Senior Software Engineer, Integrations

Scan.com

Senior Software Engineer specializing in integrations for healthcare technology, focusing on legacy system interactions and robust messaging architectures.

Posted 4/14/2026full-timeRemote • 🇺🇸 United StatesSeniorWebsite

Tech Stack

Tools & technologies

JavaPythonRuby

About the role

Key responsibilities & impact

As a Senior Software Engineer, Integrations, you will architect and build the systems that make these connections robust, observable, and extensible.
Design and implement HL7 v2 transformation pipelines — parsing, normalizing, enriching, and routing ADT, ORM, ORU, SIU, and MDM message types across heterogeneous RIS and EHR systems with non-standard vendor extensions.
Build and maintain integration connectors for modern and legacy imaging center RIS systems.
Architect fault-tolerant message queuing and delivery infrastructure for inbound and outbound HL7 and API traffic.
Develop interfaces for demand-side EHR integrations, including mapping from internal data models to FHIR-compliant (and other standards) representations.
Build and maintain REST API integrations with third-party referral sources, attorney platforms, and demand aggregators, including OAuth flows, rate limiting, retry logic, and schema versioning.
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.
Contribute to the design of integration onboarding tooling that reduces time-to-live for new imaging center and referral source connections.
Provide technical mentorship to mid-level engineers and participate in architecture reviews across the broader Engineering org.

Requirements

What you’ll need

Proven ability to integrate with legacy systems that were not designed for modern interoperability
Strong command of message transformation architecture: you can design pipelines that are observable, replayable, and extensible without requiring a full rewrite every time a new vendor is onboarded
Experience with integration middleware or engine patterns
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
Deep expertise in HL7 v2 message processing is preferred
Experience in healthcare is a plus, but not required

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

HL7 v2REST APIPythonRubyJavaC#message transformation architectureintegration middlewareschema versioningFHIR

Soft Skills

technical mentorshipoperational instinctsarchitecture reviewsproblem-solvingobservability