Senior Software Engineer I, L3 Messaging Team

CareMessage

4d•Remote

About The Position

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 Engineâ¢, 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 Senior Software Engineer I, (L3) for the Messaging Team who will own and drive the technical direction of CareMessage's messaging platform which is one of the core systems powering patient communication for over 400 safety-net healthcare organizations in the United States. You will independently own complex features end-to-end, mentor other engineers on the team, and contribute to architectural decisions that shape how we build and scale our messaging infrastructure. This is a highly cross-functional role with shared team lead responsibilities. You'll work closely with Product, Customer Success, and Engineering to design and deliver messaging features that deepen patient engagement and health outcomes, with direct ownership of technical decisions and customer-facing system behavior. You will report to the Director of Engineering and play a key role in advancing our messaging capabilities as we scale. Who You Are You are a seasoned backend engineer who thrives in dynamic, fully distributed environments. You bring deep experience with Ruby on Rails and messaging systems at scale, and take pride in building reliable, patient-centric communication infrastructure. You are energized by the challenge of delivery optimization, consent management, and AI-driven messaging and you have the technical leadership to guide and mentor your teammates. 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 the experience and ownership mentality to lead from the front. 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.

Requirements

Minimum 5 years of hands-on software engineering experience, with strong proficiency in Ruby on Rails and JavaScript.
Minimum 5 years experience building, maintaining, and scaling backend systems, APIs, and services, with demonstrated experience owning complex features end-to-end
Solid fundamentals of computer programming, including a good understanding of software development lifecycle, coding best practices, design patterns, object-oriented architecture, etc.
Advanced SQL proficiency with a strong analytical mindset, comfortable querying and working with large, complex datasets to uncover insights, 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 independently own and deliver complex projects end-to-end, break down large features into manageable tasks, mentor junior engineers, and influence technical direction within a team
Growth-oriented mindset
Outstanding written and verbal communication skills, especially in a fully remote environment
Excellent 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
Proven ability to work autonomously, proactively identifying challenges before they escalate, driving solutions independently, and maintaining clear, consistent communication with stakeholders to keep projects moving forward.

Nice To Haves

Experience with Twilio (SMS, Voice, or Messaging APIs) or similar messaging/communications platforms
Experience with RCS (Rich Communication Services) or multimedia messaging (MMS)
Experience with our tech stack: Ruby on Rails, JavaScript (React), PostgreSQL, Google Cloud Platform, background job processing (Sidekiq or similar)
Experience with message queue systems, event-driven architecture, or high-throughput delivery pipelines
Experience in healthcare technology or familiarity with messaging compliance requirements, including TCPA, opt-out management, consent workflows, A2P 10DLC, and The Campaign Registry (TCR)

Responsibilities

You will own and drive the technical direction of key messaging platform features, collaborating with Product, Customer Success, Data, and Engineering to design and deliver solutions that deepen patient engagement and health outcomes
You will design, build, and maintain backend messaging systems using Ruby on Rails, including SMS/voice delivery pipelines, consent management workflows, message scheduling and orchestration, and Twilio integration layers
You will share team lead responsibilities with peers, including mentoring L2 engineers, leading technical design discussions, conducting code reviews, and helping set technical direction for the Messaging team
You will contribute to architectural decisions that shape how we build and scale our messaging infrastructure, including delivery optimization, AI-driven message categorization, and multimedia messaging (MMS/RCS)
You will provide technical training and documentation for messaging systems you build and maintain, enabling support teams to monitor, troubleshoot, and measure the impact of messaging features in production
You will work closely with Product teams to understand requirements and lead technical input during solution definition, including ownership of technical scoping and active participation in Product Requirements Documents (PRDs)
You will help improve the team over time through essential team rituals, such as Kickoffs, Retrospectives, and Technical Debt Reviews
You will contribute to the team by participating in On-Call (PagerDuty) activities

Benefits

We compensate fairly and equitably
Flexible work hours; fully remote team
We believe in equal work for equal pay: all team members performing the same role at the same level are paid similarly, regardless of where they are in the world
Paid parental leave for biological and adopted children
We give you time off to thrive
Half-day Fridays, every Friday
18 paid company holidays, including a one week mid-year and one week end-of-year break
9 wellness days to be used for self-care- or anything that comes up in life
15 days of PTO
1-month (20 working days) paid sabbatical after the 4-year anniversary, and every 4 years thereafter
We support your health, wellness, and growth
Generous medical, dental, and vision insurance for employees and their families
Health Savings Accounts and Flexible Spending Accounts
401k retirement plan
Short & long-term disability insurance
$100 per employee yearly wellness budget, with flexibility to spend on physical, emotional, and mental wellness resources
PerkSpot: Instant access to discounts on products & services from hundreds of vendors
Annual budget for professional and personal development (webinars, online courses, books, and more)
Volunteerism incorporated in onboarding and encouraged on an ongoing basis