scan-com - Clinical Application Administrator

• Scan.com http://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 integrations working reliably 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 deep curiosity about how clinical systems talk to 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: • 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 http://Scan.com and partner systems • Analyze HL7 message segments including PID, PV1, OBR, and OBX to diagnose data transmission failures and validate downstream delivery • Reprocess failed messages and confirm successful resolution, maintaining detailed records of the issue, root cause, and corrective action • Perform daily production support tasks including report reprocessing, data corrections, and study transfers to keep workflows running without interruption • Manage the support ticket queue across Slack, Linear, and HubSpot, ensuring every issue has clear ownership, timely follow-up, and complete documentation • Support PACS gateway operations alongside the Team Lead, including writing and maintaining scripts, pushing studies, troubleshooting connectivity issues, and validating image transfers • Lead the technical deployment and configuration of DICOM and HL7 gateway software for new client onboardings, validating end-to-end image routing before go-live • 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 • Document processes, issue resolutions, and configuration changes to build a reliable knowledge base for the team • Identify opportunities for automation and workflow improvement within the integration support function • Manage smaller-scale projects end to end, providing coordination and communication across stakeholders from initiation through delivery • THE TOP 5 THINGS WE WANT YOU TO ACHIEVE IN YOUR FIRST YEAR • Production fluency. Within 60 days, you are independently triaging and resolving the majority of incoming support tickets, with a clear understanding of our interface landscape, escalation paths, and documentation standards. • Interface reliability. You have measurably reduced the average time to resolution for HL7 failures and reprocessing requests, and you have contributed to eliminating at least one category of recurring failure through improved monitoring or process change. • Successful client onboardings. You have led the technical deployment and validation for new imaging center connections, completing them on schedule and with clean post-go-live performance. • Documentation depth. The team's knowledge base is materially better because of your time here. Process documentation, gateway configuration records, and issue resolution logs are complete, current, and actually used. • Continuous improvement contribution. You have identified and implemented at least one automation or workflow improvement that reduces manual effort in the support or onboarding process. • 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: • Working knowledge of HL7 v2 message structure, including common message types (ORM, ORU) and segment-level analysis (PID, PV1, OBR, OBX). You don't need to have built an interface engine from scratch, but you should be able to read a message and identify what's wrong with it • Experience with an integration engine such as Rhapsody, Mirth Connect, or equivalent. Depth matters less than genuine familiarity and a clear appetite to develop further • Familiarity with PACS, RIS, or EHR systems and the radiology workflow they support: order to acquisition to interpretation to results delivery. Understanding this lifecycle is essential context for diagnosing where things break • Familiarity with DICOM concepts and basic imaging terminology, including experience pushing, reprocessing, or validating imaging studies for troubleshooting purposes • Strong organizational instincts. This role manages multiple concurrent issues across multiple platforms, and the person who thrives here keeps clear notes, closes loops, and doesn't let tickets go stale • Clear written and verbal communication. You will work across technical and non-technical stakeholders and need to translate between them accurately and without jargon where it isn't warranted • Experience in healthcare IT or clinical systems support is strongly preferred. Familiarity with the regulatory and operational context of healthcare makes a meaningful difference in this role • 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 depending on team availability: • Introductory call with our Senior Talent Partner, approximately 30 minutes by phone. • Video call with the hiring manager, approximately 45 minutes, structured deep-dive into the role and technical domain. • Assessment stage, which may be a take-home exercise, in-person session, or additional video calls. We're mindful of your time. • Meet the founders and/or other team members.