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…