SlipstreamJobs tracks this role from the company's public career site. Apply directly on the employer's site.
Fabric Health is a healthcare technology company solving clinical capacity challenges through intelligent automation. They unify the care journey from intake to treatment, making care delivery 2-10x more efficient while removing administrative burdens from clinicians. Trusted by leading health systems including Intermountain Health, OSF HealthCare, SSM Health, and MUSC Health, and backed by premier investors like Thrive Capital, GV (Google Ventures), General Catalyst, and Salesforce Ventures.
As Senior Software Engineer on the Virtual Care Platform, you will be the strategic anchor for production health and patient experience. This is a high-trust, high-visibility role bridging Support and Engineering. You'll own operational engineering responsibilities including triaging critical production issues, diagnosing and fixing bugs in a mature Ruby on Rails codebase, making careful live production data corrections, and protecting patient care delivery.
Key responsibilities include: serving as first-line engineering response for production and support issues during business hours; prioritizing ruthlessly by patient impact; diagnosing and fixing bugs across the large Rails codebase; making safe live production data edits; owning and improving the admin portal so Support and Implementation teams can work independently; building documentation, runbooks, and diagnostic tools; partnering with Support, Implementations, and Engineering to turn recurring incidents into permanent fixes; and tracking patterns to feed back into product improvements.
You'll thrive if you care deeply about the mission (understanding production bugs mean patients can't receive care), run toward urgent fires, have real depth in Ruby on Rails, move quickly from symptom to root cause, take satisfaction in making yourself unnecessary through documentation and tooling, and are self-directed in owning a domain solo.
This role requires 5+ years of professional software engineering experience at senior IC level with production systems ownership, deep hands-on Ruby on Rails expertise, strong debugging and production troubleshooting skills, US-based location (hard requirement for production console access and PHI handling), experience with production SaaS ideally multi-tenant, and strong written communication for cross-functional collaboration.
