Software Engineer, Integrations

Summary

Scan.com is a digital health scale-up making diagnostics accessible and efficient. They are seeking a Software Engineer, Integrations to build and maintain systems that connect disparate health systems and modern EHR APIs, ensuring robust and reliable integration infrastructure.

Responsibilities

• 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

Skills

• 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 integration middleware or engine patterns. This can be a commercial engine (Rhapsody, Mirth Connect, Iguana) or a custom-built equivalent. Strong opinions on when each approach is appropriate are expected
• 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
• Deep expertise in HL7 v2 message processing is preferred. This means you understand the base standard and have worked through enough vendor non-conformance to know where the dragons are
• 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

Qualifications

Must Haves

• 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 integration middleware or engine patterns. This can be a commercial engine (Rhapsody, Mirth Connect, Iguana) or a custom-built equivalent. Strong opinions on when each approach is appropriate are expected
• 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

Nice to Haves

• Deep expertise in HL7 v2 message processing is preferred. This means you understand the base standard and have worked through enough vendor non-conformance to know where the dragons are
• 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

Benefits

• 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