Senior Engineering Manager

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.

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 Senior Engineering Manager 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.

WHAT YOU WILL BE GETTING INVOLVED IN:

We are a small, high-output team building across a complex technical surface: consumer marketplace, provider-facing scheduling tools, interoperability infrastructure, revenue cycle tooling, and AI-augmented workflows. We scale our impact through AI-native development practices, tight feedback loops, and engineers who own outcomes rather than tickets.

As Senior Engineering Manager , you will lead a cross-functional engineering team and partner with the product organization to deliver on our ambitious roadmap. We expect roughly 20% of your time to be spent writing code, reviewing architecture, or directly shaping technical decisions. The majority of your time will be spent establishing engineering processes, managing technical breakdown of features, reporting progress to leadership, career development of your reports, and exploring new technologies/vendors.

You will report to our CPO and partner closely with Product, Operations, and Data to ship the systems that run our business. You are expected to be genuinely AI-native: not just comfortable with AI tooling, but actively shaping how your team uses it. That means deploying agents, building evaluation frameworks, and coaching engineers to work at a level of throughput that wasn't possible two years ago.

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:

Lead and develop a team of engineers across multiple product domains, owning velocity, process, performance, technical growth, and team culture

Remain a consistent technical contributor by writing production code, leading design reviews, and pairing with engineers on complex problems.

Define and enforce engineering standards across code quality, system design, testing discipline, deployment practices, and incident response

Drive the team's AI-native operating model by identifying where AI agents can replace or accelerate engineering workflows, building evaluation frameworks to measure output quality, and coaching engineers to leverage AI tooling as a primary development instrument rather than an occasional aid

Partner with Product to refine roadmaps, push back on scope where necessary, and ensure the team is working on the highest-leverage problems at any given time

Own the architecture of your team's systems by making build vs. buy decisions, managing technical debt deliberately, and ensuring the stack can support the growth trajectory of the business

Contribute to Scan.com 's broader engineering culture through interview loops, cross-team design reviews, engineering all-hands, and institutional knowledge.

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 experience managing and growing engineering teams. You have operated with limited resources, changing priorities, and a high bar for individual output, and you have thrived in that context.

Genuine AI-native fluency: you have deployed AI agents in production engineering workflows, you understand evaluation frameworks and can design them for non-trivial tasks, and you have coached teams to use AI as a primary tool.

Active technical contributor with strong engineering fundamentals. You write production-quality code in at least one modern backend or full-stack language, can lead a system design discussion at a senior level, and have not been out of the code for more than a year

Experience in a scaling healthcare technology company is a strong plus. Familiarity with the regulatory environment, interoperability constraints, and the operational complexity of healthcare delivery meaningfully shortens the ramp

Strong cross-functional instincts: you have partnered effectively with Product and Operations, understand how to negotiate scope without burning relationships, and can represent technical constraints to a non-technical audience without losing fidelity

A track record of growing engineers. ICs on your previous teams have been promoted, expanded their scope, and credited you with material development in their careers

High ownership orientation: you do not wait to be asked, you do not manage up problems without a proposed path forward, and you treat the business outcomes of your team's work as personally yours

A VIEW ON OUR CULTURE

We'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. To be successful at Scan.com you must embody our values.

HOW WE WILL INTERVIEW YOU

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:

Introductory call with our Senior Talent Partner, approximately 30 minutes.

Video call with a software engineer on the team, approximately 60 minutes. This will be a live assessment of your technical skill.

Assessment stage, which may be a take-home exercise, in-person session, or a combination of the two.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. We will be mindful of your time.

Final round with our Chief Technology Officer and Chief Product Officer. This round will assess alignment with our company values.

Offer!

Conditions

Hybrid work model with 2 days in the office and 3 days working remotely each week

Dedicated personal development budget

Medical, vision, and dental coverage

28+ days of paid time off across PTO and wellbeing days, so you can show up at your best

Paid parental leave

401k retirement plan

All the equipment you need to do your best work

Inclusive, people-first policies designed by our team, for our team

Benefits

• We go beyond the basics with our benefits package. We believe great work starts with supporting our people. Here's what you can expect from us: