About iSono Health Inc.

iSono Health is a dynamic and rapidly growing early clinical-commercial stage medical device company dedicated to saving lives and transforming care through innovative robotics, AI, and 3D ultrasound technologies. 

At iSono Health, we're pioneering a new era of breast care. We believe every woman deserves access to fast, affordable, and comfortable screenings. That's why we developed ATUSA, the world's first AI-powered platform with a point-of-care, automated 3D ultrasound system.

To succeed here, you need to think like an entrepreneur, act like a leader, and execute with precision. We value individuals who take initiative, embrace challenges, and are excited to wear multiple hats. Creativity, resilience, and a commitment to excellence are essential as we push the boundaries of what’s possible in healthcare.

Our work is exciting because it’s meaningful. Together, we’re empowering women to take control of their health by expanding access to potentially lifesaving ultrasound technology. If you’re passionate about making a difference and ready to be part of a nimble, scrappy team that values impact over hierarchy, iSono Health is the place for you.

At iSono Health, success isn’t just about the work—it’s about the mindset. We’re a small but mighty team of dedicated individuals driven by a shared mission: revolutionizing women’s health and making a profound impact for patients and clinicians. With big ambitions and innovative plans, we thrive in a fast-paced, dynamic environment where every team member owns what they build.

Join us in transforming healthcare and be part of a team where every voice matters, every idea counts, and every action contributes to a greater purpose.

About the role

The Head of Imaging Engineering at iSono Health will be a highly visible, mission-critical role that begins as a hands-on technical contributor and evolves into a team leader and strategic owner of our imaging systems. You will bring expert-level engineering experience across imaging modalities—particularly diagnostic ultrasound—and play a pivotal role in product development and commercialization. The position drives breakthrough imaging and ultrasound systems to elevate clinicians' vision, encompassing mechanical, optical, electrical, and algorithmic design elements.

This role will drive innovation across hardware, software, and algorithmic domains, including mechanical, electrical, optical, and ML-enhanced beamforming and image quality. You’ll lead the development, optimization, and validation of advanced imaging solutions and machine learning-based approaches, with a strong focus on beamforming, image quality enhancement, and ML-based solutions. This includes both innovation and refinement to push the boundaries of diagnostic performance.

The role is responsible for the smooth and successful transition of product designs to scalable manufacturing, and for ongoing design improvements for launch onward to ensure excellent field performance, high reliability, supply continuity, efficient manufacturing, and product cost optimization.

This role is ideal for a hands-on, ambitious engineer who thrives in a fast-paced environment and is eager to take ownership from day one. You’re someone who takes pride in building from the ground up, embraces complexity, and sees leadership as something earned through execution. At iSono Health, we’re not just developing medical devices—we’re transforming how and where people access health and diagnose cancer. If you’re passionate about healthcare innovation, motivated to make a global impact, and ready to grow into a leadership role at a venture-backed startup in South San Francisco, we’d love to meet you.

Essential Job Duties 

Technical Leadership & Execution

• Take ownership of critical imaging initiatives from concept to execution, driving technical decisions, prototyping rapidly, and guiding system development across mechanical, electrical, and algorithmic domains.
• While this role may begin as an individual contributor, the ideal candidate brings prior leadership experience and is prepared to scale into managing and mentoring engineers as the team grows.
• Set appropriate priorities for product development by connecting technical focus to key customer needs.
• Own the planning, execution, and delivery of projects—anticipating risks, resolving challenges, and maintaining alignment with schedule, scope, and budget alongside cross-functional partners.
• Be a product sponsor and champion by offering sound technical and business leadership to project teams and actively participating in business and design control review boards.
• Ensure rigorous design documentation and execution of robust verification and validation processes aligned with customer expectations and quality standards.
• Deliberately support regulatory submissions by contributing to documentation and ensuring product design aligns with global compliance requirements.
• Generate and document meaningful IP throughout product development to secure core innovations and long-term competitiveness.

Imaging, Beamforming & Algorithm Development

• Lead the execution and implementation of advanced, software-based quantitative ultrasound beamforming techniques, with a strong emphasis on real-time performance and clinical-grade image quality.
• Develop and optimize novel algorithms for image acquisition, processing, and enhancement—including machine learning-based solutions.
• Design and lead ultrasound reader studies to evaluate imaging performance; prepare comprehensive reports and documentation for internal stakeholders and regulatory bodies.
• Stay up to date on emerging technologies, imaging standards, and clinical applications in ultrasound and machine learning, proactively proposing innovative solutions.
• Collaborate with QA teams to perform verification and validation (V&V) activities, integration testing, and implement end-to-end test automation.

Team Leadership & Culture Building

• Create a high-performing, positive, and values-driven team culture that emphasizes excellence, creativity, and accountability.
• Foster an environment that encourages innovative thinking and risk-taking to deliver breakthrough product designs with strong scalability.
• Use sound judgment to navigate complex situations with professionalism, humility, and ethical integrity.
• Promote continuous improvement in design and development processes through deliberate measurement and refinement.
• Assess individual performance, provide coaching and mentorship, and support career growth—both technical and managerial—aligned with business goals and employee aspirations.
• Contribute to team planning, staffing decisions, budgeting, and program cost tracking.

Design Transfer & Product Engineering

• Partner with manufacturing and field service teams to ensure seamless design transfer and sustained high-quality performance in the field.
• Monitor and improve product quality by investigating operational challenges and applying root-cause analysis and creative engineering solutions.
• Lead efforts to solve field and manufacturing issues through in-depth failure analysis and iterative design improvements.
• Manage CAPA projects proactively and effectively address quality and compliance concerns across the product lifecycle.

Communication & Cross-Functional Collaboration

• Build strong, trustworthy relationships across the company through clear, effective communication.
• Continuously improve interpersonal and communication skills to better collaborate with staff, executives, clinicians, product managers, and operations teams.
• Actively contribute to a culture of alignment and mutual accountability by fostering open dialogue and shared ownership of results.

Qualifications

Required Skills and Experience

• At least 10+ years of design engineering experience in ultrasound or imaging product development.
• Proven expertise in beamforming techniques, ultrasound image processing, and image quality enhancement.
• Strong programming skills (e.g., Python, C++, MATLAB) with experience in ultrasound-specific software development and frameworks.
• Strong analytical and innovative thinker with problem-solving capabilities.
• Excellent oral and written communication and collaboration skills.
• Ability to work in a dynamic and fast-paced environment
• Experience in medical device design and development, specifically breast tissue visualization, is highly desirable.
• Strong technical and analytical skills in optics, algorithms, mechanical design, electronics, imaging, and software
• Deep understanding of engineering best practices and rigorous product development methods
• Proven experience and solid track record of complex product development and project management, taking products through concept, design, manufacturing, deployment, and ongoing development
• Excellent communication skills and solid proficiency in standard tools are essential.

• Experience communicating with and presenting persuasively to peers, the board of directors, and investors.
• Ability to travel occasionally (15-20%) for partner meetings, manufacturing site and supplier visits, and domestic and international customer interactions, if needed.

 Required Education and Training 

Master’s or Ph.D. in Computer Science, Electrical Engineering, Software Engineering, Mechanical Engineering, Imaging Science, or a related engineering discipline. Commensurate work experience in ultrasound/vision engineering will be preferred.