Senior Software Engineer, Integrations

About the role

We're Scan.com http://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 Senior Software Engineer, Integrations at an exciting time. We've raised over $200m in funding to date, reached profitability, and are growing 100% year on year.

Millions of people wait too long for a diagnosis. Come help us fix that.

WHAT YOU WILL BE GETTING INVOLVED IN:

Scan.com http://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.

As a Senior Software Engineer, Integrations, you will architect and build the systems that make these connections robust, observable, and extensible. This problem area requires genuine passion for legacy system integration patterns, message transformation pipelines, and the operational discipline to maintain high-reliability infrastructure against the entropy of the real world.

As a scaleup 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 REST API integrations with third-party referral sources, attorney platforms, and demand aggregators, including OAuth flows, rate limiting, retry logic, and schema versioning. Design and implement HL7 v2 transformation pipelines — parsing, normalizing, enriching, and routing ADT, ORM, ORU, SIU, and MDM message types across heterogeneous RIS and EHR systems with non-standard vendor extensions.

- Build and maintain integration connectors for modern and legacy imaging center RIS systems.

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

- Develop interfaces for demand-side EHR integrations, including mapping from internal data models to FHIR-compliant (and other standards) representations.

- 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.