System Engineer Manager

System Engineer ManagerCision Vision | San Mateo, California | In personFull-time or substantial part-time | $111,000–$200,000 per yearAbout Cision VisionCision Vision is a medical imaging startup built on technology developed at MIT. Our real-time, label-free optical imaging helps surgeons visualize critical anatomy during procedures. With funding support from a government agency, we are developing practical products for clinical use.The opportunityWe are seeking a hands-on System Engineer Manager with substantial medical device development experience to lead the integration of our surgical imaging technology into a reliable medical device.Working directly with company and engineering leadership, you will own system requirements, architecture, integration, and testing across optics, cameras, electronics, mechanical hardware, firmware, software, and AI. You will coordinate multidisciplinary engineering work, guide technical decisions, and help build and mentor the engineering team.Strong organization and consistent follow-through are essential. Alongside technical leadership, you will manage development schedules, maintain clear documentation, and complete the administrative tasks, milestone submissions, and reports required by our government-funded development program.This role requires someone who can lead development while working directly with prototypes, troubleshooting hardware and software, and producing the documentation needed for medical device verification, clinical evaluation, and manufacturing transfer. Occasional travel to clinical partners and collaborators is expected.ResponsibilitiesTranslate clinical workflows, user needs, and product goals into measurable system requirements and acceptance criteria.Own system architecture and define subsystem interfaces, including mechanical fit, electrical connections, data flow, timing, synchronization, and control behavior.Lead multidisciplinary engineering work, set technical priorities, coordinate development partners, and manage integration dependencies.Maintain organized project schedules, milestone trackers, action items, and decision records. Follow up with internal teams and external partners to keep commitments on schedule.Lead prototype builds, system bring-up, and hands-on troubleshooting; identify root causes and drive corrective design changes.Evaluate image quality, latency, thermal performance, reliability, and usability, using test evidence to guide design tradeoffs.Develop verification and validation plans, protocols, and reports with engineering, quality, regulatory, and clinical colleagues. Maintain requirements traceability and test evidence.Support risk management, design reviews, change control, and design history documentation; assess how design changes affect system performance and safety.Complete government program administrative tasks and reporting, including tracking deadlines, gathering partner inputs, preparing progress reports and milestone deliverables, coordinating submissions, and maintaining supporting records.Support clinical evaluation, manufacturing transfer, and service readiness through configuration control, calibration methods, production tests, and troubleshooting procedures.Communicate progress, technical risks, and recommended decisions clearly to leadership.Required qualificationsFive or more years of medical device development experience, including substantial responsibility for systems engineering, integration, or verification of devices combining hardware and software.Experience advancing at least one complex medical device through significant design, integration, verification, clinical evaluation, or manufacturing-transfer milestones.Demonstrated experience leading multidisciplinary engineering teams or complex medical device development projects.Ability to develop requirements, define interfaces, plan system tests, and troubleshoot integrated hardware and software.Working knowledge of medical device design controls, ISO 13485, risk management, and verification and validation.Excellent organizational skills and attention to detail, with demonstrated ability to manage multiple workstreams, track deadlines, maintain accurate records, and complete technical and administrative responsibilities on time.Strong technical judgment and writing skills, including the ability to prepare clear technical reports, document progress against milestones, and coordinate reporting inputs across teams.A degree in engineering, physics, computer science, or a related technical field, or equivalent practical experience.Comfort working in a startup, adapting to evolving requirements, and taking direct ownership of execution.Preferred qualificationsExperience with surgical visualization, endoscopy, robotics, camera systems, optical instrumentation, or operating room equipment.Hands-on experience with image acquisition, illumination control, embedded systems, or real-time processing.Experience managing or mentoring engineers and coordinating suppliers or external development partners.Experience administering government-funded development programs, including sponsor reporting and milestone documentation.Experience working with clinical collaborators and supporting manufacturing transfer.Compensation and benefitsAnnual salary: $111,000–$200,000.Health and dental insurance.401(k) retirement plan.How to applySend your resume to info@cisionvision.com, along with a brief description of an integrated medical device you helped develop. Include your technical and leadership responsibilities, a difficult integration problem you addressed, and how you demonstrated that the system met its requirements.Cision Vision is an equal opportunity employer. We welcome applicants from all backgrounds and provide reasonable accommodations during the hiring process.