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, Integrations (L2) who will deliver scoped integration work that connects external systems to our platform in a reliable, maintainable, and secure way. You will work hands-on building and maintaining API-to-API integrations, direct database connections (Epic Kit and Caboodle, Clarity, etc.), and FHIR and HL7-based workflows with leading EHRs. This is an execution-focused role where you will be productive independently on defined tasks while collaborating closely with senior engineers for design guidance, prioritization, and escalation.
This is a highly cross-functional role. You'll work closely with Product, Customer Success, and Engineering to understand integration requirements and implementation details, with customer interaction as needed and typically in partnership with senior engineers. You will report to the Director of Engineering and play a key role in expanding our integration capabilities as we scale.
Who You Are
You are an accomplished engineer who thrives in dynamic, fully distributed environments. You bring a strong foundation in software engineering fundamentals and take pride in developing high-quality integrations that are secure, reliable, and maintainable. You are energized by the challenge of connecting complex healthcare systems and translating technical requirements into working solutions.
You are curious, detail-oriented, and highly proactive. You are comfortable navigating EHR integration nuances, understanding data models, and working across API protocols to deliver work that meets both technical standards and customer needs. You thrive when collaborating across teams and take a partnership-first approach, leaning on senior engineers for guidance while driving your own work forward with increasing independence.
You're excited about operating in a mission-driven, fast-moving environment and have a passion for leveraging your technical skills to develop new solutions for our customers. Most importantly, you share our commitment to advancing health equity for low-income populations and take pride in contributing to that mission through the integrations you build.
Core Requirements
Minimum 3 years of hands-on software engineering experience with JavaScript and one other programming languageMinimum 3 years experience building, maintaining, and scaling backend systems, APIs, and servicesSolid fundamentals of computer programming, including a good understanding of software development lifecycle, coding best practices, design patterns, object-oriented architecture, etc.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.)This role requires the candidate to reside within the United States of AmericaDemonstrate autonomy by independently executing defined work, taking ownership of longer term initiatives, and consistently following through on commitments.Growth-oriented mindsetOutstanding written and verbal communication skills, especially in a fully remote environmentExcellent ability to collaborate with technical and non-technical partners to support discovery, development, and testing phases of integration projectsExperience working in teams where automated tests are an expected part of development, including writing and maintaining tests alongside production codeStrong experience working remotely
Preferred Experience
3 years experience of developing healthcare integrations leveraging common interoperability standards (FHIR and HL7)Experience working with mainstream EHR vendors such as Epic, eClinicalWorks, AthenaHealth, NextGen, etc.Experience with our tech stack: JavaScript/TypeScript, Ruby on Rails, Postgres, Google Cloud PlatformExperience with Mirth and/or Rhapsody Integration Engine (we use Rhapsody)Experience working closely with data teams, leveraging healthcare data and foundational data science concepts
Role Resposibilities
Developing a growing understanding of our company objectives and technical strategy, you will work with the integrations team to deliver effective solutions for safety-net healthcare providersYou will communicate with customers, partners, and other external technical resources to understand the integration requirements and implementation details of those workflows and design effective solutionsYou will help design, build, and maintain integrations in Rhapsody following engineering best practicesWorking with other team members you will contribute to the development and evolution of scalable healthcare integration architectureYou will provide technical training and documentation for integrations you develop to assure capabilities for support teams to monitor and troubleshoot integrations, and you will assist in measuring impact of live integrationsYou will work closely with Product teams to understand requirements and contribute technical input during solution definition, including participation in Product Requirements Documents (PRDs) when appropriateYou will help improve the team over time through essential team rituals, such as Kickoffs, Retrospectives, and Technical Debt ReviewsYou will contribute to the team by participating in On-Call (PagerDuty) activities
Within 1 month you will:
Have a working familiarity with CareMessage’s features and the APIUnderstand the Rhapsody Development Environment and our Software Development LifecycleLearn and follow CareMessage’s integration engineering standards, coding best practices and development processesEstablish rapport with engineers on the team through Wiki contributions, 1:1 conversations, and Team Rituals
Within 3 months you will:
Be self-sufficient in completing assigned tasks and have delivered integration work with meaningful impactGain a strong understanding of our technical environment and identify areas for growth in our processes, systems and toolingUnderstand our Company Objectives and Key Results and be able to articulate how Integrations directly impact them
Within 6 months you will:
Be noted as a valuable technical resource by your peers and manager having developed strong trust and rapport with themHave ownership of assigned portions of multiple integration projects from implementation through production support, with guidance from senior engineersContribute your expertise in one or more areas that drive value and impact within our engineering department (e.g., API improvements, automated testing strategies, etc.)
