Backend Software Engineer II (Remote) Full Time

Summary:

• CareMessage is a technology non-profit building the largest patient engagement platform for low-income populations in the United States.
• The platform combines messaging, data, and interoperability to improve health equity and outcomes, reaching 20 million patients since 2013.
• As a Backend Software Engineer II, you will design, build, and maintain scalable backend systems that directly impact health equity across the United States.
• The role offers the opportunity to work with Ruby on Rails, Postgres, and GCP while solving challenging technical problems that support underserved populations.
• You will collaborate with cross-functional teams to create high-quality, reliable, and performant software.
• The position involves database management, scalability optimization, and participation in on-call rotations.

Responsibilities:

• Independently work on well-defined and scoped features or projects, taking them from concept to deployment.
• Collaborate closely with Product and Design teams to create solutions that meet user needs.
• Break down medium-complexity problems into manageable tasks and provide reliable estimates, delivering work on time.
• Contribute to CareMessage’s high standard of test coverage (99%) by implementing and maintaining tests for your code, following TDD principles where applicable.
• Work effectively with other engineers and cross-functional team members to develop solutions that integrate smoothly with our platform.
• Identify bottlenecks in the system and implement solutions that ensure scalability, reliability, and performance of the platform.
• Develop, optimize, and maintain database schemas and queries to support backend services.
• Identify opportunities to reduce manual or repetitive tasks and implement automation solutions that increase team efficiency.
• Participate in on-call rotations to support platform reliability and address issues as they arise.
• Help onboard new team members, embody CareMessage’s values, and contribute positively to the team culture.

Requirements:

• At least 2-3 years of experience as a backend engineer, with a focus on Ruby on Rails, Postgres, and GCP.
• Proven ability to design and maintain complex backend systems, including APIs and services.
• Familiarity with distributed systems, event-driven architecture, and database optimization.
• Experience with Test-Driven Development (TDD) and delivering high-quality, testable code.
• Skilled at breaking down complex problems, anticipating challenges, and consistently delivering work on schedule.
• Ability to estimate and prioritize tasks effectively within 150% of the estimate, meeting weekly ticket goals.
• Strong interpersonal skills and experience working collaboratively in a fully distributed environment.
• Previous experience with on-call responsibilities and ability to handle production issues as they arise.
• Familiarity with incident management processes and tools like PagerDuty is a plus.
• Commitment to CareMessage’s mission to improve health equity, with an interest in working in the health tech sector.

Benefits:

• Competitive salary allocation of USD 139,000.
• Flexible work hours; fully remote team.
• Equal pay for equal work: all team members performing the same role at the same level are paid the same regardless of location.
• Paid parental leave for biological and adopted children.
• Half-day Fridays every week.
• 18 paid company holidays, including a one-week mid-year break and one-week end-of-year break.
• 9 wellness days for self-care or personal needs.
• 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.
• 401k retirement plan.
• Short & long-term disability insurance.
• $100 yearly wellness budget for physical, emotional, and mental wellness resources.
• PerkSpot for instant access to discounts on products & services from hundreds of vendors.
• Annual budget for professional and personal development (webinars, online courses, books, etc.).
• Volunteerism encouraged, with volunteerism incorporated in onboarding.