CareMessage

About CareMessage

CareMessage is pioneering health equity, building the largest patient engagement platform for low-income populations in the United States. Your work directly transforms lives for the 20 million patients we serve across 400+ safety-net healthcare organizations. We deliver personalized health education and care coordination through text messaging, meeting patients where they are. Backed by Google and Y Combinator, we craft technology specifically for historically marginalized communities, not adapted down from enterprise solutions.

How We Work

We are a fully remote team operating since 2019, with employees across diverse global locations. We champion an outcome-driven environment, valuing your contributions over rigid schedules. Expect clear documentation and a focus on asynchronous communication. Our core values—Collaboration, Action, Results, and Empathy—guide our interactions and decision-making. We invest in mentorship and actively support individual growth.

Engineering at CareMessage

You will solve complex challenges at the intersection of healthcare interoperability, data science, and high-volume messaging. Our Messaging and Applications teams build our core platform using Ruby on Rails, JavaScript/TypeScript/React, Postgres, and GCP, powered by Twilio. We are driving innovation in AI-driven message categorization and intelligent delivery optimization. Our Data and Clinical Integration teams architect data pipelines in GCP/BigQuery, dbt, and Python, connecting with EHRs via HL7 and FHIR using the Rhapsody engine. We embrace modern, AI-assisted engineering practices while upholding strict HIPAA/PHI compliance and security standards.

Why Join Us

• Deliver measurable impact on health equity, directly improving lives for millions of underserved patients.
• Work in a truly remote-first, outcome-oriented environment that prioritizes flexibility and trust.
• Engage with a cutting-edge tech stack (Ruby on Rails, React, GCP, Twilio, FHIR, AI/ML) solving unique challenges.
• Grow professionally with dedicated mentorship and opportunities to champion modern engineering practices.
• Contribute to a mission-driven team where integrity, collaboration, and empathy are core values.

Benefits & Perks

• Equal pay for equal work, regardless of location, benchmarked to competitive rates.
• Generous medical, dental, and vision insurance for employees and families.
• 18 paid company holidays, including a one-week mid-year and end-of-year break.
• 9 wellness days and 15 days of PTO (growing to 20 days after 24 months).
• 1-month paid sabbatical after 4 years of service, and every 4 years thereafter.
• Paid parental leave for biological and adopted children.
• $100 yearly wellness budget for physical, emotional, and mental well-being.
• Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs).
• Short & long-term disability insurance and 401(K) plan.
• Access to PerkSpot for discounts on products and services.