Clinical Application Administrator

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.

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 Clinical Application Administrator 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.

Scan.com's interoperability layer is what makes our network run. Every scan order that arrives from a referring physician, every radiology report delivered back to a provider, and every image routed through our PACS infrastructure depends on reliable integrations in production, every day. When they don't, patients wait longer, and providers lose trust.

As Clinical Application Administrator, you will be on the front line of keeping that infrastructure healthy. You will monitor HL7 interfaces, triage and resolve failures, manage the support queue, and work alongside engineering, operations, and clinical teams to close issues and prevent recurrence. You will also play a hands-on role in onboarding new imaging center clients, configuring and validating DICOM and HL7 gateway connections from deployment through live production.

This is a technically demanding operations role that rewards a deep curiosity about how clinical systems communicate with each other. You do not need to be a software engineer, but you need to be comfortable reading an HL7 message, diagnosing why it failed, and knowing what to do about it.

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:

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  Monitor and maintain active HL7 interfaces across ORM and ORU message types, ensuring orders and results are transmitted accurately and on time between Scan.com and partner systems

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  Analyze HL7 message segments, including PID, PV1, OBR, and OBX, to diagnose data transmission failures and validate downstream delivery

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  Reprocess failed messages and confirm successful resolution, maintaining detailed records of the issue, root cause, and corrective action

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  Perform daily production support tasks, including report reprocessing, data corrections, and study transfers, to keep workflows running without interruption

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  Manage the support ticket queue across Slack, Linear, and HubSpot, ensuring every issue has clear ownership, timely follow-up, and complete documentation

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  Support PACS gateway operations alongside the Team Lead, including writing and maintaining scripts, pushing studies, troubleshooting connectivity issues, and validating image transfers

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  Lead the technical deployment and configuration of DICOM and HL7 gateway software for new client onboarding, validating end-to-end image routing before go-live

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  Collaborate with engineering, operations, clinical, and client support teams to investigate and resolve integration issues, and to implement longer-term fixes where recurring patterns emerge

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  Document processes, issue resolutions, and configuration changes to build a reliable knowledge base for the team

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  Identify opportunities for automation and workflow improvement within the integration support function

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  Manage smaller-scale projects end-to-end, providing coordination and communication across stakeholders from initiation through delivery

If we're not growing, we're dying. Everyone needs a bias for action. Speed and momentum, combined with quality execution, propel our business forward.

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  You don't quit on hard problems. Fail fast, dust off, go again.

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  You celebrate wins, then seek the next opportunity.

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  You see it, you fix it. No task is beneath you, at any level.

The company we build is the team we build. If we don't have the right people in the right seats, doing the right things, we will fail.

• Talent recognizes talent. You actively bring quality hires into the business.

• You trust your colleagues to deliver.

• You open-source your knowledge. You're never a single point of failure.

Care enough to have the hard conversations, and don't dwell on them. Don't go up the chain to communicate. Go straight to the person.

• Strong opinions, weakly held. You welcome challenge and feedback.

• You get to the point: direct challenge plus an alternative solution.

• You ask "why". Before calling something bad, understand why it exists.

Push the limits of your understanding and potential and you will be supported to get better.

• You proactively seek feedback, whatever your level.

• You invest in understanding our business: teams, customers, processes.

• You invest in your own growth and are willing to unlearn.

We're a high-performing team with low ego. We hire people who are brilliant and kind, who give it straight, back it up with evidence, and change their mind when the facts change. We'll give you real ownership early, the tools to do the best work of your career, and colleagues who raise your game. In return, we ask for high standards, genuine care for patients and each other, and the drive to leave things better than you found them. If that sounds like you, let’s talk!

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 of each step depending on team availability:

1. Introductory call/interview with our Senior Talent Partner. The call is via telephone and will last around 30 minutes.

2. Should it feel like there is an initial fit for all, we will invite you to a video call with the hiring manager for around 45 minutes. This is a more structured interview that will deep-dive into the role and technical needs.

3. 'Scan Standard' interview, where our panel screens for values alignment and the success factors that matter at Scan.com. You will also be assessed on your AI fluency at the stage and depth relevant to your role (see AI Requirements above).

4. Meet the founders and/or other team members. Again, length varies depending on how many people and whether in person or via video call.

5. Offer!

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!