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Senior Software Engineer, Integrations (Remote, US-based)

Join us to Improve Health Equity for 5 Million People!


CareMessage is the technology non-profit building the largest patient engagement platform for low-income populations in the United States. Powered by the Health Equity Engine™, the platform enables organizations to combine messaging, data, and interoperability to increase access to care, improve clinical outcomes, and address social drivers of health.


With 20 million patients reached since 2013, CareMessage is the only patient engagement solution proven to improve health equity at scale. The team, many with lived experiences in these communities, leverages a nonprofit model to reinvest revenue into impact. CareMessage is the partner of choice for organizations committed to advancing health equity.


We are currently searching for a Senior Software Engineer to join our Integrations team and support the expansion of healthcare interoperability development. We’ve built integrations with leading EHRs and are looking to add another engineer on our team working on API to API, direct Database (Kit and Caboodle, Clarity, etc.), FHIR-based and possibly HL7 based workflows. In this pivotal role, you will collaborate closely with Product, Customer Success, Engineering, and customers directly to understand their needs and integration requirements. Your core responsibility will involve understanding customers needs and leading the development of interfaces that connect the CareMessage platform with external systems. 


Our ideal candidate is an accomplished Senior Software 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 excited about the opportunity to leverage their curiosity and technical skills to develop new solutions for our customers. Above all, they share our mission-driven commitment and take pride in contributing to our objective of advancing health equity for low-income populations.


Requirements
  • Minimum 4 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)
  • Exceptional fundamentals of computer programming, including a good understanding of software development lifecycle, coding best practices, design patterns, object-oriented architecture, 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 autonomously drive the delivery of long-term initiatives
  • Growth-oriented mindset 
  • Communication Skills: Outstanding written and verbal communication skills, especially in fully remote environments
  • Project Management: Effective project management skills, with emphasis on the  ability to collaborate with technical and non-technical  partners to lead discovery, development, and testing phases of integration development
  • Strong experience working remotely 


Preferred Experience
  • Experience working with mainstream EHRs such as Epic, eClinicalWorks, AthenaHealth, NextGen, etc.
  • Experience with our Tech Stack: Rhapsody, JavaScript/TypeScript/React, Ruby on Rails, Postgres, GCP
  • Experience with Mirth and/or Rhapsody Integration Engine (we use Rhapsody)
  • Background in TDD engineering environments
  • Experience working closely with data teams, leveraging healthcare data and foundational data science concepts


Job Responsibilities
  • Leveraging a deep understanding of our company objectives and technical strategy, you will work with the team to define effective approaches to impacting the current and future workflows of safety-net healthcare providers and the patients that they support.
  • You will lead communication with customers, partners, and other external technical resources to understand the integration requirements and implementation details of those workflows and design effective solutions.
  • You will design, build, and maintain integrations in Rhapsody (Javascript) following engineering best practices.
  • Working with the rest of the team, you will develop and expand upon scalable architecture for healthcare integrations
  • You will provide technical training for integrations you develop to assure capabilities for support teams to monitor and troubleshoot integrations, and you will assist in measuring impact of live integrations
  • You will work closely with Product teams to conceptualize and define impactful solutions, often through Product Requirements Documents (PRDs).
  • You will help improve the team over time through essential team rituals, such as Kickoffs, Retrospectives, and Tech Debt Reviews
  • You will 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 engineering 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 delivered 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.)


$170,500 - $170,500 a year
This role is currently set at a level three Individual Contributor, equivalent to someone who has held multiple engineering roles with related experience in integration engineering and is strongly proficient in their craft.

Our salary allocation for this role is $170,500.

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

We believe in equitable pay. Team members performing the same role at the same level are paid equitably regardless of location. 

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

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What You Should Know About Senior Software Engineer, Integrations (Remote, US-based), CareMessage

At CareMessage, we're on a mission to improve health equity for low-income populations across the U.S., and we're searching for a dynamic Senior Software Engineer, Integrations to join our radar-shifting team! If you're passionate about revolutionizing healthcare and have a knack for developing robust integrations, this remote position could be your perfect fit. In this role, you'll be pivotal in building APIs and integrations with major Electronic Health Records (EHRs) while collaborating across various teams, including Product and Customer Success. Your expertise will drive us towards creating impactful solutions that help organizations better engage with their patients. We’re a fully-distributed startup that thrives on diverse experiences, and we believe that your unique background will add rich value to our talent pool. If you have strong programming skills, especially in JavaScript, along with a solid understanding of healthcare interoperability standards such as FHIR and HL7, we're eager to hear from you. You’ll have the chance to shape the future of healthcare technology and work on projects that genuinely make a difference in people's lives. With competitive compensation, flexible hours, and a culture that prioritizes wellness, we want you to come and help us build a brighter, healthier future for everyone!

Frequently Asked Questions (FAQs) for Senior Software Engineer, Integrations (Remote, US-based) Role at CareMessage
What are the main responsibilities of a Senior Software Engineer, Integrations at CareMessage?

As a Senior Software Engineer, Integrations at CareMessage, your primary responsibilities will include leading the development of integrations between the CareMessage platform and external systems, collaborating with various teams to define integration requirements, and ensuring that solutions align with customer needs. You will work extensively with APIs, maintaining high coding standards while designing and building scalable infrastructures to support important workflows.

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What qualifications are needed to apply for the Senior Software Engineer, Integrations position at CareMessage?

To be considered for the Senior Software Engineer, Integrations role at CareMessage, you should have a minimum of 4 years of software engineering experience, particularly with JavaScript and other programming languages. Strong knowledge of healthcare integration standards, experience with common EHRs, and exceptional communication skills are also essential. A passion for improving health equity and a commitment to diversity and inclusion are highly valued.

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How does the role of a Senior Software Engineer, Integrations contribute to health equity at CareMessage?

The Senior Software Engineer, Integrations plays a crucial role in enhancing health equity by developing reliable integrations that allow organizations to effectively engage with underserved populations. By ensuring seamless connections between the CareMessage platform and external systems, you'll directly impact patient outcomes and contribute to the larger mission of advancing health equity across the healthcare sector.

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What is the work environment like for a Senior Software Engineer, Integrations at CareMessage?

CareMessage operates in a fully remote setting, allowing you to collaborate with a diverse team of professionals from various backgrounds. The environment is dynamic and inclusive, offering flexibility in work hours and a focus on maintaining a healthy work-life balance. You'll engage in meaningful discussions and projects that aim to create impactful health solutions, with a particular emphasis on teamwork and mutual support.

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What kind of growth opportunities does CareMessage offer for the Senior Software Engineer, Integrations role?

CareMessage is committed to fostering employee growth for the Senior Software Engineer, Integrations position. Opportunities include professional development budgets for courses, webinars, and related resources, as well as wellness days for self-care. The organization encourages participation in various team rituals aimed at continuous improvement, providing an environment ripe for skill enhancement and career progression.

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Common Interview Questions for Senior Software Engineer, Integrations (Remote, US-based)
Can you describe your experience with FHIR and HL7 standards in integration projects?

When answering this question, share specific examples of past projects where you utilized FHIR or HL7 standards. Discuss the scope of the projects, the challenges faced, and how your solutions contributed to successful integrations. Highlight how your understanding of these standards has helped improve healthcare interoperability.

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What strategies do you use to manage communication with technical and non-technical stakeholders?

It's important to demonstrate your versatility in communication. Outline your approach, such as using clear and concise language, tailoring your message based on the audience, and employing visual aids. Provide an example where your effective communication led to the successful alignment of project goals with stakeholders across different backgrounds.

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How do you ensure the quality and maintainability of code in your integration projects?

Discuss best practices you follow, such as code reviews, automated testing, and adherence to design patterns and coding standards. You might mention specific tools or frameworks you use and how they contribute to the long-term maintainability of your projects. The key is to illustrate your commitment to producing high-quality code.

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Describe a challenging integration project you’ve worked on. What role did you play, and what was the outcome?

Use this question to highlight your problem-solving abilities and technical skills. Provide context about the project, your specific contributions, any obstacles you faced, and how you overcame them. Be sure to emphasize the positive impact of the project on the organization or its clients.

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What tools and technologies have you used for building integrations with EHR systems?

List the key tools and technologies you are familiar with, such as Rhapsody or Mirth integration engines, database systems like PostgreSQL, and any programming languages that are relevant. Discuss how you have successfully utilized these tools in previous projects and any unique strategies you employed that added value to the integration work.

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How do you stay updated on trends and best practices in healthcare integration technology?

Share specific resources you leverage, such as industry blogs, conferences, online courses, and professional communities. Mention any forums or groups you participate in that focus on healthcare technology. Emphasize your commitment to continuous learning within the field of healthcare integration.

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How would you prioritize and manage multiple integration projects with tight deadlines?

Discuss your project management skills, including your methods for prioritization, such as using techniques like Kanban or Agile methodologies. Provide an example of how you successfully balanced multiple projects in the past, ensuring that all requirements were met while maintaining a high quality of work.

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Can you give an example of how you’ve contributed to improving processes within your previous teams?

Think of a specific process improvement initiative you've led or participated in. Describe the process as it was, the changes you implemented, and what the results were. This will showcase your initiative and ability to drive efficiency in integration engineering.

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What motivates you to work in healthcare technology, particularly in a role that focuses on improving health equity?

Share your personal motivation for working in healthcare technology. Discuss experiences or values that drive your passion for improving health equity, and how they align with the mission of CareMessage. This question provides an opportunity to connect your professional goals with your personal beliefs.

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How do you handle feedback and constructive criticism in your work?

It's essential to demonstrate that you see feedback as an opportunity for growth. Discuss how you actively seek feedback, how you respond to it, and any steps you take to implement changes based on that feedback. Sharing an example of a situation where you turned constructive criticism into positive results can strengthen your response.

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CareMessage is a non-profit organization whose mission is to leverage technology to help safety-net organizations fulfill the essential needs of underserved populations.

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Full-time, remote
DATE POSTED
February 12, 2025

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