Software Engineer - Opportunistic

At Fabric Health, we are powering boundless care by solving healthcare’s biggest challenge: clinical capacity. We unify the care journey from intake to treatment, using intelligent automation to remove administrative burdens and make care delivery 2-10x more efficient. Our technology empowers clinicians to move faster and focus on what matters most: the patient. We are a mission-driven team trusted by leading organizations including Intermountain Health, OSF HealthCare, SSM Health, and MUSC Health, and backed by premier investors such as Thrive Capital, GV (Google Ventures), General Catalyst, and Salesforce Ventures.

About The Role

The software behind Fabric carries real clinical weight. It decides how fast a patient reaches care, whether a clinician sees the right information at the right moment, and how safely 100+ million lives move through intake, triage, routing, and treatment. This is an evergreen posting to build a bench of exceptional engineers ahead of need. We are language agnostic: we care more about judgment, systems you have built, and problems you have owned than any single language or framework.

Responsibilities

• Design, build, and own production systems that are reliable, secure, and performant under real clinical load.
• Make high-stakes technical decisions with incomplete information, weigh tradeoffs explicitly, and stand behind them.
• Raise the bar through code review, design guidance, and standards, whether or not you carry a formal leadership title.
• Partner closely with product managers, designers, and clinical experts to turn ambiguous problems into clear, well-tested solutions.
• Debug and harden complex systems, and put safeguards in place so the same failure cannot happen twice.
• Contribute to the technical direction of your team and, at staff and principal levels, help set the architectural direction for the platform.

Requirements

• 3+ years of professional software engineering experience, with a clear record of building and owning production systems.
• Demonstrable, recent professional depth in one or more modern languages and frameworks, with the ability to name the systems you built and your role on them.
• Strong fundamentals in system design, data modeling, testing, and building for reliability, performance, and security.
• Experience collaborating across product, design, and domain experts to ship real software against ambiguous requirements.
• Sound engineering judgment, especially about tradeoffs, failure modes, and the consequences of the systems you own.

Qualifications

Bonus Points

• Experience building software in healthcare or another high-stakes, highly regulated, or safety-critical domain.
• A demonstrated ability to become productive in a new stack quickly.
• Experience with conversational agents, real-time systems, or systems handling race conditions, locking, and other complex concurrency concerns.
• A background in computer science or a related field.

Why You Might Be a Good Fit

• You are a mid-level or above engineer with a track record of shipping and owning production software.
• You are genuinely language agnostic, able to point to real, recent professional work in whatever languages and frameworks the job called for.
• You reason clearly about systems, tradeoffs, and failure modes, and can explain the hardest decision you made and why.
• You take ownership seriously, especially when your work touches something as consequential as a person's care.
• You are motivated by the problem of fixing healthcare and want to be in the conversation for the right role when it opens.

This Might Not Be The Right Fit If...

• You are early in your career or looking for a first engineering role.
• Your strongest examples are academic or from coursework rather than production systems you built and owned professionally.
• You are attached to a single language or framework and are not comfortable working in whatever stack the problem requires.
• You are looking for an immediate placement and are not open to an evergreen conversation ahead of a specific opening.
• You are not interested in the specific stakes and constraints of building software in healthcare.

Pay

The national pay range for this role is $70,000.00 – $225,000.00 per year. Actual compensation will be determined by factors such as geographic market, experience, skills, and qualifications. Certain roles may also be eligible for additional compensation, including stock options and bonuses.

Benefits

• Comprehensive benefits package including medical, dental, and vision.
• Unlimited PTO.
• 401(k) plan.