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 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 Fulfillment product is the core engine of the company. We use an internal portal that manages the entire patient lifecycle, from referral receipt to radiology reports sent. With it, we are able to schedule patients, assess patient preauthorization, handle medical forms, send notifications, route images and reports, generate invoices & claims — all connected to hundreds of imaging centers and health systems.

As a Software Engineer, Fulfillment, you will architect and build the systems that make these workflows robust, automated, and efficient. This problem area requires a genuine passion for scaling operational workflows, collaboration with internal operations teams, and the discipline to deeply understand the ins and outs of high-throughput workflows at scale. The reality is that we are helping hundreds of patients to get imaging done every day, and our team is passionate to make sure folks get their care with little to no friction.

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:

Design and implement patient intake workflows. This includes finishing medical forms, scheduling appointments, and receiving relevant reminders.

Architect a monitoring system of patients in their journey at scale for operations leadership.

Develop delightful and efficient dashboards for scheduling operations, legal operations, and patient services team members.

Own the automation layer for the operations team: automatic referral ingestion, automatic task assignment, AI voice reminder calls, and dashboards that surface issues to operational leads before they affect patient service expectations.

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:

Experience with shipping complex internal operations dashboards and creating delightful experiences.

Proficiency in backend development within modern web stacks—particularly Ruby on Rails and Postgres with an emphasis on building reliable, scalable services and maintaining architectural rigor over specific language choice.

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

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

A VIEW ON OUR CULTURE

We're building something that matters. Every scan we speed up is a real person waiting on an answer, and that urgency runs through everything we do. We move fast, we own outcomes, and take pride in our output. If you like ambiguity, working with ambitious people, and want your work to visibly move the needle, you'll feel at home here.