Senior Software Engineer, Integrations

Scan.com•New York, NY

6h•$180,000 - $200,000•Hybrid

About The Position

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 Senior Software Engineer, Fulfillment, 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. Millions of people wait too long for a diagnosis. Come help us fix that. 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 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:

Requirements

Strong command of message transformation architecture: you can design pipelines that are observable, replayable, and extensible without requiring a full rewrite every time a new vendor is onboarded
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

Nice To Haves

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

Responsibilities

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.
Contribute to the design of integration onboarding tooling that reduces time-to-live for new imaging center and referral source connections
Provide technical mentorship to mid-level engineers and participate in architecture reviews across the broader Engineering org

Benefits

Salary range of $180,000 - $200,000
Equity
Flexible hybrid work options
Dedicated personal development budget
Medical, vision, and dental coverage
28+ days of paid time off across PTO and wellbeing days, so you can show up at your best
Paid parental leave
401k retirement plan
All the equipment you need to do your best work
Inclusive, people-first policies designed by our team, for our team