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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 Software Engineer, Fulfillment at an exciting time. We've raised over $200m in funding to date, reached profitability, and are growing 100% year on year. 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 Fulfillment product is the company's core engine. 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 operating disparate, often decades-old 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 understand the ins and outs of high-throughput workflows. The reality is that we help hundreds of patients get imaging done every day, and our team is passionate about making 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, efficient dashboards for scheduling, 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. THE TOP 5 THINGS WE WANT YOU TO ACHIEVE IN YOUR FIRST YEAR:

1. Deep domain ownership. Within 60 days, you have a complete mental model of our patient journey — every status, every trigger for status change, every role and their tasks, etc.
2. Resilience uplift. You have identified and remediated the most critical workflows for our internal products. There is a measurable reduction in workflow-related operational escalations.
3. Simplicity by design. You have designed or materially evolved our workflows such that a new operations team member can start working with little to no training.
4. Turnaround time reduction. Your work has significantly improved our end-to-end turnaround times for scheduling patients and returning reports to referring providers.
5. AI-enabled scale. You have shipped improvements that drastically reduce the time each operational team member spends serving patients. 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:

• 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.
• Experience with shipping complex internal operations dashboards and creating delightful experiences.
• Proficiency in backend development within modern web stacks—particularly Ruby (e.g., Rails) 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 and legacy system fluency than your industry background 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 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! BENEFITS: We go beyond the basics with our benefits package. Here's what you can expect from us:
• 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 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!