step guidance when necessary. - Educate customers on the use of software and hardware features, ensuring they understand key functionalities and best practices. - Collaborate with the product and engineering teams to stay up to date on new product features, updates and enhancements. - Follow up with customers to ensure their issues are fully resolved and they are satisfied with the service provided. - Maintain and contribute to a knowledge base, updating solutions and FAQs for internal use and customer reference. - Assist in managing customer expectations and delivering solutions within agreed timelines. - Adhere to company policies, processes and service level agreements (SLAs) to ensure consistent and high-quality customer service. About the Right Candidate Qualifications - Education: Associate degree in a related field (e.g., healthcare technology, IT, or radiology) or equivalent work experience. - Experience: - Minimum 1-2 years of experience in a customer support, technical support, or helpdesk role, preferably in the healthcare or technology sector. - Experience with radiology systems or medical technology products is a plus. - Skills: - Strong technical troubleshooting skills, with the ability to understand and resolve basic software and hardware issues. - Excellent communication skills, with the ability to explain complex technical concepts clearly and understandably. - Ability to handle multiple tasks and prioritize effectively in a fast-paced environment. - Proficient in using customer support tools, ticketing systems, and Microsoft Office Suite (or equivalent). - Empathy and patience when dealing with customers, with a focus on delivering outstanding service. - Strong attention to detail and commitment to accurate documentation. Preferred Qualifications - Knowledge of radiology imaging systems or software (PACS, DICOM, etc.) is highly desirable. - Familiarity with customer relationship management (CRM) and ticketing platforms. You will adhere to our company’s values and behaviors and incorporate them in your interactions with colleagues and customers. Values: - Clinical service first. 2. Collaborate with our customers. 3. Listen, respect, learn. 4. Innovate to excel. Behaviors: - Be nice. 2. Be creative. 3. Be honest. 4. Be helpful. Compensation and Benefits Compensation is fair market rates based on the country where the individual is hired. For Canadian candidates, the salary range for this position is $22 - $28 CAD. Other benefits include but not limited to: Medical, Dental, Vision, “Use as needed” vacation policy, and participation in our employee option program.

Why Synthesis Health? At Synthesis Health, we don’t just build software, we reimagine the infrastructure that powers medical imaging. Our cloud-native platform connects hospitals, imaging centers, and clinicians to real-time, actionable imaging data with unprecedented speed and intelligence. We believe that imaging should just work—no more clunky interfaces, slow PACS systems, or outdated workflows. We’re engineers, doctors, and builders who thrive at the intersection of healthcare and technology. What This Role Is (and isn’t) This isn’t your typical "integration analyst" role pushing HL7 messages down a pipe. We’re looking for a technical integrator and problem solver who thrives in messy healthcare environments and wants to fix real-world problems with elegant, repeatable solutions. You’ll deploy and integrate our imaging software in high-stakes clinical environments, build scalable data pipelines, and drive interoperability between our platform and hospital IT systems like PACS, RIS, VNAs, and EHRs. What You’ll Actually Do - Lead DICOM-based integration projects end to end—from initial customer engagement to go-live. - Interface with hospital PACS, RIS, and imaging teams to analyze and optimize radiology workflows. - Build data pipelines that normalize and route imaging metadata using modern tools and cloud-native practices. - Own integration tooling: from deployment scripts to diagnostic logs to Pub/Sub services. - Use messaging protocols (DICOM, HL7, IHE, Pub/Sub) to enable deep interoperability across the imaging ecosystem. - Create repeatable and documented internal processes that reduce onboarding time and deployment friction. - Be part of the on-call L3 triage rotation—because if imaging breaks, patient care can stop. You’ll help fix that. - Collaborate with product and engineering teams to make our platform smarter, faster, and more intuitive. - Continuously identify ways to simplify integration, reduce manual overhead, and improve customer outcomes. What You Bring - 3–5+ years in a technical healthcare IT role (Integration Engineer, PACS Admin, Systems Analyst, or similar). - Mastery of DICOM (this is non-negotiable)—image routing, metadata structures, and interoperability quirks. - Familiarity with PACS/VNA environments and deep knowledge of clinical imaging workflows. - Experience with Mirth Connect, integration engines, or scripting your way through HL7 challenges. - Programming skills in languages like Python, JavaScript, or similar. - Experience with PostgreSQL, cloud-based storage, and modern deployment pipelines. - You speak both “developer” and “radiologist” fluently—and can translate between them. - Working knowledge of healthcare privacy and security regulations (HIPAA, GDPR, etc.) Bonus Points If You… - Have deployed or maintained imaging platforms in hospital environments. - Know your way around message queues, Pub/Sub, and microservices architecture. - Understand CI/CD workflows, containerization (Docker), and basic observability/monitoring practices. - Have war stories from implementing or fixing HL7 in complex hospital networks.  Why You’ll Love Working Here - Real-world impact: Every integration you deploy directly improves patient care and clinician experience. - Fast, modern stack: Cloud-native, agile, and unburdened by legacy tech debt. - No corporate fluff: You’ll work with a small, senior team that values autonomy and results. - Remote-first: Work from anywhere in the U.S/Canada with flexibility and trust. - Mission-first culture: We're here to fix healthcare tech—and we actually mean it. - Compensation: Synthesis has a location-based compensation plan. Compensation is determined by the market rates of the employee's country of residence. For US employees the salary range is $90,000 - $120,000 per year. - Benefits: Medical, dental, vision, and flexible vacation are some of our benefits. Ready to Join the Mission? If you’re tired of integrating the same tired systems with little impact and want to solve meaningful problems in clinical environments, let’s talk.  Apply now and help us build the future of medical imaging infrastructure. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

Synthesis Health Who We Are We’re a mission- and values-driven company with tremendous dedication to our customers. Our 100% remote team is dedicated to a common goal – to revolutionize healthcare through innovation, collaboration, and commitment to our core values and behaviors. At Synthesis Health, we are committed to transforming healthcare through innovative technology, leveraging AI/ML and scalable, native cloud architectures to build solutions that make a meaningful difference. Our engineering team is at the heart of this mission, and we are looking for individuals who are passionate about building secure, scalable, and compliant systems. About the Opportunity We are looking for an experienced Sr. Full Stack Engineer to help build the next generation of our cloud-native healthcare platform. You will be a key technical contributor, responsible for designing and building end-to-end features, from intuitive user interfaces to the robust backend services that power them. You will focus on creating sophisticated, high-performance web applications that empower radiologists and clinical staff. If you are a builder who thrives on solving complex challenges across the entire technology stack, enjoys mentoring others, and wants to make a significant impact on healthcare, this is the perfect opportunity for you. Key Responsibilities: - Design and Build End-to-End Features: Lead the design, development, and maintenance of scalable, resilient, and secure features across the full stack, using modern Angular and Node.js. - Elevate the User Experience: Collaborate closely with UI/UX designers and Product Managers to translate complex clinical workflows into intuitive and performant solutions, from the API to the UI. - Drive Full Stack Architecture & Quality: Contribute to our overall system architecture, helping to identify performance bottlenecks, improve data flows, and simplify complexity. You will set a high standard for code quality and testing across both frontend and backend. - Champion Performance: Drive application-level performance optimization for our critical workflows, ensuring our systems meet strict speed and reliability requirements for clinical decision-making. - Lead with Technical Expertise and Mentorship: Formally or informally mentor other engineers, helping to level up the team through code reviews, knowledge sharing, and hands-on guidance. You will significantly influence your team's technical direction and decisions. What We're Looking For: - Experience in Full Stack Development: 5+ years of software engineering experience, with a strong track record of designing and building complex, end-to-end web applications. - Deep Frontend Expertise: 3+ years of recent, hands-on experience building applications with modern versions of Angular (v2+). - Strong Backend Expertise: Proven experience building and maintaining scalable backend services and APIs using Node.js. - Strong Architectural and Design Skills: You can independently tackle complex technical challenges across the stack, architecting robust solutions and making sound technical trade-offs with minimal guidance. - Hands-On Expertise with Modern Tech Stacks: You have practical knowledge of the principles and technologies behind our platform: - Expert-level proficiency in TypeScript, HTML5, and CSS3/SCSS. - Deep experience with reactive programming (RxJS) and state management (NGXS/NgRx). - Proficiency with both relational and NoSQL databases (e.g., PostgreSQL, MongoDB). - Experience with microservices architectures and cloud platforms (GCP preferred). - Clarity in Communication: You can clearly articulate complex technical ideas to both technical and non-technical stakeholders. - Leadership Through Influence: You have a demonstrated ability to influence your team's technical direction, driving consensus, and elevating the bar for engineering excellence. Preferred Qualifications: - Medical Viewer Experience: Your application will stand out if you have experience developing interactive viewers, particularly for medical imaging (e.g., DICOM viewers). - Healthcare Domain Experience: Familiarity with regulated industries and standards (e.g., HIPAA) is a significant advantage. - Advanced Full Stack Knowledge: Experience with component libraries (Angular Material), advanced browser APIs (WebSockets, Web Workers), and containerized environments (Docker, Kubernetes). - DevOps Familiarity: A solid understanding of CI/CD principles and experience with tools like GitLab CI. Why You Should Join Us: - Solve Challenging Problems: This is a high-leverage role. You will be working on impactful technical challenges that are critical to the company's success. - Build the Future of Healthcare: You won't just be maintaining a system; you will be a primary builder of its future state, with the autonomy to own major components. - Make a Major Impact: This is a chance to establish yourself as a key technical voice on a team that is transforming healthcare. - Competitive Compensation & Benefits: We offer a strong salary, meaningful equity, a 100% remote culture, and significant opportunities for growth. We are a values-driven company. Our values: - Clinical service first. - Collaborate with our customers. - Listen, respect, learn. - Innovate to excel. The behaviors we look for: - Be nice. - Be creative. - Be honest. - Be helpful. Compensation and Benefits Typical salary range for this position is $150,000 - $165,000. However, Synthesis participates in location based hiring and salary ranges can be adjusted based on candidate's residence. Other benefits include, but are not limited to: Medical, Dental, Vision, “Use as needed” vacation policy, and participation in our employee option program. Synthesis Health is an Equal Employment/Affirmative Action employer. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected veteran status, or any other characteristic protected by federal, state, or local law.