Principal Software Engineer

About Fabric Health

At Fabric Health, we're not just building technology; we're fixing healthcare's capacity problem. Our mission is to power healthcare to move faster, work smarter, and deliver better care, creating seamless, intuitive experiences that simplify and unify virtual and in-person care for thousands of providers and millions of patients nationwide. We're a team of brilliant, thoughtful minds, deeply motivated by improving patient and provider lives, and we believe technology can truly enhance the US healthcare system.

Trusted by leading healthcare organizations: Our customers include Luminis Health, OSF HealthCare, MUSC Health, and Intermountain.

We are backed by leading investors such as Thrive Capital, GV (Google Ventures), General Catalyst, Salesforce Ventures, Vast Ventures, BoxGroup, and Atento Capital. We value working quickly for good reason, listening deeply to solve big challenges, and building products like we would for loved ones.

About The Role

We are looking for a Principal Software Engineer to lead our Virtual Care team's technical vision. This is a highly impactful role where you will apply your strategic thinking and deep technical expertise to build systems that automate clinical symptom gathering and streamline care delivery for thousands of providers. As a technical leader, you will be instrumental in setting the architectural direction for our platform's speed, efficiency, and quality. If you are a hands-on technical expert who is passionate about maximizing clinical capacity and improving healthcare accessibility, you will thrive here.

What You'll Do

As a Principal Software Engineer, you will be a hands-on technical leader, instrumental in our team's success. Your primary responsibilities will include:

• 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.

Why You Might Be a Good Fit

• You are a seasoned technical leader who excels at bridging high-level strategy with hands-on, day-to-day coding.
• You possess a deep expertise in Ruby on Rails and are passionate about using it to build mission-critical, high-performance systems.
• You are excited by the challenge of designing and building complex systems that streamline clinical workflows and improve patient experiences.
• 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.

This Might Not Be The Right Fit If...

• You are seeking a people management role with direct reports and a focus on career development rather than technical contribution.
• You are not comfortable with the level of ambiguity that comes with defining and driving new technical initiatives.
• Your experience and primary focus are not heavily centered on Ruby on Rails backend development.
• You do not have experience or a genuine interest in the specific challenges of building software in the healthcare industry.

Your Qualifications

• 8+ years of professional experience in full-stack web application development in a cross-functional agile team.
• Deep, demonstrable expertise in Ruby on Rails.
• Experience with React or other modern JavaScript frameworks.
• A solid understanding of the healthcare industry, including familiarity with current trends and challenges.
• Proven experience designing and developing well-tested, secure, and documented software solutions.

Bonus Points

• 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.

_The national pay range for this role is $160,000.00 – $200,000.00 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.

_Learn more about Fabric

• LinkedIn
• Awards
• Press Releases
• Careers Page

_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.

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