Software Engineer II, L2 Messaging Team

Join us to Improve Health Equity for 5 Million People!  

CareMessage is the technology non-profit building the largest patient engagement platform for low-income populations in the United States. Powered by the Health Equity Engine™, the platform enables organizations to combine messaging, data, and interoperability to increase access to care, improve clinical outcomes, and address social drivers of health.

With 20 million patients reached since 2013, CareMessage is the only patient engagement solution proven to improve health equity at scale. The team, many with lived experiences in these communities, leverages a nonprofit model to reinvest revenue into impact. CareMessage is the partner of choice for organizations committed to advancing health equity.

 

Who We're Looking For

We are looking to hire a Software Engineer II, (L2) for the Messaging Team who will contribute to CareMessage's messaging platform, the core system that powers patient communication for over 400 safety-net healthcare organizations in the United States. You will complete scoped work with guidance from senior engineers, build increasing independence on well-defined features, and contribute to team goals within a supportive, collaborative environment as we build and scale our messaging infrastructure.

This is a cross-functional role focused on building and growing as an engineer. You'll work closely with Product, Customer Success, Data, and Engineering to deliver messaging features that deepen patient engagement and health outcomes, working alongside senior teammates on delivery optimization, consent management, and AI-driven messaging. You will report to the Director of Engineering and play a key role in supporting our messaging capabilities as we scale.

 

Who You Are

You are a growing backend engineer who thrives in dynamic, fully distributed environments. You bring solid experience with Ruby on Rails and are energized by the challenge of building reliable, patient-centric communication infrastructure. You are eager to deepen your expertise under the guidance of senior engineers, excited to apply what you know to real-world problems like delivery optimization, consent management, and AI-driven messaging, and open to learning what you don't.

You take a scientific approach to everything you do. You rely on evidence, not intuition, and you look for data that challenges your assumptions before drawing conclusions. You contribute to PRDs, documentation, and wikis with this same mindset, using data to guide decisions and validate your work. You're excited about operating in a mission-driven, fast-moving environment and bring a collaborative, curious mindset to your work. Most importantly, you share our commitment to advancing health equity for low-income populations and take pride in contributing to that mission through the systems you build.

Core Requirements

• Minimum 5 years of hands-on software engineering experience, with solid proficiency in Ruby on Rails and JavaScript.

• Minimum 5 years’ experience building and maintaining backend systems, APIs, and services, with demonstrated experience completing scoped work with growing independence.

• Solid fundamentals of computer programming, including a good understanding of software development lifecycle, coding best practices, design patterns, object-oriented architecture, etc.

• Working SQL proficiency with a strong analytical mindset, comfortable querying and working with datasets to troubleshoot issues and inform technical decisions.

• A commitment to supporting and fostering diversity and inclusion (We have a global team, and you will regularly collaborate with people from a variety of walks of life.)

• Demonstrated ability to complete scoped work with guidance, follow established patterns, participate in code reviews, and grow toward independent ownership of well-defined features.

• Growth-oriented mindset

• Outstanding written and verbal communication skills, especially in a fully remote environment

• Ability to collaborate with technical and non-technical partners to support discovery, development, and testing phases of messaging platform features

• Experience working in teams where automated tests are an expected part of development, including writing and maintaining tests alongside production code

• Ability to communicate progress and blockers clearly, ask for help when stuck, and maintain consistent communication with stakeholders to keep projects moving forward.

Preferred Experience

• Experience with Twilio (SMS, Voice, or Messaging APIs) or similar messaging and communications platforms

• Experience with RCS (Rich Communication Servic