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Improving Health Equity One Message at a Time! Many of us have had the experience of doing good work, but wondering if it is truly moving the needle. At CareMessage, our mission is clear: improve health equity for low-income populations across the United States. Every role here connects directly to that purpose. 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 22 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 a team of people who hold both compassion and accountability. We care deeply about the communities we serve, and we also hold a high standard for performance, collaboration, and integrity. Our ideal team members: - Deliver meaningful, measurable results - Invest in their teammates and build trust - Seek feedback and continually grow - Stay steady and solutions-oriented in ambiguity - Lead with integrity and responsibility - Communicate with clarity and empathy If you are motivated by impact, energized by collaboration, and ready to do some of the most meaningful work of your career, we encourage you to apply. If this sounds like you, we would love to meet you. _____________________________________ ROLE OVERVIEW The Engineering Manager, Data & Clinical Integration owns and drives the technical direction of the two teams responsible for CareMessage's data — the Clinical Integration team, which connects CareMessage to electronic health records (EHRs) and other clinical data sources (e.g. HIEs, Payor Data, etc.) across our customer base, and the Data team, which turns that data into trustworthy insights. 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, and these two teams are the engine behind our ability to measurably demonstrate impact on clinical outcomes, access to care, and the social drivers of health. 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. A core part of this role is leading both teams to turn clinical data from our customers' many different EHRs into trustworthy, query-ready data that can measurably demonstrate health outcomes — and scaling those insights through both AI/ML and human analysis. The Clinical Integration team builds and maintains the integrations that connect CareMessage to leading EHRs (Epic, eClinicalWorks, NextGen, AthenaHealth, and others) over HL7, FHIR, Proprietary APIs, and direct-database interfaces using the Rhapsody integration engine, and it owns the first step of the clinical data pipeline — converting clinical data to FHIR and landing it in our FHIR Store and BigQuery. The Data team builds on top of that with a medallion (bronze/silver/gold) architecture in BigQuery using native Google Cloud services, and dbt, surfacing insights through Metabase dashboards such as our Health Equity and diabetes-outcomes views; and increasingly powering AI/ML-driven workflows that surface insights at scale. In this role, you will collaborate closely with Product, Customer Success, Data, Compliance, and Engineering to design and deliver the platform and integrations that deepen patient engagement and health outcomes, with direct ownership of technical decisions and customer-facing system behavior. Our ideal candidate is an experi