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Architect and build robust, observable integration connectors between modern EHR APIs and legacy healthcare systems. You will own the observability layer and design scalable data workflows to improve referral volume and operational efficiency.
Requires proven experience integrating legacy systems with modern interoperability patterns and proficiency in a backend language like Python, Ruby, Java, or C#. Deep expertise in HL7 v2 message processing and integration middleware is strongly preferred.
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 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.
WHAT YOU WILL BE GETTING INVOLVED IN
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.
For this role, you will architect and build the systems that make the demand-side connections robust, observable, and extensible. This problem area requires genuine passion for 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 integration connectors for modern and legacy EHR systems to retrieve physician referrals and relevant patient documentation.
Architect fault-tolerant message queuing and delivery infrastructure for inbound and outbound HL7 and API traffic.
Build and maintain REST API integrations with third-party referral sources, attorney platforms, and demand aggregators.
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.
Deep domain ownership. Within 90 days, you have a complete mental model of our integration workflows — every active connector, its transport mechanism, its failure modes, and its monitoring coverage.
Resilience uplift. You have identified and remediated the most critical reliability gaps in our referral pipeline. There is a measurable reduction in integration-related operational escalations.
Scalable transformation architecture. You have designed or materially evolved our data workflows such that onboarding a new demand-side source is a simple choice from a menu of robust technical options.
Observability in production. Every integration has structured alerting and a clear SLA. The operations team can self-serve on integration health without engineering involvement for routine issues.
Shipped meaningful capability. At least two significant referral integration improvements. This can be new connectors that significantly increase referral volume, automations that improve quality, or infrastructure improvements. These improvements are live in production and have measurably increased referral volume, improved connection optionality, operational efficiency, and/or error rate.
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:
Proven ability to integrate with legacy systems that were not designed for modern interoperability. For example, aging RIS platforms in radiology, core banking systems in fintech, or equivalent legacy infrastructure in another vertical. The underlying pattern of bridging old and new matters more than the specific domain.
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
Bias for innovation: You care about questioning the ‘why’ behind every system, and have a strong desire to build the next generation of products you work on.
Experience in healthcare is a plus, but not required. We care far more about your engineering depth and API design fluency than your industry background
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 call with our Senior Talent Partner — approximately 30 minutes by phone.
Video call with a software engineer on the team, approximately 60 minutes. This will be a live assessment of your technical skill.
Assessment stage, which may be a take-home exercise, in-person session, or a combination of the two.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. We will be mindful of your time.
Final round with our Chief Technology Officer and Chief Product Officer. This round will assess alignment with our company values.
Offer!
We go beyond the basics with our benefits package. Here's what you can expect from us:
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
This role is hybrid with a requirement of 2 days/week in our New York City office.
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 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.
Making medical imaging accessible to everyone around the world
Scan.com is transforming diagnostic imaging, a $500B+ global market, by rebuilding its outdated infrastructure from the ground up. Having built the UK’s largest marketplace for self-pay MRI scans, we’re now scaling at breakneck speed to become the world’s leading medical imaging platform. Our mission is clear: make medical imaging radically accessible—because early, efficient diagnostics save lives. Inefficiency shouldn’t cost lives. By integrating fragmented imaging providers, payers, and technology into a seamless, modern ecosystem, we’re creating an effortless, patient-first experience that improves healthcare outcomes globally. Backed by top-tier VCs across the US & Europe, we’ve raised $50M+ to date and are just getting started. Join us as we redefine the future of medical imaging.
Offices: 2 Arundel Street, London, England WC2R 3DA, GB
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