System Engineer II

Career-Defining, Life‑Changing

At iRhythm, you’ll have the opportunity to grow your skills and your career while impacting the lives of people around the world. iRhythm is shaping a future where everyone, everywhere can access the best possible cardiac health solutions. Every day, we collaborate, create, and constantly reimagine what’s possible. We think big and move fast, driven by our commitment to put patients first and improve lives.

We need builders like you – curious and innovative problem solvers looking for the chance to meaningfully shape the future of cardiac health, our company, and your career.

As a Systems Engineer II on the Product Development System Engineering team, you’ll play a key role in developing and improving test solutions that enhance our wearable medical devices and manufacturing systems. You will collaborate across disciplines including Electrical, Mechanical, Firmware, Software, and Design Engineering to deliver robust and innovative test tools that ensure product reliability and quality. This role offers the opportunity to develop technical and leadership skills within a highly regulated Med Tech environment while contributing directly to products that improve patient outcomes.

• Collaborate cross-functionally with R&D, manufacturing, and product development teams to design and improve test fixtures and systems.
• Develop automated test processes and procedures to support verification, validation, and manufacturing activities.
• Create and maintain technical documentation, including Test Plans, System Requirements, and Test Reports.
• Analyze test data, derive limits, and verify capability using statistical tools (e.g., GR&R studies).
• Utilize bench‑top equipment such as power supplies, digital multimeters (DMMs), and oscilloscopes for system evaluation and debugging.
• Read and interpret circuit board schematics and layouts.
• Ensure all work complies with applicable medical device regulatory standards and internal quality system procedures.

• Bachelor’s degree in Electrical Engineering, Biomedical Engineering, or related field (Master’s preferred).
• 3–5 years of relevant engineering experience in system test, manufacturing test, or product development.
• Proficiency in Python or C# for test automation and data analysis.
• Strong understanding of test instrumentation and measurement principles.
• Excellent documentation, organizational, and communication skills.

• Experience with electromechanical or wearable medical devices.
• Prior work in a regulated manufacturing or medical device environment.
• Experience with design of experiments (DOE), statistical analysis, or measurement system analysis (MSA).
• Familiarity with ISO 13485, FDA 21 CFR Part 820, or similar quality system standards.

• Hybrid role – requires a minimum of 50% in‑office presence at our San Francisco office.
• Applicants must be legally authorized to work in the United States at the time of application and on an ongoing basis.
• iRhythm is unable to sponsor or assume sponsorship of employment visas.

San Francisco

$91,200.00 – $

Full‑time

Mid‑Senior level

Information Technology

Medical Equipment Manufacturing

At iRhythm, you’ll be part of a mission‑driven organization that values innovation, collaboration, and impact. We offer a dynamic work environment, competitive benefits, and the opportunity to work on products that make a real difference in patients’ lives.

iRhythm Technologies, Inc. is an Equal Opportunity Employer. We will consider for employment all qualified applicants with arrest and conviction records in accordance with all applicable laws.

iRhythm provides reasonable accommodations for qualified individuals with disabilities in job application procedures, including those who may have any difficulty using our online system. If you need such an accommodation, you may contact us at

iRhythm is a leading digital healthcare company that creates trusted solutions that detect, predict, and prevent…