Software Engineer, Integrations

We're Scan.com. We're building America's national imaging network: the infrastructure that connects patients, providers, and payers to faster, better-value diagnostic imaging. Thousands of patients move through our platform every day, and each is a real person waiting for an answer to a healthcare concern. We exist to get them that answer faster.

We manage the medical imaging pathway end-to-end. Providers order through a single point of entry, and from there, we run the entire medical diagnostic pathway. Managing the full pathway, rather than brokering pieces of it, is what lets us deliver imaging faster, at higher quality, and at a lower cost than the fragmented status quo.

We're looking for a Software Engineer, Integrations at an exciting time. We've successfully launched multiple platforms and products, raised over $100M in VC funding, reached profitability, and have a growth trajectory of over 100% YoY.

WHAT YOU WILL BE GETTING INVOLVED IN

Scan.com's integration layer is mission-critical infrastructure. We interface with hundreds of imaging centers and health systems operating disparate, often decades-old systems — RIS platforms built on legacy protocols, HL7 v2 feeds with idiosyncratic vendor dialects, and hardware gateways running in constrained clinical environments. On the demand side, we connect to modern EHR APIs, third-party referral networks, and portal integrations that must work reliably at scale.

For this role, you will architect and build the systems that make the demand-side connections robust, observable, and extensible. This problem area requires genuine passion for system integration patterns, message transformation pipelines, and the operational discipline to maintain high-reliability infrastructure against the entropy of the real world.

As a scale-up business, you can expect your role to develop over time. Here are some of the types of things you could be getting involved in:

• Build and maintain integration connectors for modern and legacy EHR systems to retrieve physician referrals and relevant patient documentation.

• Architect fault-tolerant message queuing and delivery infrastructure for inbound and outbound HL7 and API traffic.

• Build and maintain REST API integrations with third-party referral sources, attorney platforms, and demand aggregators.

• Own the observability layer for the integration infrastructure: structured logging, alerting on message processing latency/failures, and dashboards that surface issues before they reach the operations teams.

THE TOP 5 THINGS WE WANT YOU TO ACHIEVE IN YOUR FIRST YEAR

• Deep domain ownership. Within 90 days, you have a complete mental model of our integration workflows — every active connector, its transport mechanism, its failure modes, and its monitoring coverage.

• Resilience uplift. You have identified and remediated the most critical reliability gaps in our referral pipeline. There is a measurable reduction in integration-related operational escalations.

• Scalable transformation architecture. You have designed or materially evolved our data workflows such that onboarding a new demand-side source is a simple choice from a menu of robust technical options.

• Observability in production. Every integration has structured alerting and a clear SLA. The operations team can self-serve on integration health without engineering involvement for routine issues.

• Shipped meaningful capability. At least two significant referral integration improvements. This can be new connectors that significantly increase referral volume, automations that improve quality, or infrastructure improvements. These improvements are live in production and have measurably increased referral volume, improved connection optionality, operational efficiency, and/or error rate.

WHAT YOU MIGHT BRING TO THE TABLE

You don't need to tick all the boxes to apply for this role. Whether it's your first role or your fifth, we believe everyone can add value, learn, and grow. However, these might be some of the ways you are currently adding value:

• Proven ability to integrate with legacy systems that were not designed for modern interoperability. For example, aging RIS platforms in radiology, core banking systems in fintech, or equivalent legacy infrastructure in another vertical. The underlying pattern of bridging old and new matters more than the specific domain.

• Proficiency in at least one backend language used in high-reliability integration contexts (Python, Ruby, Java, C# are all relevant; language is less important than architectural rigor).

• Familiarity with RESTful API integration patterns, including schema versioning, backward compatibility, and API contract management

• Strong operational instincts: you instrument what you build, you think about failure modes before they happen, and you treat on-call escalations as a signal about systemic gaps

• Bias for innovation: You care about questioning the ‘why’ behind every system, and have a strong desire to build the next generation of products you work on.

• Experience in healthcare is a plus, but not required. We care far more about your engineering depth and API design fluency than your industry background

HOW WE WILL INTERVIEW YOU

We keep our interview process short and sweet, and we're a nimble team that can progress at pace. Here are the stages you can expect, but we might switch up the order depending on team availability:

• Introductory call with our Senior Talent Partner — approximately 30 minutes by phone.

• Video call with a software engineer on the team, approximately 60 minutes. This will be a live assessment of your technical skill.

• Assessment stage, which may be a take-home exercise, in-person session, or a combination of the two.This will be cross functional in nature, and will assess your systems design skills along with your ability to evolve a feature with your future teammates. We will be mindful of your time.

• Final round with our Chief Technology Officer and Chief Product Officer. This round will assess alignment with our company values.

• Offer!

BENEFITS

We go beyond the basics with our benefits package. Here's what you can expect from us:

• Competitive salary range, plus performance bonus and equity

• 401k

• Healthcare, Vision, and Dental

• All equipment needed to do your role effectively

• Flexible and remote/hybrid working options

• Personal development budgets

• 18 days PTO plus public holidays

• 10 paid sick days

• Inclusive policies designed by our team, for our team

  This role is hybrid with a requirement of 2 days/week in our New York City office.

DIVERSITY AT SCAN.COM

Scan.com is committed to eliminating discrimination and encouraging diversity within our team. We strive to provide equality and fairness for all job applicants and employees and never discriminate on the basis of gender, marital status, age, race, ethnicity, religion, or physical differences.

We are opposed to all forms of unlawful treatment and discrimination.

Our ambition is for our team to be representative of the diversity in society, and for every employee to feel respected and able to bring their best selves to work.

If you need an accommodation to apply or interview, contact us at [email protected].

We look forward to receiving your application!