Senior Engineering Manager

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.

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 don't scale headcount to scale output. We scale leverage 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 remain a hands-on contributor. We expect roughly 30% of your time to be spent writing code, reviewing architecture, or directly shaping technical decisions. This is not a role for someone who wants to move fully into management. It's a role for someone who finds that combination energising.

You will report to our CTO 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 the institutional knowledge that makes a small team punch above its weight

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 in a startup environment. 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 rather than a novelty. Candidates who cannot speak concretely to this will not be competitive

• 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

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.

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 lasts 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 interviewers, and whether in person or via video call.

5. Offer!

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:

• Salary range of $180,000 - $240,000

• Flexible remote or hybrid work options

• 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

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 [email protected].

We look forward to receiving your application!