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Fabric Health Logo

Principal Software Engineer

Fabric Health

$160,000 - $200,000
Oct 24, 2025
Remote, US
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Fabric Health is looking to solve healthcare's capacity problem by building systems that automate clinical symptom gathering and streamline care delivery for thousands of providers, aiming to improve patient and provider lives and enhance healthcare accessibility.

Requirements

  • Deep, demonstrable expertise in Ruby on Rails.
  • Experience with React or other modern JavaScript frameworks.
  • Proven experience designing and developing well-tested, secure, and documented software solutions.
  • Experience with conversational agents or systems that handle real-time race conditions, locking mechanisms, or other complex concepts.
  • Experience building integrations with electronic health record systems such as Epic and Cerner.
  • A background in computer science or a related field.

Responsibilities

  • Architecting and developing our core Ruby on Rails backend, ensuring high performance, scalability, and security for our virtual care platform.
  • Acting as a technical authority on the team, providing guidance on architectural decisions and elevating the overall code quality and best practices of the team.
  • Developing our React front end to create intuitive and seamless experiences for both providers and patients.
  • Collaborating cross-functionally with product managers, designers, and clinical experts to translate complex business needs into elegant, well-documented technical solutions.
  • Driving the adoption of new technologies and methodologies to continuously improve our development processes and product capabilities.
  • Contributing to our long-term product roadmap and helping define the future of our virtual care platform.

Other

  • 8+ years of professional experience in full-stack web application development in a cross-functional agile team.
  • A solid understanding of the healthcare industry, including familiarity with current trends and challenges.
  • You are a seasoned technical leader who excels at bridging high-level strategy with hands-on, day-to-day coding.
  • You are a natural mentor who enjoys elevating the technical expertise of the engineers around you, without a focus on people management.
  • You have a clear understanding of the healthcare industry and are motivated to solve its biggest challenges with technology.