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 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'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 Software Engineer, Integrations, 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 in the face of real-world entropy.

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 a 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 integration health for routine issues without engineering involvement.

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 reduced error rates.

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: