by Terrance Ellis | Dec 21, 2025 | Uncategorized
Build LLM and voice-powered experiences that help patients and providers get answers faster, with safety and reliability baked in. This role is for an engineer who can take AI from prototype to production and keep it solid under real-world traffic.
About Fabric Health
Fabric Health is solving healthcare’s biggest bottleneck: clinical capacity. They unify the care journey from intake to treatment using intelligent automation so clinicians can focus on patients, not admin work. They’re trusted by major health systems and backed by top-tier investors.
Schedule
• Full-time, remote
• Cross-functional work with product, medical, and engineering teams
• Cloud-native deployment expectations (AWS + Kubernetes)
• Hands-on build role: prototype to production
What You’ll Do
⦁ Design, build, and optimize LLM applications (RAG, classification, summarization, fine-tuning)
⦁ Prototype and productionize AI/ML features in Python and integrate them with backend services
⦁ Partner with product and medical teams to implement safeguards and business constraints for AI outputs
⦁ Build APIs that enable other product components to reliably use LLM applications
⦁ Create automated evaluations to measure accuracy, safety, and performance of LLM-powered systems
⦁ Maintain and improve existing NLP and AI diagnosis components in production
⦁ Develop analytics and monitoring to track performance and prioritize improvements
⦁ Deploy AI services end-to-end in cloud-native environments using AWS and Kubernetes
⦁ Research and test new AI tools, APIs, and architectures to keep systems current and effective
⦁ Contribute to Fabric’s conversational AI strategy across voice and digital channels
What You Need
⦁ 5+ years of software engineering or applied ML experience building real-world AI/ML systems
⦁ Strong Python backend proficiency (Flask or FastAPI) and 3+ years of hands-on LLM/agent experience
⦁ Solid understanding of embeddings and vector/embedding databases
⦁ Experience with NLP or speech processing technologies (ASR/TTS a plus)
⦁ Familiarity with modern AI/ML frameworks and tools (Hugging Face, OpenAI API, LangChain, LangGraph)
⦁ Experience deploying cloud-native applications on AWS with Kubernetes and containers
⦁ Proven ability to bring models from research to production with latency, scale, and reliability in mind
⦁ Strong communication skills and comfort collaborating across technical and non-technical teams
Benefits
⦁ Salary range: $150,000–$190,000 per year (based on market, experience, and qualifications)
⦁ Comprehensive benefits package may include medical, dental, vision, unlimited PTO, and a 401(k)
⦁ Potential additional compensation eligibility (stock options and bonuses)
If you’re ready to build responsible, production-grade healthcare AI that actually improves access and outcomes, this is your shot.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 21, 2025 | Uncategorized
This is a top-of-house technical leadership role where you’ll set the architecture for a virtual care platform that directly impacts clinical capacity. If you’re a Rails authority who still loves shipping real code, and you can translate messy real-world healthcare needs into clean systems, Fabric is aiming right at your strengths.
About Fabric Health
Fabric Health is solving healthcare’s biggest bottleneck: clinical capacity. They unify the care journey from intake to treatment using intelligent automation so clinicians can focus on patients, not admin work. They’re trusted by major health systems and backed by top-tier investors.
Schedule
• Full-time, remote
• Hands-on engineering plus architectural direction and roadmap influence
• Deep cross-functional partnership with product, design, and clinical experts
What You’ll Do
• Architect and build the core Ruby on Rails backend for performance, scalability, and security
• Act as technical authority, guiding architecture decisions and raising engineering standards
• Build and evolve the React front end for seamless provider and patient workflows
• Turn complex business and clinical requirements into elegant, well-documented solutions
• Drive adoption of new technologies and methodologies to improve delivery and reliability
• Help define the long-term product roadmap and the future technical vision of Virtual Care
What You Need
• 8+ years of full-stack web development experience in cross-functional agile teams
• Deep expertise in Ruby on Rails (tested, secure, documented, scalable systems)
• React (or equivalent modern JS framework) experience
• Strong system design and architectural decision-making background
• Healthcare domain familiarity and an interest in the unique constraints and stakes
Benefits
• Salary range: $160,000–$200,000 per year (based on market, experience, and qualifications)
• Comprehensive benefits may include medical, dental, vision, unlimited PTO, and 401(k)
• Potential additional compensation eligibility (stock options and bonuses)
If you want your architecture decisions to matter beyond “cool tech,” this is one of those roles.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 21, 2025 | Uncategorized
This is a “build the engine while the stadium is full” kind of role. Sleeper wants a staff-level backend leader who can architect and scale core systems for fantasy and DFS, handle real-time workloads, and mentor other engineers while the product keeps growing.
About Sleeper
Sleeper is a sports games platform built around community and real-time interaction, spanning fantasy leagues, pick’em contests, and DFS. They run lean, obsess over UX, and are backed by major investors (Andreessen Horowitz, General Catalyst, Expa). They’re scaling to serve tens of millions of sports fans.
Schedule
• Full-time
• Remote-friendly (preference for SF Bay Area, Los Angeles, NYC, or Pacific Northwest)
• High-ownership, fast-moving engineering culture
What You’ll Do
⦁ Design and build backend systems powering real-time sports experiences: fantasy contests, Sleeper Picks, profiles, leaderboards, and more.
⦁ Architect scalable distributed systems built for low latency and high availability with millions of concurrent users.
⦁ Lead initiatives end-to-end, from concept through deployment, with clean interfaces and resilient services.
⦁ Optimize performance through monitoring, profiling, and capacity planning, and proactively remove bottlenecks.
⦁ Collaborate with product, design, and frontend to ship features users actually feel.
⦁ Mentor engineers, give high-quality code reviews, and raise the bar on backend standards and best practices.
⦁ Drive technical direction and engineering culture as a key leadership voice.
What You Need
⦁ 7+ years backend engineering experience, including staff-level or tech lead ownership.
⦁ Track record scaling distributed systems in real-time, gaming, or similarly demanding environments.
⦁ Strong proficiency in at least one backend language (Go, Python, Node.js, Java, etc.) and good judgment on tradeoffs.
⦁ Deep database knowledge (SQL + NoSQL), caching strategies, and message queues (Kafka, RabbitMQ, Pub/Sub).
⦁ Experience designing REST and/or GraphQL APIs, data models, and internal tooling.
⦁ Cloud experience (AWS/GCP/etc.), plus containers (Docker) and orchestration (Kubernetes is a plus).
⦁ Product mindset and strong communication, with a real love for mentoring.
⦁ Bonus: Passion for sports, gaming, multiplayer, or real-time systems.
Benefits
⦁ $225,000 to $300,000 base salary (not including equity).
⦁ Equity.
⦁ Medical, dental, and vision insurance.
⦁ 401(k) with company matching.
⦁ Generous PTO and flexible remote work policy.
⦁ Fast growth potential in a small, high-impact team.
Straight talk: this role is for someone who enjoys being accountable for performance and reliability at scale, not just writing features. If you like owning systems, setting standards, and making the platform faster and more resilient, this is a big swing.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 21, 2025 | Uncategorized
This is a “build fast, scale hard” React Native role. Sleeper wants a senior frontend engineer who can ship features, tighten performance, and keep a massive mobile product feeling snappy for millions of sports-obsessed users.
About Sleeper
Sleeper is a fantasy sports and games platform with social at its core. They’ve grown beyond NFL into NBA, LCS, and soccer, and they run Sleeper Picks, a real-money DFS product where users predict player performance. They’re investor-backed, moving fast, and building for scale.
Schedule
• Full-time
• Remote (San Francisco Area listed)
• Engineering team supporting mobile + web at scale
• Fast-paced, ambiguous environment with high ownership expectations
What You’ll Do
⦁ Partner with design to translate user needs into clear technical specs and scalable UI solutions.
⦁ Write clean, maintainable React Native code using TypeScript and modern libraries (React Query, Navigation, Reanimated, etc.).
⦁ Build reusable UI components and maintain a smart component hierarchy that doesn’t turn into spaghetti.
⦁ Implement UI logic using React patterns like hooks, state management, props, and lifecycle methods.
⦁ Integrate frontend components with backend services through REST or GraphQL APIs.
⦁ Troubleshoot and debug complex performance, sockets, and caching issues (the real “senior” work).
⦁ Stay current on mobile best practices and accessibility standards.
What You Need
⦁ Computer Science degree or equivalent real-world experience.
⦁ 5+ years of mobile and/or web development with a strong frontend emphasis.
⦁ Strong JavaScript skills and demonstrated ability to develop systems/algorithms in production environments.
⦁ Proven ownership mindset: you can take a large-scale product area and run it.
⦁ Highly proactive, comfortable building processes from scratch, and willing to challenge assumptions.
⦁ Thrives in ambiguity, likes speed, and can still protect quality under pressure.
Benefits
⦁ $180,000 to $235,000 base salary (depending on experience).
⦁ Medical, dental, PTO, and 401(k).
⦁ Small, high-impact team where your work ships and gets seen.
⦁ Professional growth inside an investor-backed company shaping the DFS and sports gaming space.
Quick reality check: this is not “coast and collect a paycheck.” They want someone who can own performance and architecture decisions and move fast without breaking things. If that’s your lane, it’s a killer role.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 18, 2025 | Uncategorized
Lead the architecture that gets customer-facing products from “cool idea” to stable production without chaos. If you’re the one people call when deployments get messy, systems get flaky, or teams need a clean cloud path forward, this role is built for you.
About CVS Health
CVS Health is the nation’s leading health solutions company, serving millions through local presence and digital channels. Their mission is to deliver more connected, convenient, and compassionate care. This role sits in Digital Engineering & Architecture, helping shape cloud architecture standards and execution across teams.
Schedule
- Remote (work from anywhere in the USA)
- Full-time
- Application window closes: 03/31/2026
What You’ll Do
⦁ Design and evolve cloud-ready architecture solutions across process, applications, data, and technology aligned to enterprise standards
⦁ Build an architectural maturity model and strategic roadmap that moves teams from project work to production delivery, with a shift toward agile execution
⦁ Create standard processes that speed up decisions and improve observability and transparency across team practices
⦁ Review and validate architecture patterns to ensure scalability, resiliency, reliability, stability, and availability across new and existing functionality
⦁ Guide deployment and rollback planning for key initiatives, using AI where appropriate
⦁ Partner with stakeholders across the organization to assess impacts, communicate changes, and establish best-practice architectural schematics
⦁ Drive key architectural decisions and ensure standards and guidelines are met across major initiatives
What You Need
⦁ 7+ years of hands-on consumer-facing, enterprise application development (including 5+ years in architecture)
⦁ Strong decision-making skills when choosing technologies and setting architectural best practices
⦁ Experience architecting cloud solutions in AWS, Azure, or GCP
⦁ Expert understanding of architecture methodologies and best practices
⦁ Experience with Jenkins, CI/CD pipelines, Git, and DevOps principles
Benefits
⦁ Base pay range: $106,605.00 – $284,280.00 (plus bonus/short-term incentives and equity target)
⦁ 401(k) with matching, employee stock purchase plan, and affordable medical plan options
⦁ No-cost wellness programs plus confidential counseling and financial coaching
⦁ Paid time off, flexible work schedules, family leave, tuition assistance, and additional benefits based on eligibility
This one stays open until 03/31/2026, but don’t let that lull you to sleep. The best candidates apply early, before the pipeline gets crowded.
If you can turn cloud strategy into clean, repeatable delivery, this is a solid lane.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 18, 2025 | Uncategorized
Be the person who keeps a high-stakes production support operation honest, compliant, and running clean. If you like structure, vendor governance, and fixing the “how we work” problems that quietly wreck service delivery, this role has your name on it.
About CVS Health
CVS Health is one of the nation’s largest health solutions companies, serving millions through local presence and digital channels. Their mission is to build more connected, convenient, and compassionate care. This role supports Aetna Technology Production Support and focuses on Managed Services SOW governance.
Schedule
- Remote (work from anywhere in the USA)
- Full-time (40 hours/week)
- Application window closes: 12/31/2025
What You’ll Do
⦁ Conduct contract and operations audits to confirm vendor adherence to standards, processes, and reporting requirements, and recommend mitigation strategies for risk gaps
⦁ Prepare materials for vendor governance reviews, participate in recurring governance meetings, and ensure issues and actions are resolved with compliance in mind
⦁ Manage contract change requests, track vendor allocation consumption, ensure accurate reporting, and support amendments through the lifecycle
⦁ Serve as the liaison between Aetna Technology and vendor Managed Services teams to resolve service-related issues and respond to internal stakeholder needs
⦁ Maintain a centralized, organized repository of governance documentation and records for accuracy, visibility, and audit readiness
⦁ Identify and drive process improvements to streamline governance workflows and strengthen scope estimation and operational execution
What You Need
⦁ 5+ years in production support (or similar technology support), preferably in a major healthcare environment
⦁ 3+ years in contract administration or a closely related role
⦁ 3+ years of data analysis and reporting (QuickBase, Excel, PowerPoint), including handling sensitive information with discretion
⦁ 2+ years validating compliance with contract terms and operational processes
⦁ 2+ years in process auditing, documentation, and coordination
⦁ 5+ years proficiency with Microsoft Office and SharePoint
Benefits
⦁ Base pay range: $60,300.00 – $145,860.00 (plus eligibility for bonus/commission/short-term incentives)
⦁ 401(k) with matching, employee stock purchase plan, and affordable medical plan options
⦁ Wellness programs, confidential counseling, and financial coaching
⦁ Paid time off, flexible schedules, family leave, tuition assistance, and additional benefits based on eligibility
This posting closes on 12/31/2025. If you match the governance + production support + vendor management mix, move now, not “later this week.”
If you’re ready to be the calm adult in the room when contracts, service delivery, and compliance collide, step in.
Happy Hunting,
~Two Chicks…
