- Serving as the primary technical resource for clients doing API-based and headless integrations with the Fabric platform, owning their integration success end to end without requiring R&D involvement in day-to-day client meetings
- Attending regular client calls to support architecture design, API implementation, and testing, translating complex technical requirements into guidance that both client engineers and non-technical stakeholders can act on
- Shipping minor API enhancements and configuration changes tailored to unlock specific, high-value client use cases, working within a clear scope that protects the core product roadmap
- Building and maintaining client-facing SDKs, boilerplate code samples, and API documentation to simplify the developer experience and enable self-service onboarding for new clients
- Partnering with the Solutions Design team to understand client requirements and translate them into technically sound integration approaches
- Debugging client integration issues independently, triaging what requires a product engineering fix versus what can be resolved at the API layer or through configuration
- Communicating API feature changes and rollouts to active client teams so no integration breaks quietly
Why You Might Be a Good Fit
- You are a client-facing engineer who actually codes: You have been the person clients call when their integration breaks, and you find that satisfying rather than draining.
- You translate fluently in both directions: You can hold a technical architecture conversation with a client engineering team in the morning and present a clean summary to their non-technical VP in the afternoon without losing either audience.
- You own outcomes, not just tasks: When a client is stuck, you investigate before escalating, and you treat handing a problem back over the wall as a last resort.
- You treat documentation and code samples as a force multiplier: You would rather build a well-documented SDK that enables ten clients to self-serve than answer the same integration question ten times.
- You are comfortable at the intersection of product and customer success: The role exists because Fabric needs one person who can do both, not two people doing half of each.
This Might Not Be The Right Fit If...
- You want to focus exclusively on the core product roadmap. This role exists specifically to absorb client work and keep it off the core engineering team, not to move you closer to it.
- You expect a commission structure and a traditional pre-sales SE model. There is no quota here; success is measured by client integration success, not deal velocity.
- You are uncomfortable with ambiguity in client requirements. Clients building headless solutions often cannot fully articulate what they need until they see options; you will need to help them get there.
- You prefer async-only work. This role involves regular, scheduled client-facing meetings and real-time debugging alongside client engineers.
- You need deep healthcare domain expertise to feel confident. The work here is API integration; clinical context helps but is not the foundation.
Your Qualifications
- 4+ years of experience in a technical client-facing role: solutions engineering, technical account management, implementation engineering, or developer relations, with real coding responsibility, not just demo delivery
- Strong proficiency in Ruby on Rails, the core language of Fabric's platform and the foundation for all API work
- Fluency with RESTful API design and integration patterns: authentication flows (OAuth 2.0, API keys), webhooks, pagination, error handling, and debugging each
- Experience building or contributing to client-facing developer resources: SDKs, code samples, or API documentation
- Strong written and verbal communication, including the ability to translate between engineering-level detail and business-level requirements in real time
- Demonstrated ability to independently debug complex integration issues, including working alongside client engineers in real time to isolate root causes
Bonus Points
- Exposure to HL7, FHIR, or EHR API integrations (Epic, Cerner, or similar)
- Experience with headless or composable architecture patterns in a B2B context
- Experience at a digital health, health tech, or health plan company
- Experience with API documentation platforms such as Stoplight, ReadMe, or the OpenAPI specification
The national pay range for this role is $140,000.00 - $170,000.00 per year. Actual compensation will be determined by factors such as the candidate's geographic market, experience, skills, and qualifications. Certain roles may also be eligible for additional compensation, including a comprehensive benefits package such as medical, dental, vision, unlimited PTO, and a 401(k) plan, stock options and bonuses. If your compensation requirement is greater than our posted range, please still consider applying; a determination can be made based on unique qualifications. Expected compensation ranges for this role may change over time.At Fabric, we believe that a diverse workforce is essential to our success. We are an equal opportunity employer and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other legally protected characteristic. We actively encourage individuals from all backgrounds to apply.
- 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
- 4+ years in a technical client-facing role (solutions engineering, TAM, implementation engineering, or developer relations) with real coding responsibility
- Strong proficiency in Ruby on Rails
- Fluency with RESTful API design and integration patterns (authentication flows, webhooks, pagination, error handling)
- Experience building or contributing to client-facing developer resources: SDKs, code samples, API documentation
- Strong written and verbal communication, able to translate between engineering and business audiences
- Demonstrated ability to independently debug complex integration issues and work alongside client engineers in real time
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.
