Job Overview
Location
Remote - USA
Job Type
Full-time
Category
Software Engineering
Date Posted
April 18, 2026
Full Job Description
đź“‹ Description
- • Senior Software Engineer I (L3) on the Applications Team at CareMessage Inc., responsible for owning and driving the technical direction of the core SaaS application used by over 400 safety-net healthcare organizations to improve health equity for low-income populations.
- • Day-to-day responsibilities include independently owning complex features end-to-end across Ruby on Rails backend and React frontend, mentoring L2 engineers, contributing to architectural decisions, and collaborating with Product, Customer Success, Data, and Engineering teams to reduce administrative burden and deepen patient engagement.
- • CareMessage is a technology non-profit that has reached 20 million patients since 2013, leveraging its Health Equity Engine™ to combine messaging, data, and interoperability to improve clinical outcomes and address social drivers of health, with a mission-driven culture rooted in lived experience and reinvestment of revenue into impact.
- • The role offers the opportunity to lead technical evolution of a mission-critical product, grow as a technical leader in a fully distributed environment, and directly contribute to advancing health equity through scalable, evidence-based software solutions.
🎯 Requirements
- • Deep experience building and scaling production web applications end-to-end with fluency in Ruby on Rails (backend) and modern React (frontend).
- • Proven ability to independently own complex features end-to-end, including complex form workflows, data-heavy dashboards, role-based access, and clinic-specific configuration.
- • Experience mentoring junior engineers and contributing to architectural decisions in a collaborative, cross-functional environment.
- • Scientific, evidence-based approach to problem-solving, using data to challenge assumptions and guide decisions in PRDs, documentation, and wikis.
- • Strong commitment to advancing health equity for low-income populations and alignment with CareMessage’s mission-driven, nonprofit model.
🏖️ Benefits
- • Fully remote work environment within the USA, enabling flexibility and work-life balance.
- • Opportunity to work on a product that has reached 20 million patients and is proven to improve health equity at scale.
- • Mission-driven culture where revenue is reinvested into impact, allowing engineers to see the direct social impact of their work.
- • Collaboration with a team that includes many with lived experience in the communities served, fostering authentic and inclusive product development.
- • Professional growth through technical leadership, mentorship, and influence over architectural direction of a core SaaS platform.
Skills & Technologies
About CareMessage Inc.
CareMessage Inc. offers a HIPAA-compliant patient engagement platform for healthcare providers serving underserved populations. Its cloud-based software automates appointment reminders, follow-up surveys, and preventive-care outreach through two-way SMS, interactive voice calls, and secure messaging. Analytics dashboards let clinics track no-show rates, population health outcomes, and return on engagement. The company serves federally qualified health centers, public hospitals, and community clinics across the United States, aiming to reduce health disparities by improving access to timely, culturally sensitive communication. It operates on a subscription model and integrates with major electronic health-record systems.
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