Software Engineer,Fulfillment Job New York New York USA,Manufacturing / Production

Location: New York

WHAT YOU WILL BE GETTING INVOLVED IN:

Our Fulfillment product is the company’s core engine. It manages the entire patient lifecycle, from referral receipt to radiology reports sent. The system schedules patients, assesses preauthorization, handles medical forms, sends notifications, routes images and reports, and generates invoices & claims for hundreds of imaging centers and health systems that use disparate, often decades‑old systems.

As a Software Engineer, you will architect and build the systems that make these workflows robust, automated, and efficient. Your work will help hundreds of patients receive imaging each day with little to no friction. The role will evolve over time and may include:

Designing and implementing patient intake workflows, including medical forms, appointment scheduling, and reminders.
Architecting a monitoring system to track patients at scale for operations leadership.
Developing efficient dashboards for scheduling, legal operations, and patient services teams.
Owning the automation layer: automatic referral ingestion, task assignment, AI voice reminder calls, and dashboards that surface operational issues before they impact patient service expectations.

THE TOP 5 THINGS WE WANT YOU TO ACHIEVE IN YOUR FIRST YEAR:

Deep domain ownership – within 60 days, have a complete mental model of our patient journey, including all statuses, triggers, roles, and tasks.

Resilience uplift – identify and remediate the most critical workflows for our internal products and reduce workflow‑related operational escalations.

Simplicity by design – evolve workflows so that new operations team members can start working with little to no training.

Turnaround time reduction – significantly improve end‑to‑end turnaround times for scheduling patients and returning reports to referring providers.

AI‑enabled scale – ship improvements that drastically reduce the time each operations team member spends serving patients.

WHAT YOU MIGHT BRING TO THE TABLE:

Proven ability to integrate with legacy systems not designed for modern interoperability (e.g., aging RIS platforms, core banking systems, or equivalent legacy infrastructure). The pattern of bridging old and new matters more than the specific domain.
Experience shipping complex internal operations dashboards and creating delightful experiences.
Proficiency in backend development within modern web stacks—particularly Ruby/Rails—with an emphasis on building reliable, scalable services and maintaining architectural rigor.
Familiarity with RESTful API integration patterns, including schema versioning, backward compatibility, and API contract management.
Strong operational instincts: instrumenting builds, anticipating failure modes, and treating on‑call escalations as signals of systemic gaps.
Experience in healthcare is a plus, but not required. Engineering depth and legacy system fluency are the primary qualifications.

BENEFITS:

Salary range of $170,000 – $220,000
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

DIVERSITY AT

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. Our ambition is for our team and its Board to be representative of the diversity in society, and for every employee to feel respected and able to bring their best selves to work.

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Software Engineer, Fulfillment