What You'll Do
- Lead the Virtual Care engineering team's planning, 1:1s, and growth conversations.
- Own delivery across the virtual care roadmap, partnering with Product, Design, and Quality through all phases of development on a two-week Scrum cadence.
- Stay hands-on: review the team's PRs, set the technical bar, and write code on the highest-leverage problems.
- Own operational health for the platform: reliability, performance, on-call, and incident response for a platform clinicians depend on to deliver care.
- Uphold the security and compliance bar that PHI-handling clinical software requires, partnering with security and compliance owners.
- Report up on roadmap progress, team health, and risks, and represent virtual care engineering to executive and cross-functional stakeholders.
Why You Might Be a Good Fit
- You have led engineering teams building production software that real users depend on, ideally in healthcare or another regulated environment where mistakes have consequences.
- You are a genuine player-coach: you will be writing code in week one and writing code in month six, and that is part of why you want the job.
- You build healthy, durable teams: clear expectations, honest feedback, real growth paths, and a bar that engineers are proud to meet.
- You are comfortable owning operational health, from on-call structure to incident retros, for a platform where downtime means a provider cannot see a patient.
- You communicate clearly with non-technical stakeholders, translating between engineering reality and product and executive priorities.
- You have moved fully into people management and are not interested in reviewing code or contributing technically anymore.
- You have only run internal tools or back-office systems and have not owned user-facing production software with real operational stakes.
- You are uncomfortable with the accountability that comes with PHI, HIPAA, and clinical uptime requirements.
- You need a large management structure around you. This is a hands-on seat at a growth-stage company where the playbook is still being written.
Your Qualifications
- 7+ years of professional software engineering experience, including 2+ years managing or tech-leading an engineering team.
- A track record of shipping and operating production web or mobile applications as part of a cross-functional agile team.
- Strong technical depth ideally in Ruby on Rails or a comparable backend.
- Experience owning operational health for production systems: reliability, monitoring, on-call, and incident response.
- Experience working with PHI or in another regulated environment (HIPAA, SOC 2, or comparable), or demonstrated readiness to own that bar.
- Excellent communication skills and a demonstrated ability to grow engineers and hold a high technical bar.
- Authorized to work in the United States without employer sponsorship, now and in the future.
Bonus Points
- Experience in virtual care, telehealth, or clinical software specifically.
- Experience integrating AI/LLM features into production product surfaces.
- Experience as the first or second engineering manager in a growing org.
- A bachelor's degree in Computer Science, Software Engineering, or a related field.
- Verify the Domain: Official recruitment emails will only come from addresses ending in @fabrichealth.com or @gem.com. No other domain names are legitimate.
- Official Interview Tools: We use Gem for our recruitment process and Google Meet for all video interviews. Google Meet is always the platform used for your first interview; you will never be sent a Zoom link to set up or conduct an initial interview. All interviews are conducted via video unless specifically stated by our team as an audio call. We never conduct interviews via chat, social media, Skype, or WhatsApp.
- Zoom Usage: Zoom is utilized only for specific meetings set directly by our team for purposes outside of the standard interview process (e.g., coordination or onboarding discussions). It is never the first link you will receive from us.
- Authorized Contact & Texting: Fabric will only contact you if you have submitted an application or if you are connected to a current employee who shared your information with us. We will only send text messages if you have provided explicit authorization and consent, either through your application or while communicating directly with our team. If you have not explicitly authorized us to reach out, treat any SMS or unsolicited outreach as fraudulent and do not respond.
- Sensitive Data: We will never ask you for sensitive personal or financial documents (ID, banking info, SSN) during the application, interview, or candidacy stages. All sensitive data is handled through secure internal systems post-offer.
- Verify the Team: You can reference LinkedIn to verify members of our recruiting team; however, please remain vigilant as scammers may create fraudulent profiles. Always cross-reference the sender's email domain with our official @fabrichealth.com address.
Skills Required
- 7+ years of professional software engineering experience, including 2+ years managing or tech-leading an engineering team.
- Track record of shipping and operating production web or mobile applications as part of a cross-functional agile team.
- Experience owning operational health for production systems: reliability, monitoring, on-call, and incident response.
- Experience working with PHI or in a regulated environment (HIPAA, SOC 2), or demonstrated readiness to own that bar.
- Strong technical depth ideally in Ruby on Rails or a comparable backend.
- Excellent communication skills and a demonstrated ability to grow engineers and hold a high technical bar.
- Authorized to work in the United States without employer sponsorship, now and in the future.
- Experience in virtual care, telehealth, or clinical software specifically.
- Experience integrating AI/LLM features into production product surfaces.
- Experience as the first or second engineering manager in a growing org.
- Bachelor's degree in Computer Science, Software Engineering, or a related field.
Fabric Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Fabric Health and has not been reviewed or approved by Fabric Health.
-
Fair & Transparent Compensation — Pay is considered aligned with role expectations, with explicit remarks that compensation reflects the demands of the work and “pay rate” highlighted as a strength.
-
Leave & Time Off Breadth — Time off is described as generous, with unlimited PTO in some roles and a company holiday period that includes a full week off at year‑end.
-
Equity Value & Accessibility — Equity is available to full‑time employees, and multiple role descriptions highlight stock options as part of total rewards.
Fabric Health Insights
What We Do
Fabric Health is a pioneering care access platform dedicated to solving one of healthcare's most pressing challenges: operational capacity. We equip health systems, health plans, employers, and brokers with consumer-grade solutions designed to make healthcare faster, smarter, and more accessible at the exact moment of need. Our core mission is to empower boundless care through seamless, intuitive experiences that benefit both patients and providers. At the heart of our offering is a commitment to streamlining the entire care journey. We achieve this by integrating and optimizing every touchpoint from initial intake and intelligent triage to precise routing and effective treatment, encompassing both virtual and in-person care modalities. Our platform is meticulously crafted to enhance operational efficiency, addressing the complex logistical problems that often hinder timely and quality care delivery. What makes Fabric Health uniquely effective is our deep understanding of the patient and clinician experience. We develop robust automation workflows that significantly reduce administrative burdens on healthcare professionals, allowing them to focus invaluable time on what matters most: direct patient care. By automating repetitive tasks and streamlining processes, we enable clinicians to work more efficiently, leading to reduced burnout and a higher quality of service. Our comprehensive suite of features and services includes an advanced AI Assistant that guides users, dynamic Engagement & Pathways to ensure continuity of care, a versatile Virtual Care Platform for remote consultations, and dedicated Virtual Care Services for immediate support. Furthermore, our Intake & Care Guides simplify initial patient interactions, while our Enterprise Features provide scalable solutions for large organizations. Ultimately, Fabric Health drives tangible outcomes: reduced care costs, expanded access to care, and the delivery of consistent, higher-quality patient experiences. We are relentlessly focused on creating better, more intuitive interactions for consumers and equipping providers with the tools they need to deliver exceptional care efficiently. Every solution we develop is a testament to our dedication to transforming healthcare delivery, ensuring that timely, compassionate, and effective care is within everyone's reach.
Why Work With Us
Discover a culture of innovation, collaboration, and continuous growth. We offer a dynamic, remote-first environment where talented individuals thrive by tackling meaningful challenges. Contribute to cutting-edge solutions, work alongside inspiring peers, and truly make a difference in a flexible setting. Grow your career with purpose.
.png)
