Senior C++ Engineer - Image Processing

About Proscia

Pathology is at the center of medicine and is undergoing a profound transformation as the final frontier of digitization in healthcare. We started Proscia to accelerate pathology’s transition from microscope to images—and to use AI to change the way we think about cancer.

We can’t change medicine alone. That’s why we’re looking for curious thinkers, big dreamers, developers, evangelists, pathologists, and scientists— exceptional talent to help us harness the great power of AI for good and advance humankind.

At Proscia, we push the limits of medicine and technology, solving problems the world has never solved before. We build software used by thousands of scientists and pathologists working on the front lines of fighting big enemies like cancer for patients around the globe. To accelerate our vision, Proscia has raised over $100M in capital from world-class healthcare and technology investors.

About the role

We are seeking a highly skilled Senior C++ Engineer to play a pivotal role in our mission. The ideal candidate will have 5–7 years of hands-on professional C++ development experience and a strong track record of building production systems with modern C++ libraries and tooling.

Experience with image processing is strongly preferred. Prior work in healthcare, digital pathology, or other regulated/high-reliability domains is a significant advantage.

Key Responsibilities

• Collaborate with cross-functional teams to design and implement high-performance image processing solutions.


• Develop scalable, efficient software in a modern C++17 codebase using contemporary libraries and best practices.


• Lead architecture discussions and contribute to the design of distributed systems.


• Provide technical leadership within an Agile/Scrum team environment.


• Optimize code for performance, memory usage, and reliability.


• Troubleshoot and resolve complex software issues across the stack.


• Mentor and support junior engineers through code reviews, pairing, and technical guidance.


• Stay current with advances in C++ standards, tooling, and image processing technologies.

Required Qualifications

• Bachelor’s or Master’s degree in Computer Science or a related field (or equivalent practical experience).


• 5+ years of professional C++ development experience.


• Deep knowledge of modern C++ (C++17 or newer), including common libraries and idioms.


• Strong Linux proficiency, including development and debugging in Linux environments.


• Proficiency with modern development tools such as Git and VS Code (or comparable IDE/tooling).


• Experience designing and implementing distributed systems.


• Strong problem-solving and debugging skills with attention to performance and correctness.


• Excellent communication and collaboration skills.


• Demonstrated ability to lead technical work and mentor other engineers.

Preferred / Beneficial Qualifications

• Experience with one or more of: Boost, OpenSlide, libvips.


• Strong background in image processing techniques and algorithms.


• Experience in healthcare, digital pathology, medical imaging, or other regulated domains.


• Kubernetes and/or Docker experience.


• Experience building or maintaining CI/CD pipelines, including GitHub Actions.


• Prior work in Agile/Scrum teams.

Beyond Just Work

As a company in healthcare, we want our people to be happy and healthy, in and out of the office. In addition to competitive pay, we ensure everyone on our team is supported with savings, schedule, and insurance options that promote long-term health and personal growth.

Our office environment is designed for creativity and agility: with walls as notepads and couches for collaboration. We’re located in the heart of Philadelphia, with views of the city so you can spend your time focusing on what matters most.

At Proscia, we don’t just accept differences—we celebrate them, we support them, and we thrive on them for the benefit of our employees, our products, and our community. Proscia is proud to be an equal opportunity workplace.