Senior Software Engineer, Integrations

Scan.com
New York, NY
Hybrid

Who this role is best for

Strong fit for engineers who design robust integration systems and navigate legacy healthcare protocols, with a focus on high-reliability infrastructure and cross-functional collaboration in New York City.

Best fit for

  • Candidates with experience in building fault-tolerant message queuing and HL7 transformation pipelines
    — “Architect fault-tolerant message queuing and delivery infrastructure for inbound and outbound HL7 and API traffic”
  • Individuals who have worked with legacy systems and modern EHR APIs in high-reliability contexts
    — “interface with hundreds of imaging centers and health systems operating disparate, often decades-old systems”
  • Engineers who prioritize observability and operational discipline in their system designs
    — “Own the observability layer for the integration infrastructure: structured logging, alerting on message processing latency/failures”
  • Professionals who can mentor mid-level engineers and contribute to system design across teams
    — “Provide technical mentorship to mid-level engineers and participate in architecture reviews across the broader Engineering org”

Things to consider

  • The role demands maintaining high-reliability systems amid complex and non-standard vendor environments
    — “high-reliability infrastructure against the entropy of the real world”
  • Candidates must be prepared to manage on-call responsibilities and systemic gaps in integration processes
    — “you treat on-call escalations as a signal about systemic gaps”

How to stand out

  • Highlight your experience with message transformation pipelines and schema versioning in REST API integrations
    — “RESTful API integration patterns, including schema versioning, backward compatibility, and API contract management”
  • Emphasize your ability to design systems that are observable, replayable, and extensible for new vendors
    — “design pipelines that are observable, replayable, and extensible without requiring a full rewrite every time a new vendor is onboarded”
  • Showcase your work with legacy systems and how you ensure reliability in constrained environments
    — “hardware gateways running in constrained clinical environments”
  • Demonstrate your track record in building interfaces that comply with FHIR and other healthcare standards
    — “mapping from internal data models to FHIR-compliant (and other standards) representations”
  • Position yourself as someone who can reduce time-to-live for new integration onboarding through tooling
    — “Contribute to the design of integration onboarding tooling that reduces time-to-live for new imaging center and referral source connections”
Pace · Fast PacedCollaboration · HighAutonomy · MediumDecision Impact · Team

Derived from job-description analysis by Serendipath's career intelligence engine.

What success looks like

  • built and maintained REST API integrations
  • architected fault-tolerant message queuing infrastructure
Typical background
professional experience developing native Android applications with Kotlin

Skills & requirements

Required

REST API IntegrationHL7 V2 Transformation PipelinesMessage QueuingFhir-compliant RepresentationsObservability Layer

Preferred

Oauth FlowsRate LimitingRetry LogicSchema VersioningIntegration Onboarding Tooling

Stack & domain

REST API IntegrationsOauth FlowsRate LimitingRetry LogicSchema VersioningHL7 V2 Transformation PipelinesRIS SystemsMessage QueuingDelivery InfrastructureFhir-compliant RepresentationsIntegration Onboarding ToolingHealthcareMedical ImagingLegacy System IntegrationMessage Transformation PipelinesHigh-reliability Infrastructure

About the role

Original posting from Scan.com via Ashby

We're Scan.com http://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, Integrations, 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 http://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 Senior Software Engineer, Integrations, you will architect and build the systems that make these connections robust, observable, and extensible. This problem area requires genuine passion for legacy system integration patterns, message transformation pipelines, and the operational discipline to maintain high-reliability infrastructure against the entropy of the real world.

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 REST API integrations with third-party referral sources, attorney platforms, and demand aggregators, including OAuth flows, rate limiting, retry logic, and schema versioning. Design and implement HL7 v2 transformation pipelines — parsing, normalizing, enriching, and routing ADT, ORM, ORU, SIU, and MDM message types across heterogeneous RIS and EHR systems with non-standard vendor extensions.
  • Build and maintain integration connectors for modern and legacy imaging center RIS systems.
  • Architect fault-tolerant message queuing and delivery infrastructure for inbound and outbound HL7 and API traffic.
  • Develop interfaces for demand-side EHR integrations, including mapping from internal data models to FHIR-compliant (and other standards) representations.
  • 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.
  • Contribute to the design of integration onboarding tooling that reduces time-to-live for new imaging center and referral source connections
  • Provide technical mentorship to mid-level engineers and participate in architecture reviews across the broader Engineering org

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:

  • Strong command of message transformation architecture: you can design pipelines that are observable, replayable, and extensible without requiring a full rewrite every time a new vendor is onboarded
  • Proficiency in at least one backend language used in high-reliability integration contexts (Python, Ruby, Java, C# are all relevant; language is less important than architectural rigor).
  • 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 integration engineering depth and legacy system fluency 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 http://Scan.com

Scan.com http://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 people@scan.com.

We look forward to receiving your application!

Source: Scan.com careers (Ashby)

Similar roles

More roles at Scan.com