What You'll Do
- Design, build, and own production systems that are reliable, secure, and performant under real clinical load.
- Make high-stakes technical decisions with incomplete information, weigh the tradeoffs explicitly, and stand behind them.
- Raise the bar around you through code review, design guidance, and the standards you hold, whether or not you carry a formal leadership title.
- Partner closely with product managers, designers, and clinical experts to turn ambiguous problems into clear, well-tested solutions.
- Debug and harden complex systems, and put safeguards in place so the same failure cannot happen twice.
- Contribute to the technical direction of your team and, at the staff and principal levels, help set the architectural direction for the platform.
Why You Might Be a Good Fit
- You are a mid level and above engineer with a track record of shipping and owning production software, not just contributing to it.
- You are genuinely language agnostic yourself, able to point to real, recent professional work in whatever languages and frameworks the job called for.
- You reason clearly about systems, tradeoffs, and failure modes, and you can explain the hardest decision you made and why.
- You take ownership seriously, especially when your work touches something as consequential as a person's care.
- You are motivated by the problem of fixing healthcare, and you want to be in the conversation for the right role when it opens.
This Might Not Be The Right Fit If...
- You are early in your career or looking for a first engineering role. This pipeline is for mid level and above only.
- Your strongest examples are academic or from coursework rather than production systems you built and owned professionally.
- You are attached to a single language or framework and are not comfortable working in whatever stack the problem requires.
- You are looking for an immediate placement and are not open to an evergreen conversation ahead of a specific opening.
- You are not interested in the specific stakes and constraints of building software in healthcare.
Your Qualifications
- 3+ Professional software engineering experience, with a clear record of building and owning production systems (level within the range is set by depth and scope).
- Demonstrable, recent professional depth in one or more modern languages and frameworks, with the ability to name the systems you built and your role on them.
- Strong fundamentals in system design, data modeling, testing, and building for reliability, performance, and security.
- Experience collaborating across product, design, and domain experts to ship real software against ambiguous requirements.
- Sound engineering judgment, especially about tradeoffs, failure modes, and the consequences of the systems you own.
Bonus Points
- Experience building software in healthcare, or in another high-stakes, highly regulated, or safety-critical domain.
- A demonstrated ability to become productive in a new stack quickly.
- Experience with conversational agents, real-time systems, or systems handling race conditions, locking, and other complex concurrency concerns.
- A background in computer science 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
- 3+ years professional software engineering experience with record of building and owning production systems
- Recent professional depth in one or more modern languages and frameworks (able to name systems built and role)
- Strong fundamentals in system design, data modeling, testing, reliability, performance, and security
- Experience collaborating across product, design, and domain experts to ship software against ambiguous requirements
- Demonstrated ownership and sound engineering judgment about tradeoffs, failure modes, and consequences of systems owned
- Experience building software in healthcare or other high-stakes, regulated, or safety-critical domains
- Experience with conversational agents, real-time systems, or complex concurrency (race conditions, locking)
- Ability to become productive in a new stack quickly
- Background in computer science 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.
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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.
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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.
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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.
