Software Engineer (L2 Messaging Team)

Requirements

• 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
• 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
• (Desirable) Experience with Twilio (SMS, Voice, or Messaging APIs) or similar messaging and communications platforms
• (Desirable) Experience with RCS (Rich Communication Services) or multimedia messaging (MMS)
• (Desirable) Experience with our tech stack: Ruby on Rails, JavaScript (React), PostgreSQL, Google Cloud Platform, background job processing (Sidekiq or similar)
• (Desirable) Experience with message queue systems, event-driven architecture, or high-throughput delivery pipelines
• (Desirable) Experience in healthcare technology or familiarity with messaging compliance requirements, including TCPA, opt-out management, consent workflows, A2P 10DLC, and The Campaign Registry (TCR)
• If you do not meet every requirement listed but believe you can succeed in this role, especially if you come from an underrepresented background, we encourage you to apply

What the job involves

• 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
• You will contribute to the technical delivery of key messaging platform features, collaborating with Product, Customer Success, Data, and Engineering to build solutions that deepen patient engagement and health outcomes
• You will 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 participate in team rituals and discussions, give and receive code reviews, and grow your ownership of well-defined features under the guidance of senior engineers
• You will contribute to architectural discussions and learn from the design 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 documentation for the messaging features you build, 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, contributing technical input during solution definition and collaborating on 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
• Within 1 month you will:
• Have a working familiarity with CareMessage’s messaging platform, features, and API
• Understand our messaging infrastructure, Twilio integration, and Software Development Lifecycle at a working level
• Learn and follow CareMessage’s engineering standards, coding best practices, and development processes
• Establish rapport with engineers on the team through Wiki contributions, 1:1 conversations, and Team Rituals
• Begin reviewing PRs and participating in technical design discussions
• Within 3 months you will:
• Be independently completing scoped messaging features with guidance from senior engineers
• Have a working understanding of our messaging architecture and be familiar with our processes, systems, and tooling
• Understand our Company Objectives and Key Results and be able to articulate how the Messaging team contributes to them
• Be giving and receiving code reviews regularly and asking for help when stuck
• Have begun contributing to technical design discussions
• Within 6 months you will:
• Be a trusted contributor on the Messaging team, having developed strong rapport with peers and cross-functional partners
• Have growing independence on well-defined messaging features from build through production support, contributing to projects that directly impact patient outcomes
• Participate actively in team rituals and technical design sessions, following established patterns and team standards
• Be building depth in one or more areas that drive value for the Messaging team (e.g., delivery pipelines, consent workflows, Twilio integrations, MMS/RCS)