Senior Software Engineer, Fulfillment

Scan; New York, Northern (NY, KY); Hybrid; USD 180,000 - 200,000; Full time

Benefits offered by this job

Equity

Hybrid work

Development budget

Medical insurance

Paid time off

Parental leave

401k

Equipment provided

Inclusive policies

Job summary

Scan.com is seeking a Senior Software Engineer, Fulfillment, to scale its core patient lifecycle platform. You will architect workflows from referral to radiology reports, handling scheduling, preauthorization, forms, reminders, invoices, and dashboards for operations.

You will own robust, scalable services in a high-throughput environment, collaborating with ops teams and product leadership to reduce friction for patients and providers alike.

Qualifications

• Experience shipping complex internal dashboards and reliable services.
• Backend development in modern web stacks with Rails and PostgreSQL.
• Strong understanding of RESTful API patterns and system design.
• Solid operational instincts and on-call experience are a plus.
• Healthcare experience is a bonus but not required.

Responsibilities

• Design and implement patient intake workflows and scheduling reminders.
• Architect a monitoring system to track patients at scale for operations.
• Develop dashboards for scheduling, operations, and patient services.
• Own the automation layer for referrals, task assignment, and AI reminders.

Skills

Ruby on Rails

PostgreSQL

REST APIs

System design

Operational mindset

Tools

Rails

PostgreSQL

Job description

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.

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 genuine passion for scaling operational workflows, working collaboratively with internal operations teams, and the discipline to acutely 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.

HOW WE WILL INTERVIEW YOU

We keep our interview process short and sweet, and we're a nimble team that can progress at pace. Here are the stages you can expect, but we might switch up the order depending on team availability:

• Introductory video call with our Senior Talent Partner, approximately 30 minutes.
• Video call and coding exercise with a software engineer on the team, approximately 60 minutes. This will be a live assessment of your technical skill.
• Assessment stage. This will be cross functional in nature, and will assess your systems design skills along with your ability to evolve a feature with your future teammates.
• Final round with our Chief Technology Officer and Chief Product Officer. This round will assess alignment with our company values.
• Offer!

WHAT WE OFFER

We go beyond the basics with our benefits package. Here’s what you can
expect from us:

• 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

DIVERSITY AT SCAN.COM

Scan.com is 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 to be representative of society's diversity, and for every employee to feel respected and able to bring their best selves to work.

If you need an accommodation to apply or interview, contact us at [e-mail].