Fabric

Role Description Fabric is looking for a Director of Partnerships to lead and grow our employer channel partnerships. In this role, you will own and expand relationships with benefits consultants, brokers, and employer-facing channel partners to drive distribution of Fabric's virtual care and clinical automation platform into the self-insured employer market. This is a strategic, consultative role that sits at the intersection of business development and partnership management. You will be the primary relationship owner for key channel partners, working to deepen their understanding of Fabric's platform, identify joint go-to-market opportunities, and ensure that Fabric is positioned as a preferred solution within their client portfolios. You will come in ready to provide immediate value with a clear perspective on how to build and scale employer channel partnerships in digital health. What You'll Do - Own and manage relationships with national benefits consulting firms, broker networks, and strategic alliances that serve the self-insured employer market. - Develop and execute partnership strategies that drive new client acquisition through channel partners, translating partner objectives into joint go-to-market plans. - Serve as a trusted advisor to channel partners, educating them on Fabric's platform capabilities, clinical value propositions, and differentiated outcomes for their employer clients. - Identify and pursue new channel partnership opportunities, building a pipeline of strategic alliances that expand Fabric's reach into the employer and health plan ecosystem. - Collaborate closely with Sales, Marketing, and Client Success to ensure seamless handoffs and alignment between partner-sourced opportunities and direct sales efforts. - Develop and deliver compelling presentations and business cases tailored to partner audiences, demonstrating Fabric's value in reducing employer healthcare costs, improving access, and driving clinical outcomes. - Track and report on partnership performance metrics, including partner-sourced pipeline, revenue attribution, and partnership health indicators. - Represent Fabric at industry events, conferences, and partner meetings, building brand presence within the employer benefits ecosystem. - Provide market intelligence and partner feedback to Product and Strategy teams to inform roadmap decisions and competitive positioning. Qualifications - 8+ years of experience in partnerships, alliances, business development, or strategic account management within healthcare, digital health, or employee benefits. - Demonstrated experience working with national benefits consulting firms (e.g., Willis Towers Watson, Aon, Mercer, Gallagher) or broker networks in a partnership or alliance capacity. - Deep understanding of the self-insured employer market and how healthcare solutions are evaluated, distributed, and adopted through channel partners. - Experience in virtual care, telehealth, clinical SaaS, or health technology platforms preferred. - Executive presence and presentation skills, with the ability to build credibility with senior partner stakeholders and C-suite decision-makers. - Track record of driving measurable revenue or pipeline through channel partnerships. - Self-motivated and results-oriented, with the ability to manage multiple partner relationships and priorities simultaneously. - Ability to travel up to 25% of the time for partner meetings, conferences, and industry events. Requirements - The national pay range for this role is $150,000.00 – $190,000.00 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.

Role Description Fabric is looking for a Sales Director to lead and execute our growth strategy within the Payer vertical. This is a chance to transform our presence in the highly strategic West Coast market, driving revenue by building trusted relationships with executive stakeholders at key health plans. This role requires a strategic leader who can navigate complex sales cycles, tailor our value propositions to the evolving needs of payers, and help build out this critical vertical from the ground up. You will be empowered by a cross-functional support team—including marketing, solution design, product, and clinical experts—to create a compelling, credible sales experience and achieve significant growth targets. The ideal candidate has deep experience selling into health plans, understands the payer landscape, and has a track record of exceeding quota in high-growth, fast-paced environments. What You'll Do - Identify, engage, and build strong relationships with executive stakeholders and key decision-makers at target accounts within your West Coast territory. - Develop and manage a robust pipeline through a mix of outbound outreach, industry networking events, and collaboration with marketing-led demand generation. - Lead end-to-end enterprise sales processes—from initial engagement to deal closure—navigating complex negotiations and contracting cycles. - Deliver compelling, tailored presentations to payer audiences—including Health Plan Executives—clearly communicating the value of Fabric’s solutions. - Partner with internal teams—including executive leadership, solution design, clinical, product, and marketing—to develop impactful materials that support and accelerate sales cycles. - Stay informed on payer trends, industry developments, and competitive dynamics; act as a subject matter expert within the sales organization. - Maintain accurate pipeline, account activity, and forecast details in CRM and reporting tools. - Collect and share feedback from the field—market intelligence, customer insights, product feature needs—with internal teams to inform strategy and roadmaps. Qualifications - Bachelor’s degree or equivalent work experience. - 5+ years of experience selling enterprise solutions to healthcare organizations, with a focus on health plans. - Track record of success managing complex, multi-stakeholder sales cycles in SaaS, healthcare IT, or healthcare services. - Demonstrated ability to meet or exceed quota in a high-growth or startup environment. - Experience negotiating large, strategic deals with enterprise customers. - Excellent communication and presentation skills, with the ability to build trust at the executive level. - A self-starter with the ability to manage a territory and prioritize effectively in a dynamic, fast-paced setting. - Ability to navigate strategic levels within customer organizations—identifying key decision-makers, building relationships with senior executives, and securing meetings with essential stakeholders. Requirements - The national pay range for this role is $135,000.00– $170,000.00 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.

Role Description As a Senior Site Reliability Engineer, you will own and evolve the infrastructure powering healthcare experiences for millions of patients. This role bridges the gap between traditional infrastructure excellence and the future of AI-driven operations. You will act as a primary architect for our AWS and Kubernetes (EKS) environment, ensuring the platform is resilient, scalable, and compliant while exploring how agentic workflows can modernize SRE practices. Your primary responsibilities include: - Infrastructure & Kubernetes Orchestration - Designing, deploying, and maintaining production Kubernetes (EKS) clusters to ensure enterprise-grade availability for our users. - Eliminating manual configuration by building and managing a scalable infrastructure state entirely through Terraform. - Optimizing the AWS footprint—specifically EC2, RDS, and S3—to balance high performance with cost-efficiency and reliability. - AI-Assisted Operations & Automation - Exploring and deploying agentic workflows for AI-assisted runbooks that automate complex operational decisions and repetitive tasks. - Building and evolving deployment pipelines using GitHub Actions or Semaphore to ensure delivery is both rapid and safe. - Focusing on toil reduction by developing internal tools that replace manual operational work with intelligent, autonomous systems. - Observability & Incident Management - Driving the evolution of the observability stack in Datadog by implementing the sophisticated metrics, traces, and logs needed to meet SLOs. - Leading incident response efforts and facilitating the blameless postmortems that help systematically reduce recovery time (MTTR). - Defining and monitoring the SLIs and SLOs that ensure the platform consistently meets rigorous healthcare performance standards. - Compliance & Collaboration - Ensuring every piece of infrastructure remains fully compliant with HIPAA and other critical healthcare regulatory requirements. - Mentoring engineers across the company on reliability best practices and contributing a clinical-safety perspective to cross-functional design reviews. Qualifications - 5+ years of experience in SRE, DevOps, or Platform roles managing production environments at scale. - Expert technical depth in AWS (EKS, EC2, RDS, S3) and production-grade Kubernetes management. - Proficiency with modern tooling including Terraform (IaC), Datadog (Observability), and CI/CD systems. - Deeply proficient coding and scripting skills in Python, Bash, Ruby, or Go. - Preferred experience building agentic workflows or AI-assisted tooling to drive operational efficiency. - A "rigor-first" mindset with a dedication to HIPAA-compliant, high-availability architecture. Requirements - You are a deeply proficient engineer who excels at the intersection of cloud infrastructure, automation, and system design. - You possess a meticulous approach to observability and a passion for finding the "root cause" rather than just applying a patch. - You enjoy exploring the "next frontier" of SRE, including how AI and agentic tools can make operations more efficient. - You thrive in fast-paced environments where technical rigor is balanced with pragmatism and clinical-grade safety. This Might Not Be The Right Fit If... - You prefer working on static infrastructure rather than evolving systems through code and automation. - You are uncomfortable with the "agile" pace of tech-driven platform development or integrating AI tools into your daily workflow. - You prefer a siloed role that does not involve active participation in incident response or collaborative postmortems. Benefits - The national pay range for this role is $120,000.00 – $150,000.00 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.

Role Description We are looking for a Staff Software Engineer, AI with deep expertise to set the technical direction and define the architecture for advanced language and voice technologies that transform how patients and providers interact. In this strategic role, you will be a key contributor, mentoring senior engineers and driving Fabric’s most complex work across a range of AI and ML applications and techniques. This is a high-leverage, technical leadership position at the core of Fabric’s production engineering vision. You will work cross-functionally to pioneer novel and impactful applications of machine learning, agentic AI, and other modern technologies to meet Fabric’s existing and future business needs. What You'll Do - Define the end-to-end architecture for mission-critical ML/AI applications and own the entire SDLC of those applications. - Pioneer and drive the productionization of ML and AI features in Python, integrating them seamlessly with core backend services. - Set technical standards and provide mentorship to the engineering team, raising the overall technical bar and driving best practices. - Partner with product and medical teams to architect appropriate, responsible safeguards and business constraints for all AI outputs at a system level. - Collaborate with engineering leadership to design and evolve robust interfaces for the Data Science team’s applications, so they can be used by a wide array of products across the organization. - Lead the way in designing and implementing automated evaluation frameworks to rigorously measure the accuracy, fairness, and performance of our systems. - Serve as the technical owner for existing NLP and AI diagnosis production components, overseeing their maintenance and strategic improvement. - Develop and drive adoption of comprehensive analytics to monitor system performance, identify systemic bottlenecks, and strategically prioritize improvements. - Lead the organization's strategy for getting the most out of AWS Bedrock, focusing on resilience and cost-efficiency. - Maintain a technical vision by rapidly researching, prototyping, and introducing new AI tools, APIs, and architectures that align with company needs. - Shape Fabric’s long-term AI strategy and contribute significantly to the future of healthcare AI. Qualifications - A masters' degree in a related field, or; - 8+ years of experience in software engineering or applied machine learning, with a strong focus on building real-world AI/ML systems, or; - Strong experience in developing healthcare-specific AI/ML solutions; or - Demonstrable experience developing novel, highly impactful AI/ML solutions that handle sensitive data. - Proficiency in backend software engineering using Python. - Solid understanding of embeddings and embedding databases. - Familiarity with modern AI/ML frameworks and tools, with constant attention to new tools, trends, and technologies. - Experience building and deploying cloud-native applications on AWS. - Demonstrated ability to bring models from research to production, solving for latency, scale, and reliability. - Effective communication skills and the ability to work across disciplines in a fast-paced, agile environment. - Strong technical leadership skills, with a particular focus on growing and supporting a skilled, senior-level team. Benefits - Comprehensive benefits package including medical, dental, and vision. - Unlimited PTO. - 401(k) plan. - Stock options and bonuses. Company Description The national pay range for this role is $165,000.00 - $210,000.00 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. 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.

About the Role Fabric handles protected health information at scale across 75+ health systems and millions of patient encounters. Security is not a layer we add at the end. It is built into how we work. As a Senior Application Security Engineer, you will own the application security practice at Fabric, partnering directly with engineering to embed security throughout the development lifecycle, build the tooling and automation that keeps our platform secure, and ensure our applications meet the compliance standards our health system customers require. This is a new headcount reporting to the VP of Infrastructure. What You'll Do As a Senior Application Security Engineer, you will be the driving force behind application security at Fabric, operating as a partner to engineering rather than a gatekeeper. Your primary responsibilities will include: - Secure Development & Code Review: Partner with engineering teams to embed security throughout the SDLC across Fabric's Ruby on Rails, Python, React, and Node.js applications. Conduct security-focused code reviews and provide actionable guidance on secure coding practices. - Threat Modeling & Assessment: Lead threat modeling exercises for new features and architectural changes. Conduct application penetration testing and vulnerability assessments across the platform, prioritizing findings and working directly with engineering to drive remediation. - DevSecOps & Tooling: Implement and manage SAST and DAST tooling integrated into CI/CD pipelines. Build security guardrails and automated checks that allow engineering to move fast without introducing risk to the platform or patient data. - Compliance & Risk: Ensure application security practices meet HIPAA, SOC 2, and HITRUST requirements. Assess third-party integrations and APIs for security risk, including EHR integrations with Epic and Cerner. - Security Education & Culture: Run secure coding training and awareness programs for engineering teams. Serve as the internal subject matter expert on application security and lead response to application-layer security incidents. Why You Might Be a Good Fit - You think like an attacker and build like an engineer. You are as comfortable in a codebase as you are writing a threat model. - You understand that in healthcare, a vulnerability is not just a technical problem. It is a patient safety and compliance problem. - You prefer building guardrails and education programs over reactive patching. - You can communicate security risk to engineering teams in a way that drives action, not defensiveness. - You are energized by building a security practice and shaping how a fast-growing company approaches application security. This Might Not Be The Right Fit If... - You are primarily a compliance or GRC-focused security professional and are not comfortable getting into the code. - You prefer working in a mature, established security program over building and defining one. - You are not comfortable working closely with engineering as a partner rather than an oversight function. - You do not have experience in a regulated environment where security decisions carry direct compliance implications. Your Qualifications - 5+ years of experience in application security with hands-on experience in security assessments, penetration testing, and secure code review. - Proficiency in at least one language in Fabric's stack: Ruby, Python, JavaScript/TypeScript, or similar. - Experience integrating SAST and DAST tooling into CI/CD pipelines. - Deep understanding of the OWASP Top 10 and common application vulnerabilities. - Experience with threat modeling methodologies. - Familiarity with cloud security in AWS environments. - Understanding of HIPAA or other regulated industry security requirements. Bonus Points - Experience securing healthcare applications or working with PHI. - Familiarity with EHR integration security including FHIR, HL7, Epic, or Cerner APIs. - Security certifications such as OSCP, GWEB, or BSCP. - Experience with bug bounty program management. - SOC 2 or HITRUST audit support experience. The national pay range for this role is $130,000.00 – $160,000.00 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.

About the Role As an IT Specialist at Fabric Health, you will be the operational backbone of our internal technology systems. Joining an established Infrastructure team and reporting to the VP of Infrastructure, you will own the configuration, implementation, and automation of the tools and systems that keep a fast-moving, fully remote healthcare company running. This is not a break/fix role. It is a systems-thinking role where your instinct is to build, automate, and improve. What You'll Do As an IT Specialist, you will keep our internal systems running efficiently while continuously finding ways to reduce manual work and improve how our team operates. Your primary responsibilities will include: - Systems Administration & Configuration: Configure, implement, and maintain internal SaaS platforms and productivity tools across a fully remote workforce, including identity and access management systems, SSO, directory services, and role-based access controls. - Device Management: Manage the company device fleet through an MDM platform such as Jamf, Mosyle, Kandji, or Microsoft Intune, including provisioning, compliance enforcement, and hardware support for remote employees. - Automation & Process Improvement: Build and maintain automated workflows for onboarding, offboarding, and access provisioning. Identify recurring IT pain points and fix them through scripting and tooling, not ticket by ticket. - IT Support & Ticketing: Own the internal IT ticket queue, triaging and resolving requests across the company. Maintain IT documentation and runbooks and keep them current as systems evolve. - Compliance & Security: Ensure IT systems and practices remain fully compliant with HIPAA requirements. Support SOC 2 audit preparation, evidence collection, and regular access reviews in partnership with the Security team. Why You Might Be a Good Fit - You think in systems and workflows, not tickets. When you solve a recurring problem, your first instinct is to automate it so it does not come back. - You are comfortable supporting a fully distributed team without physical access to the people or hardware you support. - You take HIPAA compliance seriously and understand why it matters in a healthcare environment. - You can balance proactive improvements with reactive support without dropping either. - You take ownership of a problem from start to finish, including the documentation. This Might Not Be The Right Fit If... - You prefer a traditional break/fix IT environment over building and improving systems. - Scripting and automation are not a natural part of how you approach your work. - You need to be physically co-located with the people or hardware you support. - You are not comfortable working in a regulated environment with real compliance requirements. Your Qualifications - 3+ years of experience in IT administration or systems administration in a SaaS or technology company. - Hands-on experience with identity and access management platforms such as Okta, Google Workspace, or similar. - Experience managing a device fleet through an MDM platform such as Jamf, Rippling, Kandji, or Microsoft Intune. - Proficiency with IT ticketing systems such as Jira, Zendesk, Freshservice, ServiceNow, or similar. - Scripting or automation experience in Python, Bash, or a comparable language. - Working knowledge of HIPAA compliance requirements as they apply to IT systems and practices. - Experience supporting a fully remote workforce. Bonus Points - Prior experience in a healthcare or HIPAA-regulated SaaS environment. - Google Workspace administration experience. - Familiarity with AWS or cloud infrastructure fundamentals. - SOC 2 audit support or evidence-gathering experience. The national pay range for this role is $100,000.00 – $140,000.00 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.

Role Description The Scheduling Specialist is responsible for creating, coordinating, and maintaining clinical schedules to ensure optimal coverage and efficiency across the organization. This role is crucial for managing complex, 24/7 service schedules across multiple service lines and clinics. The ideal candidate will be detail-oriented, highly organized, and possess the ability to manage intricate logistics and coordinate effectively with providers and internal stakeholders. What You'll Do - Confirming and compiling clinician availability data efficiently. - Developing and maintaining schedules across multiple service lines and clinics in 50 states plus DC, ensuring continuous 24/7 service coverage. - Ensuring adequate coverage for all shifts, including evenings, weekends, and holidays. - Coordinating schedule adjustments, shift swaps, and coverage requests in real time. - Addressing and resolving scheduling conflicts or issues promptly to maintain operational flow. - Updating the Fabric Notifications and Overflow schedules accurately. - Distributing finalized schedules to providers and key stakeholders. - Submitting provider clinic permissions requests to the Support team as required. Qualifications - Bachelor’s degree in healthcare administration, business administration, or a related field. - Minimum of 2 years experience in scheduling. - Attention to detail and ability to manage multiple tasks simultaneously. - Ability to work independently and as part of a team. - Excellent organizational and time management skills. - Excellent communication and interpersonal abilities. Requirements - The national pay range for this role is $20.00 – $35.00 per hour, with a maximum of 20 hours per week. - Actual compensation will be determined by factors such as the candidate's geographic market, experience, skills, and qualifications. - Expected compensation ranges for this role may change over time.

About the Role The Senior Sales Directior will own and execute the sales strategy driving revenue growth within the Provider and Health System vertical at Fabric. This role is focused on building and closing enterprise deals with health systems across Texas and territories north, requiring a strategic seller who can build trusted relationships with executive stakeholders at target accounts. You will tailor Fabric's value proposition to meet the specific needs of each account while navigating complex, multi-stakeholder sales cycles. You will be supported by a cross-functional team spanning marketing, solution design, product, clinical, technical, and integration, giving you the resources to run a compelling sales process from first meeting through close. The ideal candidate brings deep knowledge of the health system landscape, established relationships within key accounts, a track record of exceeding targets, and experience operating in a high-growth environment. What You'll Do As a Senior Sales Director, you will be instrumental in driving our growth within the Provider and Health System vertical. Your primary responsibilities will include: - Proactively engaging with key stakeholders within your assigned territory, building lasting relationships with buyers and influencers at target health systems. - Partnering with internal teams to identify and capitalize on growth opportunities within our existing client base. - Building a robust sales pipeline to achieve annual quota through proactive prospecting, participation in demand generation initiatives, and engagement with prospects at industry events. - Successfully closing deals with key accounts through adept enterprise deal management and skillful contract negotiations. - Adhering to established provider sales processes while proactively identifying and recommending improvements to enhance sales efficiency and accelerate growth at Fabric. - Effectively articulating the value and capabilities of Fabric’s platform and service offerings to health system executives. - Strategically leveraging Fabric executives and supporting teams (solution design, product, clinical, technical, integration, etc.) to develop compelling presentations and drive successful deal cycles. - Conducting thorough research on key accounts and market trends, serving as an internal subject matter expert on the dynamics of health systems. - Maintaining detailed and accurate records of account information, activities, and progress within Fabric CRM and other reporting tools. - Gathering and relaying valuable product and market feedback to sales leadership, marketing, and the product development team, including feature requests, market trends, competitive intelligence, and emerging opportunities. Why You Might Be a Good Fit - You are a strategic salesperson with a talent for cultivating strong, long-term relationships with executive stakeholders. - You are a highly motivated self-starter with a clear track record of exceeding sales targets in a fast-paced environment. - You possess excellent communication and presentation skills, with the ability to articulate complex value propositions to C-suite executives. - You are an expert at navigating complex sales cycles and skillfully negotiating intricate contracts. - You thrive on collaboration and are adept at working with a comprehensive support team to ensure a compelling sales process. This Might Not Be The Right Fit If... - You prefer a highly structured environment and are not comfortable identifying and recommending process improvements on your own. - You are not motivated by working in a hyper-growth, fast-paced environment. - You are not comfortable with the dual responsibility of building and maintaining a pipeline while also managing key client relationships. - You do not have experience or interest in the specific intersection of healthcare technology and sales. Your Qualifications - Bachelor’s degree or equivalent professional experience. - Demonstrated experience selling solutions to health systems in the territory of Texas and north of it. - Demonstrated success in selling complex, multi-stakeholder solutions, such as SaaS, healthcare IT, or healthcare services. - A highly motivated self-starter with a consistent track record of exceeding performance goals in sales roles. - Demonstrated ability to successfully negotiate intricate contracts. - Demonstrated ability to thrive and perform effectively in a dynamic and fast-paced environment. - Clear, concise, and impactful communication skills, including excellent executive-level presentation abilities. - Demonstrated ability to navigate the strategic level of customer organizations, identify key decision-makers, cultivate relationships with senior executives, and secure meetings with critical stakeholders. The national pay range for this role is $150,000.00 – $170,000.00 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.

About the Role We are looking for a Senior Staff Software Engineer to set the technical vision for our healthcare platform. This is a highly impactful role where you will apply your strategic thinking and deep technical expertise to build systems that power our core product. You will be instrumental in setting the architectural direction for speed, scalability, and quality. If you are a hands-on technical expert who is passionate about improving healthcare accessibility and driving platform-level impact, you will thrive here. What You'll Do As a Senior Staff 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.

About the Role Fabric is re-architecting urgent care by removing the administrative barriers that lead to clinician burnout. As a Virtual Urgent Care Nurse Practitioner, you will provide high-acuity care at a national scale, leveraging a peer-reviewed workflow that pre-populates patient data and quality scoring. This role is designed for clinicians who thrive in a high-volume environment and are comfortable navigating a blended workflow of synchronous and asynchronous encounters. You will manage a steady clinical cadence, averaging approximately 6 patient encounters per hour. This position is ideal for clinicians who value autonomy and high-speed clinical decision-making, allowing you to focus on the management plan rather than data entry while maintaining a consistent and efficient operating rhythm. What You'll Do As a Virtual Urgent Care Nurse Practitioner, you will be the lead clinical decision-maker in a high-volume virtual environment, leveraging advanced technology to deliver safe, efficient, and compassionate care at a national scale. Your primary responsibilities will include: - Virtual Care Delivery: Conduct virtual urgent care visits, assessing patients with acute or episodic conditions consistent with remote urgent-care workflows. - Clinical Decisioning: Review pre-populated summaries (including patient history and decision-support prompts) and apply clinical judgment to approve or modify plans in a timely manner. - Workflow Mastery: Utilize our proprietary platform to evaluate patients, order/interpret tests, and determine disposition (treat, refer, or escalate). - Meticulous Documentation: Document all encounters thoroughly and accurately within the electronic platform, including diagnoses, prescriptions, and follow-up instructions. - Interdisciplinary Collaboration: Coordinate virtually with nursing staff, care coordinators, pharmacy, and clinical operations to support seamless care delivery. - Quality & Compliance: Maintain coverage as agreed upon and engage in quality metrics, peer-review, and continuous improvement while adhering to all state licensing and telemedicine regulations. Why You Might Be a Good Fit - You are a meticulous clinician who thrives in a high-volume, tech-enabled environment. - You possess advanced clinical judgment and the ability to make efficient, safe decisions. - You are an effective communicator who is committed to patient-centered care in a virtual-first setting. - You enjoy the challenge of working at the cutting edge of digital health innovation. - You are excited about using technology to help provide accessible care. This Might Not Be The Right Fit If... - You prefer a traditional, slower-paced clinical environment; this role is optimized for high-efficiency, high-volume care. - You are uncomfortable with technology-mediated patient interactions or navigating advanced SaaS platforms. - You do not currently hold an expansive multi-state license portfolio (30+ states). - You are looking for a standard 9-to-5 schedule; this role requires rotating nights and weekends. Your Qualifications - Nurse Practitioner (NP) with an active and unrestricted license to practice in the United States. - Minimum of 5 years of clinical experience specializing in emergency medicine or virtual urgent care. - Active licensure in at least 30 U.S. states, including at least two of the following: Georgia, Texas, New York, DC, or Florida. - Demonstrated proficiency navigating telemedicine platforms and managing technology-mediated patient interactions. - Proven clinical judgment and decision-making skills required to manage high-volume patient encounters without compromising quality or safety. - Ability to commit to a rotating schedule including nights and weekends with flexibility for shift adjustments. - Effective verbal and written communication skills focused on delivering compassionate, patient-centered care in a remote setting. - Documented ability to work independently in a remote environment with high levels of self-motivation and accountability for clinical outcomes. We utilize a standardized, fixed-fee compensation grid for our clinical network, where rates for each encounter are pre-determined based on the visit type and level of clinical complexity. This model is designed for flexibility and efficiency, allowing clinicians to earn supplemental income that scales with their individual throughput and availability. Based on our current network averages and visit tiers (ranging from $7 to $50 per encounter), active clinicians typically see estimated monthly earnings between $500 and $2,500+. Final compensation is strictly production-based and will reflect the specific volume and variety of encounters successfully completed.