---
title: 'Senior Staff Software Engineer at Fabric'
canonical: 'https://feeny.ai/job/senior-staff-software-engineer-fabric-united-states-mvnw7msyb5mh'
type: 'job'
last_seen: '2026-09-09'
---

# Senior Staff Software Engineer at Fabric

- **Company:** Fabric
- **Location:** United States
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-06-05
- **Last confirmed live:** 2026-09-09
- **Apply:** https://jobs.gem.com/fabrichealth/am9icG9zdDr18FuydtzTNm7s0BsjWqfV

## Job description

## 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.
- Demonstrate expertise with Ruby on Rails, node.js, and 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 Fabric

## Company Overview
- **One-liner**: Fabric provides an end-to-end care access platform and virtual care services that unify intake, triage, routing, and treatment to improve clinical capacity and patient experience.
- **Entity Type**: Private (Venture-backed) – raised $80 million to date
- **Headquarters**: Philadelphia, Pennsylvania, USA (also maintains an office in New York, NY)
- **Founded**: 2021 (roots trace back to 2009 with Zipnosis; formed through multiple acquisitions)
- **Founders**: Aniq Rahman (Founder & CEO)

## Core Business
- **Primary industry/industries**: Healthcare technology / Digital health / Virtual care
- **Target customers**: Health systems, health plans, employers, and brokers (B2B enterprise)
- **Mission or purpose statement**: “Powering boundless, seamless care experiences” – creating consumer-grade solutions that enable operational efficiency at every stage of the care journey while improving clinician capacity and patient access.

## Products & Services
- **[AI Assistant](https://www.fabrichealth.com/)**: Conversational AI tool that engages patients at the Digital Front Door, answers common questions, collects symptoms adaptively, and directs patients to the right care (virtual visit, in-person appointment, or escalation). Type: SaaS / AI chatbot.
- **[Virtual Care Platform](https://www.fabrichealth.com/)**: Enables care delivery across chat, phone, video, and asynchronous channels, with automated clinical workflows and symptom collection. Type: SaaS platform.
- **[Virtual Care Services](https://www.fabrichealth.com/)**: Nationwide 50-state clinical network offering virtual urgent care, talk therapy, and psychiatry services. Type: Managed service + provider network.
- **[Intake & Care Guides](https://www.fabrichealth.com/)**: Customizable decision trees that guide patients to the right care and streamline scheduling. Type: SaaS module.
- **[Engagement & Pathways](https://www.fabrichealth.com/)**: Proactive patient engagement including recovery monitoring, care plans, custom reminders, and escalation triggers. Type: SaaS module.
- **[Enterprise Features](https://www.fabrichealth.com/)**: Secure EMR integrations, single sign-on, role-based access, and other enterprise-grade tools for health systems. Type: SaaS / API.

## Market Standing
- **Valuation/Market Cap**: Not publicly disclosed (private company)
- **Key Metric**: $80 million in total funding (as of Feb 2026)
- **Notable Investors/Partners**: General Catalyst, Google Ventures, Salesforce Ventures, Thrive Capital, Box Group, Vast Ventures, Atento Capital
- **Growth Signals**: Completed its fifth acquisition in less than three years (UCM Digital Health in 2026); acquired GYANT, MeMD, and TeamHealth Virtual Care in 2024; rebranded from Florence to Fabric in 2024; expanding into payer and employer markets.

## Competitive Advantages
- **Hybrid AI** combining advanced conversational AI with physician-built clinical logic to ensure safe, effective patient experiences.
- **End-to-end unified platform** covering intake, triage, routing, and treatment across virtual and in-person care – reducing the need for multiple vendors.
- **50-state clinical network** that expands capacity for health systems without requiring them to hire additional providers.
- **Proven M&A strategy** that integrates complementary technologies and teams, creating a comprehensive offering faster than organic build.

## Strategic Focus
- Further expand into payer and employer markets following the UCM Digital Health acquisition.
- Deepen AI capabilities through the Hybrid AI approach to reduce administrative burden and improve clinical efficiency.
- Continue “build-and-buy” strategy to unify the fragmented digital health landscape.
- Grow the remote-first, distributed team while retaining a strong engineering and product culture.

## Why Work Here
- **Culture**: Remote-first organization with hubs in the US (Philadelphia, Minneapolis, Austin, San Francisco, Denver, New York, Phoenix) and Portugal (Vila Nova de Gaia). Emphasizes flexibility and work-life balance.
- **Remote/Hybrid Policy**: Remote-first – most teams are fully remote; select NYC roles are hybrid for collaboration. Offices available but not required.
- **Perks & Benefits**: Unlimited PTO, employee stock purchase plan, 401(k) with company match, dental and health insurance, Flexible Spending Account (FSA), job training and talent development programs.
- **Engineering Culture**: Building a mission-driven platform that directly impacts healthcare accessibility. Engineers work on AI, clinical workflows, and large-scale integrations with EMRs. The team includes physicians, technologists, and patients – offering a unique cross-disciplinary environment.

## Sources
1. [fabrichealth.com – Careers](https://www.fabrichealth.com/careers)
2. [fabrichealth.com – About](https://www.fabrichealth.com/about)
3. [builtin.com – Fabric Health Profile](https://builtin.com/company/fabric-health)
4. [cbinsights.com – Fabric Company Profile](https://www.cbinsights.com/company/fabric-8)

## Other roles at Fabric

- [Virtual Urgent Care Nurse Practitioner](https://feeny.ai/job/virtual-urgent-care-nurse-practitioner-fabric-united-states-1skcayyqd61e) — United States
- [Virtual Urgent Care Physician](https://feeny.ai/job/virtual-urgent-care-physician-fabric-united-states-c0xkkez8qqg3) — United States
- [Senior Director of Payer Sales](https://feeny.ai/job/senior-director-of-payer-sales-fabric-united-states-syqf7ftptcmf) — United States
- [Site Reliability Engineer](https://feeny.ai/job/site-reliability-engineer-fabric-new-york-f6fxfhf2523n) — New York, NY
- [Telehealth Physician](https://feeny.ai/job/telehealth-physician-fabric-united-states-6bh1se53cjwy) — United States
- [Provider Enrollment Specialist](https://feeny.ai/job/provider-enrollment-specialist-fabric-united-states-387wghnyvj2r) — United States
- [Talk Therapy Clinical Lead](https://feeny.ai/job/talk-therapy-clinical-lead-fabric-united-states-wwfykvx7nqbw) — United States
- [Senior Software Engineer, Artificial Intelligence](https://feeny.ai/job/senior-software-engineer-artificial-intelligence-fabric-united-states-ms4ejbfzfgjw) — United States
- [Senior Product Designer](https://feeny.ai/job/senior-product-designer-fabric-new-york-9ndj06na8bnd) — New York, NY
- [Telehealth Therapist](https://feeny.ai/job/telehealth-therapist-fabric-united-states-tamjh2sa7g44) — United States