Lead Engineer - Healthcare Integrations

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.

Requirements

• 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

$175000 - $175000 a year

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 $175000.

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