Software Engineer II, L2 Messaging Team

CareMessage

Software Engineer II for Messaging Team at CareMessage, developing patient engagement solutions for healthcare organizations. Focus on building reliable communication infrastructure using Ruby on Rails.

Posted 4/20/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $152,650 per yearWebsite

Tech Stack

Tools & technologies

JavaScriptRubyRuby on RailsSQL

About the role

Key responsibilities & impact

You will contribute to the technical delivery of key messaging platform features, collaborating with Product, Customer Success, Data, and Engineering to build solutions that deepen patient engagement and health outcomes
You will build and maintain backend messaging systems using Ruby on Rails, including SMS/voice delivery pipelines, consent management workflows, message scheduling and orchestration, and Twilio integration layers
You will participate in team rituals and discussions, give and receive code reviews, and grow your ownership of well-defined features under the guidance of senior engineers
You will contribute to architectural discussions and learn from the design decisions that shape how we build and scale our messaging infrastructure, including delivery optimization, AI-driven message categorization, and multimedia messaging (MMS/RCS)
You will provide documentation for the messaging features you build, enabling support teams to monitor, troubleshoot, and measure the impact of messaging features in production
You will work closely with Product teams to understand requirements, contributing technical input during solution definition and collaborating on Product Requirements Documents (PRDs)
You will help improve the team over time through essential team rituals, such as Kickoffs, Retrospectives, and Technical Debt Reviews
You will contribute to the team by participating in On-Call (PagerDuty) activities

Requirements

What you’ll need

Minimum 5 years of hands-on software engineering experience, with solid proficiency in Ruby on Rails and JavaScript.
Minimum 5 years’ experience building and maintaining backend systems, APIs, and services, with demonstrated experience completing scoped work with growing independence.
Solid fundamentals of computer programming, including a good understanding of software development lifecycle, coding best practices, design patterns, object-oriented architecture, etc.
Working SQL proficiency with a strong analytical mindset, comfortable querying and working with datasets to troubleshoot issues and inform technical decisions.
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.)
Demonstrated ability to complete scoped work with guidance, follow established patterns, participate in code reviews, and grow toward independent ownership of well-defined features.
Growth-oriented mindset
Outstanding written and verbal communication skills, especially in a fully remote environment
Ability to collaborate with technical and non-technical partners to support discovery, development, and testing phases of messaging platform features
Experience working in teams where automated tests are an expected part of development, including writing and maintaining tests alongside production code
Ability to communicate progress and blockers clearly, ask for help when stuck, and maintain consistent communication with stakeholders to keep projects moving forward.

Benefits

Comp & perks

Flexible work hours; fully remote team
Paid parental leave for biological and adopted children
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
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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Hard Skills & Tools

Ruby on RailsJavaScriptbackend systemsAPIsSQLsoftware development lifecyclecoding best practicesdesign patternsobject-oriented architectureautomated testing

Soft Skills

collaborationcommunicationgrowth-oriented mindsetdiversity and inclusionindependent ownershipproblem-solvingcode reviewsdocumentationteam ritualsstakeholder communication