Join Our Mission to Enhance Health Equity for Millions!CareMessage is a pioneering technology non-profit dedicated to developing the largest patient engagement platform for low-income communities across the United States. Utilizing the innovative Health Equity Engine™, our platform empowers organizations to integrate messaging, data, and interoperability, thereby improving access to care, enhancing clinical outcomes, and tackling social determinants of health.Since our inception in 2013, we have successfully reached 20 million patients, establishing CareMessage as the sole patient engagement solution that effectively promotes health equity on a large scale. Our team, comprised of individuals with personal experiences in these communities, adopts a nonprofit model to reinvest revenue into impactful initiatives. We are the preferred partner for organizations devoted to advancing health equity.Position OverviewWe seek a dedicated Senior Software Engineer I (L3) for our Messaging Team. In this role, you will lead the technical direction of CareMessage's messaging platform, a critical system facilitating patient communication for over 400 safety-net healthcare organizations in the U.S. You will independently manage complex feature development from inception to deployment, mentor fellow engineers, and contribute to architectural decisions that influence our messaging infrastructure's design and scalability.This position is highly collaborative, with shared leadership responsibilities. You will work closely with Product, Customer Success, and Engineering teams to create and implement messaging features that enhance patient engagement and improve health outcomes, while having full ownership of technical decisions and customer-facing system behaviors. You will report directly to the Director of Engineering and play a vital role in advancing our messaging capabilities as we grow.Candidate ProfileYou are an experienced backend engineer who excels in dynamic, fully distributed environments. You have extensive experience with Ruby on Rails and large-scale messaging systems, and you take pride in developing robust, patient-centric communication infrastructures. You are motivated by the challenges of delivery optimization, consent management, and AI-driven messaging, and possess the technical leadership skills to mentor your colleagues.Your approach is scientific; you base your decisions on evidence rather than intuition, actively seeking data that challenges your assumptions before reaching conclusions. You contribute to Product Requirement Documents (PRDs), documentation, and internal wikis with this analytical mindset, using data to inform decisions and validate your contributions. You thrive in a mission-driven, fast-paced environment and bring the experience and proactive attitude needed to lead effectively. Above all, you are committed to advancing health equity for low-income populations and take pride in contributing to this vital mission.
Feb 27, 2026
