Software Engineer, Fulfillment

Scan.com; New York (NY); Hybrid; USD 170,000 - 220,000; Full time

Benefits offered by this job

401k

Healthcare, vision, and dental

Personal development budgets

18 days PTO plus public holidays

10 paid sick days

Job summary

Scan.com is seeking a Software Engineer to architect and build systems that enhance patient workflows and automate operational processes. The role involves deep domain ownership and continuous improvement of internal products to streamline patient services.

Ideal candidates will have proficiency in Ruby/Rails, experience with legacy systems, and strong operational instincts. Benefits include a salary range of $170,000 – $220,000, flexible working options, health benefits, and generous PTO.

Qualifications

• Proven ability to integrate with legacy systems not designed for modern interoperability.
• Experience shipping complex internal operations dashboards.
• Proficiency in backend development within modern web stacks, particularly Ruby/Rails.

Responsibilities

• Architect and build systems for patient workflows and reporting.
• Design patient intake workflows and appointment scheduling.
• Develop dashboards for scheduling and patient services.

Skills

Integration with legacy systems

Backend development in Ruby/Rails

RESTful API integration patterns

Operational instincts

Experience in shipping dashboards

Job description

WHAT YOU WILL BE GETTING INVOLVED IN:

Our Fulfillment product is the company’s core engine. It manages the entire patient lifecycle, from referral receipt to radiology reports sent. The system schedules patients, assesses preauthorization, handles medical forms, sends notifications, routes images and reports, and generates invoices & claims for hundreds of imaging centers and health systems that use disparate, often decades‑old systems.

As a Software Engineer, you will architect and build the systems that make these workflows robust, automated, and efficient. Your work will help hundreds of patients receive imaging each day with little to no friction. The role will evolve over time and may include:

• Designing and implementing patient intake workflows, including medical forms, appointment scheduling, and reminders.
• Architecting a monitoring system to track patients at scale for operations leadership.
• Developing efficient dashboards for scheduling, legal operations, and patient services teams.
• Owning the automation layer: automatic referral ingestion, task assignment, AI voice reminder calls, and dashboards that surface operational issues before they impact patient service expectations.

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

1. Deep domain ownership – within 60 days, have a complete mental model of our patient journey, including all statuses, triggers, roles, and tasks.
2. Resilience uplift – identify and remediate the most critical workflows for our internal products and reduce workflow‑related operational escalations.
3. Simplicity by design – evolve workflows so that new operations team members can start working with little to no training.
4. Turnaround time reduction – significantly improve end‑to‑end turnaround times for scheduling patients and returning reports to referring providers.
5. AI‑enabled scale – ship improvements that drastically reduce the time each operations team member spends serving patients.

WHAT YOU MIGHT BRING TO THE TABLE:

• Proven ability to integrate with legacy systems not designed for modern interoperability (e.g., aging RIS platforms, core banking systems, or equivalent legacy infrastructure). The pattern of bridging old and new matters more than the specific domain.
• Experience shipping complex internal operations dashboards and creating delightful experiences.
• Proficiency in backend development within modern web stacks—particularly Ruby/Rails—with an emphasis on building reliable, scalable services and maintaining architectural rigor.
• Familiarity with RESTful API integration patterns, including schema versioning, backward compatibility, and API contract management.
• Strong operational instincts: instrumenting builds, anticipating failure modes, and treating on‑call escalations as signals of systemic gaps.
• Experience in healthcare is a plus, but not required. Engineering depth and legacy system fluency are the primary qualifications.

BENEFITS:

• Salary range of $170,000 – $220,000
• 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.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. 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.