Software Engineer, Fulfillment

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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, 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. WHAT YOU WILL BE GETTING INVOLVED IN: 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: 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. 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. 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. Turnaround time reduction. Your work has significantly improved our end-to-end turnaround times for scheduling patients and returning reports to referring providers. 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 tha

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