A

Accuray

Robotics-assisted, image-guided radiotherapy for cancer

Field Service Engineer

Full-Time
No salary listed
Senior
Bachelor's
St. Louis, MO, USA
RemoteRemote within the United States, with travel up to 25% outside the assigned service area.
Field ServiceEquipment Field Service
No H1B Sponsorship

About the job

Requirements
  • Minimum 5 years of experience in field service, installation, and troubleshooting complex electronic equipment, or a bachelor's degree with less field experience considered.
  • Ability to work independently, schedule, organize, and conduct field service activities in an assigned territory.
  • Ability to communicate complex information to audiences including executive-level management.
  • Strong system-level troubleshooting skills.
  • Strong computer skills and understanding of basic networking.
  • Strong interpersonal and presentation skills.
  • Ability to lift up to 50 pounds and work in a physically active environment.
  • Candidates must provide proof of permanent authorization to work in the country of application without sponsorship.
Responsibilities
  • Perform on-site installation and oversee diagnosis, troubleshooting, service, and repair of complex equipment and systems.
  • Check and approve the operational quality of system equipment.
  • Instruct customers in system operation and maintenance and serve as the company liaison on administrative and technical matters.
  • Provide installation, repair, upgrade, and maintenance support for TomoTherapy and CyberKnife systems at assigned customer sites.
  • Respond to customer calls and promote customer satisfaction through clear communication and efficient repair and maintenance activities.
  • Communicate with the direct manager, peer field personnel, and commercial team members regarding customer matters.
  • Manage schedules and work priorities so urgent customer requirements are addressed appropriately.
  • Provide customer support remotely by phone and internet and through on-site visits based on machine status or customer requirements.
  • Maintain complete and timely documentation of work activities.
  • Review customer issues and communicate product performance and safety concerns to Accuray for appropriate handling.
  • Assist with training Customer Support staff and customer or site personnel on maintenance and service activities.
  • Work with other Field Service Engineers and Customer Support staff on CyberKnife and TomoTherapy products.
  • Manage parts inventory and return replaced parts for processing.
  • Complete expense reports for field customer service, company travel, and training.
  • Assist in reviewing and developing service documentation.
  • Assist in identifying and developing field support tools and test equipment.
  • Maintain a company vehicle when provided, including safe operation, cleanliness, and maintenance.
  • Travel up to 25% outside the assigned service area, sometimes with little notice.
  • Provide feedback for service-related product improvements.
  • Assist with developing, documenting, and testing service tools and product design updates.
  • Support project team activities and represent field service requirements in team meetings.
Desired Qualifications
  • Previous experience in large medical device field service.
  • Former military experience.
  • Bachelor's degree in engineering.
  • Knowledge of medical linear accelerator or microwave radio-frequency systems and computer networks.
  • Robotics or electromechanical systems service experience.

About the company

Accuray provides cancer-care technology that uses robotics and image guidance to deliver precise, non-invasive radiation treatments. Its flagship CyberKnife system places a robotic arm around the patient to aim highly focused radiation beams at tumors anywhere in the body, performing radiosurgery without surgery. In 2011 it expanded its product line by acquiring TomoTherapy, adding a helical radiation therapy platform to its portfolio, broadening the ways clinicians can treat cancer. The company differentiates itself by combining robotics with real-time imaging to track tumors and adjust treatment in real time, and by offering a broader, multi-product radiation oncology system rather than a single device. Accuray’s goal is to provide effective, non-invasive cancer treatments to patients worldwide, growing its global installed base and advancing access to precise radiation therapy.

Company Size

1,001-5,000

Company Stage

IPO

Headquarters

Madison, Wisconsin

Founded

1990

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Simplify's Take

What believers are saying

  • Fiscal 2026 transformation delivered over $20 million in cost and margin improvements.
  • Q4 fiscal 2026 service revenue rose 6%, supporting margins despite product weakness.
  • September 2026 Samsung NeuroLogica collaboration expands CyberKnife imaging ambitions before commercial launch.

What critics are saying

  • Fiscal 2026 revenue fell 12% to $401.9 million; product revenue dropped 27%.
  • Accuray withdrew fiscal 2026 guidance in May 2026 after Middle East shipment delays.
  • TCW's covenant holiday ends December 2027; another sales slump risks lender-controlled restructuring.

What makes Accuray unique

  • CyberKnife delivers robotic radiosurgery with sub-millimeter precision across body tumors since 2001.
  • Fiscal 2026 services supplied 57% of revenue, creating recurring installed-base economics.
  • UW-Madison's 10-year collaboration and Samsung NeuroLogica partnerships deepen Accuray's technology ecosystem.

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Benefits

  • Remote Work Options

Growth & Insights and Company News

6 month growth

0%

1 year growth

3%

2 year growth

3%
Third News
Oct 6th, 2026
Accuray stockholders approve $60M financing deal and board expansion

Accuray Incorporated announced stockholders approved all proposals at its 6 October 2026 special meeting, advancing a strategic financing agreement with TCW Asset Management Company LLC, its primary lender and major shareholder. The July 2026 deal converts $40 million of term loan debt into convertible preferred stock and includes a $15 million equity investment from TCW. Accuray also gains access to a delayed draw term loan of up to $5 million and relief from certain financial covenants until 31 December 2027. Approved measures include issuing common stock under Nasdaq rules, increasing authorised shares, and implementing a reverse stock split with a ratio between 1-for-15 and 1-for-40. The company also announced governance enhancements and board expansion.

Market Chameleon
Sep 28th, 2026
Accuray (ARAY) highlights Samsung NeuroLogica volumetric imaging collaboration for CyberKnife as shares jump during market hours.

Accuray (ARAY) highlights Samsung NeuroLogica volumetric imaging collaboration for CyberKnife as shares jump during market hours. 28 September 2026, 9:55 AM The collaboration aims to bring more volumetric imaging information into the treatment room, but no product has been announced. Accuray Incorporated (NASDAQ:ARAY) said it has entered into agreements with Samsung HME America, Inc., dba NeuroLogica Corp. ("Samsung NeuroLogica") to pursue advanced volumetric imaging capabilities for the CyberKnife System. The announcement coincided with the American Society of Radiation Oncology (ASTRO) Annual Meeting in Boston, where the companies are highlighting their collaboration. Accuray framed the effort as part of a broader strategy of targeted partnerships - pairing Samsung NeuroLogica's experience in mobile CT and volumetric imaging with Accuray's strengths in precision treatment delivery, robotic radiosurgery, and motion management. Importantly for investors, the company said the work will proceed through phased development and evaluation and that no commercial product offering has been announced.

Business Insider
Sep 27th, 2026
Accuray, Samsung NeuroLogica advance volumetric imaging collaboration.

Accuray, Samsung NeuroLogica advance volumetric imaging collaboration. Sep. 27, 2026, 11:25 AM Accuray Incorporated (ARAY) announced that it had entered into agreements with Samsung HME America (SSNLF) to pursue advanced volumetric imaging capabilities for the CyberKnife System. The announcement coincides with the American Society of Radiation Oncology, ASTRO, Annual Meeting in Boston, Massachusetts, where the companies are highlighting their collaboration. The collaboration represents another example of Accuray's strategy to address customer priorities through targeted partnerships that bring together complementary expertise. Published first on TheFly - the ultimate source for real-time, market-moving breaking financial news. Try Now>> Read More on ARAY:

Yahoo Finance
Aug 20th, 2026
Accuray secures $55M financing, cuts costs by $20M amid China headwinds and tariff uncertainty

Accuray Incorporated reported fiscal 2026 results, describing the year as foundational for streamlining operations and reducing costs. Geopolitical tensions and tariff uncertainty in China contributed to approximately $58 million in product revenue decline. The company achieved $20 million in cost and margin improvements, exceeding its initial $12 million target. Service revenue grew 6% in Q4, driven by strategic pricing and an expanding installed base. Accuray is pivoting to a partner-centric model, using nonbinding letters of intent with Samsung Medison and Research Laboratories to accelerate innovation. The company completed a restructuring transaction with TCW Asset Management, converting $40 million of debt into preferred equity. Management is not providing fiscal 2027 guidance due to geopolitical uncertainty. The company expects approximately $15 million in additional annualised cost improvements and has secured a covenant holiday through December 2027.

Yahoo Finance
Aug 20th, 2026
Accuray posts $402M revenue, achieves $20M cost savings amid 12% annual decline

Accuray reported Q4 2026 net revenue of $100.9 million, down 21% year-over-year, with full-year revenue at $402 million, down 12%. Product revenue fell 42% in Q4 to $40.8 million, whilst service revenue rose 6% to $60.1 million. The medical device company exceeded its transformation cost-saving target, achieving over $20 million in savings versus a $12 million goal. Q4 gross margin improved to 34.8% from 30.6% in the prior year. Accuray strengthened its balance sheet through a transaction with TCW, including debt conversion and a $15 million cash investment. The company ended Q4 with $48.8 million in cash and $313 million in order backlog. Full-year adjusted EBITDA was $10.6 million, down from $28.3 million in the prior year.