Clinical Application Administrator

Scan.com; United States; Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Performance bonus

Equity

401k

Healthcare

Vision

Dental

Equipment provided

Remote/hybrid working options

Personal development budget

18 days PTO + holidays

10 sick days

Diversity and inclusion

Job summary

Scan.com is building a national imaging network and the HL7/DICOM integrations underpinning it are mission-critical. As Clinical Application Administrator, you will monitor HL7 interfaces, triage and resolve failures, manage the support queue, and work with engineering, operations, and clinical teams to close issues and onboard new imaging center clients from deployment through go-live.

This is a technically demanding operations role; you should be comfortable reading HL7 messages, diagnosing

Qualifications

• Working knowledge of HL7 v2, including ORM/ORU message types.
• Ability to triage, diagnose, and resolve HL7 data issues.
• Experience coordinating with engineering, operations, and clinical teams.

Responsibilities

• Monitor HL7 interfaces across ORM and ORU message types.
• Triage and resolve HL7 failures and reprocessing requests.
• Onboard new imaging center clients; configure and validate DICOM/HL7 gateways.
• Collaborate with engineering, operations, and clinical teams to implement longer-term fixes.
• Document processes and maintain a knowledge base.

Skills

HL7 familiarity

Issue triage

Cross-team collaboration

Tools

Rhapsody

Mirth Connect

PACS gateway

Job description

We're Scan.com, the digital health scale-up making diagnostics accessible, fast, and transparent. Our technology speeds up diagnoses for timely treatments, improving healthcare outcomes for hundreds of patients each day.

We're doing diagnostics differently, with solutions tailored to both patients and providers, all backed by our technology and world-class customer operations team. Our B2C marketplace simplifies booking a scan, making it as straightforward for patients as booking a hotel. Our B2B platforms provide live scheduling at the point of care and harness AI to ease workflows for physicians, attorneys, and providers.

We're looking for a Clinical Application Administrator at a pivotal moment. Scan.com has built a national imaging network that processes thousands of scan orders daily - and the HL7 and DICOM integrations underpinning it are mission-critical infrastructure that directly impacts patient care.

WHAT YOU WILL BE GETTING INVOLVED IN

Scan.com's interoperability layer is what makes our network run. Every scan order that arrives from a referring physician, every radiology report delivered back to a provider, and every image routed through our PACS infrastructure depends on integrations working reliably in production, every day. When they don't, patients wait longer and providers lose trust.

As Clinical Application Administrator, you will be on the front line of keeping that infrastructure healthy. You will monitor HL7 interfaces, triage and resolve failures, manage the support queue, and work alongside engineering, operations, and clinical teams to close issues and prevent recurrence. You will also play a hands-on role in onboarding new imaging center clients, configuring and validating DICOM and HL7 gateway connections from deployment through live production.

This is a technically demanding operations role that rewards deep curiosity about how clinical systems talk to each other. You do not need to be a software engineer, but you need to be comfortable reading an HL7 message, diagnosing why it failed, and knowing what to do about it.

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:

• Monitor and maintain active HL7 interfaces across ORM and ORU message types, ensuring orders and results are transmitted accurately and on time between Scan.com and partner systems
• Analyze HL7 message segments including PID, PV1, OBR, and OBX to diagnose data transmission failures and validate downstream delivery
• Reprocess failed messages and confirm successful resolution, maintaining detailed records of the issue, root cause, and corrective action
• Perform daily production support tasks including report reprocessing, data corrections, and study transfers to keep workflows running without interruption
• Manage the support ticket queue across Slack, Linear, and HubSpot, ensuring every issue has clear ownership, timely follow-up, and complete documentation
• Support PACS gateway operations alongside the Team Lead, including writing and maintaining scripts, pushing studies, troubleshooting connectivity issues, and validating image transfers
• Lead the technical deployment and configuration of DICOM and HL7 gateway software for new client onboardings, validating end-to-end image routing before go-live
• Collaborate with engineering, operations, clinical, and client support teams to investigate and resolve integration issues, and to implement longer-term fixes where recurring patterns emerge
• Document processes, issue resolutions, and configuration changes to build a reliable knowledge base for the team
• Identify opportunities for automation and workflow improvement within the integration support function
• Manage smaller-scale projects end to end, providing coordination and communication across stakeholders from initiation through delivery

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

Production fluency. Within 60 days, you are independently triaging and resolving the majority of incoming support tickets, with a clear understanding of our interface landscape, escalation paths, and documentation standards.

Interface reliability. You have measurably reduced the average time to resolution for HL7 failures and reprocessing requests, and you have contributed to eliminating at least one category of recurring failure through improved monitoring or process change.

Successful client onboardings. You have led the technical deployment and validation for new imaging center connections, completing them on schedule and with clean post-go-live performance.

Documentation depth. The team's knowledge base is materially better because of your time here. Process documentation, gateway configuration records, and issue resolution logs are complete, current, and actually used.

Continuous improvement contribution. You have identified and implemented at least one automation or workflow improvement that reduces manual effort in the support or onboarding process.

WHAT YOU MIGHT BRING TO THE TABLE

Working knowledge of HL7 v2 message structure, including common message types (ORM, ORU) and segment-level analysis (PID, PV1, OBR, OBX). You don't need to have built an interface engine from scratch, but you should be able to read a message and identify what's wrong with it

Experience with an integration engine such as Rhapsody, Mirth Connect, or equivalent. Depth matters less than genuine familiarity and a clear appetite to develop further

Familiarity with PACS, RIS, or EHR systems and the radiology workflow they support: order to acquisition to interpretation to results delivery. Understanding this lifecycle is essential context for diagnosing where things break

Familiarity with DICOM concepts and basic imaging terminology, including experience pushing, reprocessing, or validating imaging studies for troubleshooting purposes

Strong organizational instincts. This role manages multiple concurrent issues across multiple platforms, and the person who thrives here keeps clear notes, closes loops, and doesn't let tickets go stale

Clear written and verbal communication. You will work across technical and non-technical stakeholders and need to translate between them accurately and without jargon where it isn't warranted

Experience in healthcare IT or clinical systems support is strongly preferred. Familiarity with the regulatory and operational context of healthcare makes a meaningful difference in this role

HOW WE WILL INTERVIEW YOU

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

Video call with the hiring manager, approximately 45 minutes, structured deep-dive into the role and technical domain.

Assessment stage, which may be a take-home exercise, in-person session, or additional video calls. We're mindful of your time.

Meet the founders and/or other team members.

Offer!

BENEFITS

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

Diversity at SCAN.COM

Scan.comis 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 and its Board to be representative of the diversity in society, and for every employee to feel respected and able to bring their best selves to work.