Lead Engineer, Healthcare Integrations - US Based Remote

Published on June 27, 2024

CareMessage is the largest patient engagement platform for underserved populations in the United States. We envision a world where all people regardless of income or background achieve equitable health outcomes. We power the care for more than 7 million underserved patients at over 300 safety net organizations nationwide who receive timely healthcare information, preventive care reminders, appointment reminders, local resources, and health coaching through interactive voice and text messaging.

Join us to Improve Health Equity for 5 Million People!

CareMessage is the Health Equity engine of the United States. Our mission is to leverage technology to improve health equity for people from low socioeconomic backgrounds, with a core focus on the safety-net organizations that serve them best: federally qualified health centers (FQHCs), free and charitable clinics, Indian Health Service (IHS) health facilities and Native American-focused health centers. The CareMessage platform allows healthcare organizations to communicate with patients at scale, prompting patients to action via technology-enabled solutions designed to increase access to care, improve clinical outcomes and address social drivers of health.

Nationally, CareMessage is proud to work with over 400 customers in 43 states. Since 2013, safety-net organizations have leveraged CareMessage to reach over 17 million low-income patients with over 350 million text messages.

Founded in 2012 at Stanford University, CareMessage has raised over $35 million from Google.org, William K. Bowes Jr. Foundation, Pershing Square Foundation, Y Combinator, Schmidt Futures, Twilio.org, Direct Relief, Biogen, and many more.

We are currently searching for a Healthcare Integration Technical Lead/Lead Engineer to drive the technical development of integrations spanning API to API, HL7, and FHIR-based workflows. In this pivotal role, you will collaborate closely with Product, Customer Success, and Engineering teams to understand customer needs and integration requirements. Your core responsibility will involve leading the implementation of interfaces that connect the CareMessage platform with external systems. Additionally, you will act as the team lead, overseeing the work of two senior engineers, while balancing individual contributions with initial management responsibilities. Initially, you will focus on individual contributions, dedicating approximately 30% of your time to management activities, with the potential to transition into a full-time engineering management role as our team expands.

Our ideal candidate is an accomplished Senior/Staff-level Integrations Engineer who thrives in dynamic, fully-distributed startup environments. They possess a strong passion for software engineering fundamentals and developing high-quality integrations and are equally dedicated to fostering the professional growth of their team members. They excel as a catalyst for boosting team productivity and continuously seek opportunities to expand our impact. Above all, they share our mission-driven commitment and take pride in contributing to our objective of advancing health equity for individuals of low socio-economic status nationwide.

  • Minimum 6 years of hands-on software engineering experience with JavaScript and one other programming language with at least 3 years of that experience in developing healthcare integrations leveraging common interoperability standards (FHIR and HL7)
  • Minimum of 2 years in supporting or in the direct management software engineers
  • Exceptional fundamentals of computer programming, including a good understanding of software development lifecycle, coding best practices, design patterns, object-oriented architecture, etc.
  • Experience working with mainstream EHRs such as Epic, eClinicalWorks, AthenaHealth, NextGen, 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 America
  • Strategic Leadership: Demonstrated ability to lead and drive the delivery of long-term initiatives
  • Collaborative Expertise: Exceptional collaboration and influencing skills, with a talent for working effectively with Product and Design teams to craft optimal solutions while navigating multiple constraints
  • Mentorship: Growth-oriented mindset with the capability to guide others on their development journey
  • Communication Skills: Outstanding written and verbal communication skills; demonstrated ability to facilitate effective team interactions
  • Autonomous Prioritization: Proficiency in identifying and managing priorities independently, ensuring efficient workflow.
  • Strong background in remote work
Preferred experience
  • Experience with our Tech Stack: JavaScript/TypeScript/React, Rhapsody, Ruby on Rails, Postgres, GCP
  • Background in TDD engineering environments
  • Experience working closely with data teams, leveraging healthcare data and foundational data science concepts
Job Responsibilities
  • Support the management and oversight of 2 - 3 Integration Engineers
  • Support Team Rituals, including having 1:1s with team members to support and foster growth
  • Provide feedback and support the VP of Engineering with performance reviews
  • Participate in the recruitment, interviewing, and retention of top-tier engineering talent
  • Proficiency in designing, building, and maintaining integration workflows leveraging standard engineering best practices, leveraging applications like Rhapsody
  • Providing technical guidance and architecture to support the scalable development of healthcare integrations
  • Enforce documentation of generic and client-specific integration workflows, routes, and communication point configurations to ensure proper versioning, thorough testing for all variations, and an audit trail of changes
  • Provide technical training continually assuring capabilities for support teams to monitor and troubleshoot interfaces
  • Work with customers, partners, and other external technical resources to understand the integration requirements and implementation details of those workflows
  • Work closely with Product and Design teams to conceptualize and define impactful solutions, often through Product Requirements Documents (PRDs).
  • Support engineers in project management within your domain
  • Skillfully lead and facilitate essential team rituals, such as Kickoffs, Retrospectives, and Tech Debt Reviews
  • Collaborate cross-functionally to understand technical estimates and prioritize backlog items, making pragmatic tradeoffs when necessary
  • Develop processes, tools, and systems that enhance our team's overall effectiveness
  • Contribute to the team by participating in On-Call (PagerDuty) activities.
Within 1 Month You'll... 
  • Have a working familiarity with CareMessage’s features and the API
  • Understand the Rhapsody Development Environment and our SDLC
  • Learn and follow CareMessage's integration standards, coding best practices and development processes
  • Establish rapport with Engineers on the team through Wiki contributions, 1:1s, Team Rituals, etc.
Within 3 Months You'll...
  • Be self-sufficient in completing tasks and have delivering upon Integration projects with wide-ranging impact
  • Gain a strong understanding of our technical environment and identify areas for growth in our processes, systems and/or tooling
  • Understand our Company Objectives and be able to articulate how Integrations directly impacts them
Within 6 Months You'll
  • Be noted as a technical leader by your peers and manager having developed strong trust and rapport with them
  • Have end-to-end ownership of the implementation of multiple integration projects
  • Contribute your expertise in one or more areas that drive value and impact within our engineering department (e.g., API improvements, automated testing strategies, etc.)
  • Contribute to the development of the Integrations roadmap and necessary team resourcing
 Salary range: $175,000 - $175,000 per-year-salary 
Compensation Details
This role is currently set at a level four Individual Contributor, equivalent to someone who has held several engineering roles with some peer coaching and delivery management expectations or someone with strong technical background early in engineering management with related experience in engineering for several years and is extremely proficient in their craft.

Our salary allocation for this role is $175,000.

Note: If you don’t fit this description perfectly (in particular, if you come from an under-represented group) but have held a Staff Engineer, Tech Lead, Associate Manager other related role in Healthcare Integration Engineering in the past, please apply!

We believe in equal work for equal pay. All team members performing the same role at the same level are paid the same regardless of where they are in the world.

Working at CareMessage

We take care of our employees by offering competitive salaries and benefits packages. We ensure our team feels cared for so that we, in turn, can help support our safety net organizations and underserved populations.

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