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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 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, and 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, and 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, and we are investing in AI-driven message categorization, multimedia messaging (MMS/RCS), intelligent delivery optimization, and 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 and 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, and Engineering to design and deliver messaging and application features that deepen patient engagement and health outcomes, with direct ownership of technical decisions and customer-facing system behavior. 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, and AI-driven messaging, and they possess the technical leadership to guide and mentor engin