[Hiring] Engineering Manager, Messaging & Applications Teams @CareMessage

Role Description

The Engineering Manager for the Messaging & Applications teams owns and drives the technical direction of CareMessage's core product:

• The messaging platform that powers patient communication for our customers.
• The core application that providers use every day.

CareMessage supports over 400 safety-net healthcare organizations, including federally qualified health centers and free clinics, that care for low-income and underserved patients nationwide. Your teams build the product that millions of patients experience directly. This is a leadership role over existing teams: their systems and roadmaps are already in place, and your job is to lead, deepen, and scale them.

The Messaging team builds and maintains the systems that drive all outbound and inbound patient communication (SMS, voice, and multimedia), powered by Twilio. We are investing in:

• AI-driven message categorization
• Multimedia messaging (MMS/RCS)
• Intelligent delivery optimization
• Consent management

The Applications team builds and maintains the core web application (a Ruby on Rails monolith with a JavaScript/TypeScript/React front end on Postgres and GCP) through which providers manage campaigns, patients, appointments, and messaging. Increasingly, this experience is enhanced by:

• Our solution recommendation engine
• AI copilots that help providers determine and act on the right next step for each patient

Both teams work in the same core codebase, so clear ownership and coordination matter. In this role, you will collaborate closely with:

• Product
• Customer Success
• Data
• Engineering

Our ideal candidate is an experienced Engineering Manager (technical, people and process leader) who thrives in dynamic, fully-distributed environments and brings deep experience leading teams that build reliable, patient-centric communication infrastructure at scale. They are energized by problems like:

• Delivery optimization
• Consent management
• AI-driven messaging

They possess the technical leadership to guide and mentor engineers, are dedicated to the professional growth of their team, and view themselves as a catalyst for organizational outcomes. Above all, they share our mission-driven commitment and take pride in contributing to our objective of advancing health equity for low-income populations.

One of the strongest skills we value here is taking a scientific approach to everything we do. We rely on evidence alongside intuition, and we look for data that challenges our assumptions before drawing conclusions. Our PRDs, documentation, and wikis reflect this mindset; we use data to guide decisions and validate our work.

Qualifications

• At least 5 years of successful experience as an Engineering Manager over product/application engineering in two or more early-to-growth-stage remote startup environments.
• Demonstrated ability to lead and drive the delivery of long-term technical projects across multiple teams, driving measurable outcomes.
• Strong technical acumen with a deep understanding of building and operating customer-facing web applications (web frameworks, relational databases, APIs, cloud infrastructure).
• A track record of adopting modern development practices and leveraging AI-assisted tooling to raise engineering velocity and quality.
• The ability to get hands-on with the codebase when needed.
• Exceptional collaboration and influencing skills, working effectively cross-departmentally.
• The ability to discern when to dive into technical details and when to maintain a higher-level perspective.
• A commitment to cultivating both individual growth and a high-performance engineering culture.
• A growth-oriented mindset with the capability to guide others on their development journey.
• Outstanding written and verbal communication skills, especially in a fully remote environment.
• Proficiency in identifying and managing priorities independently across two teams.
• Dedication to promoting diversity and inclusion within teams.

Requirements

• Experience managing teams that operate high-volume messaging/communications systems and/or customer-facing SaaS web applications.
• Experience working in a Healthcare technology environment and the requisite Security and Compliance requirements (HIPAA/PHI).
• Experience introducing or scaling agentic development workflows on a team.
• Experience with our Tech Stack: Ruby on Rails, JavaScript/TypeScript/React, Postgres, GCP, Twilio (SMS/voice), Metabase.
• Background in TDD engineering environments.
• Experience leading teams through reliability, performance, and on-call/incident-response improvements.

Benefits

• Paid parental leave for biological and adopted children.
• 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.
• Generous medical, dental, and vision insurance for employees and their families.
• Health Savings Accounts and Flexible Spending Accounts.
• Short & long-term disability insurance.
• $100 per employee yearly wellness budget.
• Instant access to discounts on products & services from hundreds of vendors.