{"id":2065049,"url":"https://alion.io/job/scan-com-senior-software-engineer-fulfillment","title":"Senior Software Engineer, Fulfillment","company":{"id":13990,"name":"Scan.com","domain":"scan.com","url":"https://alion.io/company/scan","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":null},"role":"Backend","role_family":"Backend","seniority":"senior","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["New York, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":180000,"max":200000,"currency":"USD","period":"year","gross":null,"usd_annual":200000},"salary_estimate":null,"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"PostgreSQL","optional":false},{"name":"Ruby on Rails","optional":false},{"name":"Ruby","optional":true}],"status":"live","first_seen_at":"2026-10-08T02:49:10Z","employer_posted_date":"2026-10-08","last_verified_at":"2026-10-12T21:23:07Z","board_verified":true,"closed_at":null,"days_open":4,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":4},"description":"We're 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.\nWe 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.\nWe’re looking for a Senior 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.\nMillions of people wait too long for a diagnosis. Come help us fix that.\nWHAT YOU WILL BE GETTING INVOLVED IN\nScan.com 's Fulfillment product is the core engine of the company. 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.\nAs 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 acutely understand the ins-and-outs of high throughput workflows at scale. The reality is that we are helping hundreds of patients to get imaging done every day, and our team is passionate to make sure folks get their care with little to no friction.\nAs 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:\nDesign and implement patient intake workflows. This includes finishing medical forms, scheduling appointments, and receiving relevant reminders.\n\nArchitect a monitoring system of patients in their journey at scale for operations leadership.\n\nDevelop delightful and efficient dashboards for scheduling operations, legal operations, and patient services team members.\n\nOwn 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.\n\nWHAT YOU MIGHT BRING TO THE TABLE\nYou 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:\nExperience with shipping complex internal operations dashboards and creating delightful experiences.\n\nProficiency in backend development within modern web stacks-particularly Ruby on Rails and Postgres with an emphasis on building reliable, scalable services and maintaining architectural rigor over specific language choice.\n\nFamiliarity with RESTful API integration patterns, including schema versioning, backward compatibility, and API contract management\n\nStrong 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\n\nExperience in healthcare is a plus, but not required. We care far more about your engineering depth than your industry background\n\nA VIEW ON OUR CULTURE\nWe'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.\nHOW WE WILL INTERVIEW YOU\nWe 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:\nIntroductory video call with our Senior Talent Partner, approximately 30 minutes.\n\nVideo call and coding exercise with a software engineer on the team, approximately 60 minutes. This will be a live assessment of your technical skill.\n\nAssessment 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.\n\nFinal round with our Chief Technology Officer and Chief Product Officer. This round will assess alignment with our company values.\n\nOffer!\n\nWHAT WE OFFER\nWe go beyond the basics with our benefits package. Here’s what you can\nexpect from us:\nSalary range of $180,000 - $200,000\n\nEquity\n\nFlexible hybrid work options\n\nDedicated personal development budget\n\nMedical, vision, and dental coverage\n\n28+ days of paid time off across PTO and wellbeing days, so you can show up at your best\n\nPaid parental leave\n\n401k retirement plan\n\nAll the equipment you need to do your best work\n\nInclusive, people-first policies designed by our team, for our team\n\nDIVERSITY ATSCAN.COM\nScan.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.\nWe are opposed to all forms of unlawful treatment and discrimination.\nOur 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.\nIf you need an accommodation to apply or interview, contact us at .\nWe look forward to receiving your application!","description_format":"text","description_chars":6100,"description_truncated":false,"requirements":{"experience_years_min":null,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["401k plan","Equity","Hybrid work","Parental leave","Retirement plans"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Radiology & Imaging Centers","Patient Access & Booking"],"lifecycle":[{"event":"open","at":"2026-10-08T03:30:52Z"}],"visa":[{"country":"US","licensed_sponsor":true,"evidence":"green card filings: 1","filings_12m":0,"filings_prev_12m":0,"green_card_filings_12m":1,"median_offered_wage_usd":227500,"route":null,"cap_exempt":false,"checked_at":"2026-10-03T21:08:04+00:00","sources":["US Department of Labor: PERM disclosure data (green cards)"],"filings_for_role_12m":0}],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":4,"expected_fill_days":48,"reasons":["conf:2","win:early"],"computed_at":"2026-10-12T06:55:09Z"},"pay":{"stated_usd_annual":200000,"is_top_pay":true},"html_url":"https://alion.io/job/scan-com-senior-software-engineer-fulfillment","json_url":"https://alion.io/job/scan-com-senior-software-engineer-fulfillment.json","meta":{"generated_at":"2026-10-13T00:28:10Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":712,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-14T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":13990},"rest":"https://alion.io/mcp/rest/get_company?id=13990"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fscan-com-senior-software-engineer-fulfillment"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fscan-com-senior-software-engineer-fulfillment"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fscan-com-senior-software-engineer-fulfillment"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/scan-com-senior-software-engineer-fulfillment\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fscan-com-senior-software-engineer-fulfillment"}]}