Lead and mentor the Virtual Care backend engineering team, drive roadmap delivery on a two-week Scrum cadence, stay hands-on in code and architecture, own platform operational health (reliability, on-call, incidents), and ensure security and compliance for PHI-handling clinical software while reporting progress and risks to cross-functional and executive stakeholders.
About Fabric Health
About the Role
What You'll Do
Why You Might Be a Good Fit
This Might Not Be The Right Fit If...
Your Qualifications
Bonus Points
The national pay range for this role is $160,000.00 – $180,000.00 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.At Fabric, we believe that a diverse workforce is essential to our success. We are an equal opportunity employer and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other legally protected characteristic. We actively encourage individuals from all backgrounds to apply.
Recruitment Fraud Alert: Protect Yourself
At Fabric Health, we are powering boundless care by solving healthcare’s biggest challenge: clinical capacity. We aren’t here to disrupt healthcare; we’re here to fix it. 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 of brilliant minds trusted by leading organizations including Intermountain Health, OSF HealthCare, SSM Health, and MUSC Health. Our vision is backed by premier investors such as Thrive Capital, GV (Google Ventures), General Catalyst, and Salesforce Ventures. We move quickly for good reason, listen deeply to solve big challenges, and build products with the same care and quality we’d want for our own loved ones.
Learn more: About Us | News & Press | LinkedIn | Careers
We are looking for a technical and people focused Engineering Manager to lead our Virtual Care backend development team. In this role, you will champion the engine that powers our Virtual Care product, directly impacting both patient and provider experiences. You will lead a talented team of engineers, driving technical excellence, overseeing sprint execution, and collaborating closely with engineering leadership to deliver scalable, reliable software. Along with running the team, you will stay hands-on in the code: reviewing PRs, participating in architecture discussions, and picking up high-leverage work yourself. If you are passionate about mentoring engineers, setting high technical standards, and building technology that transforms healthcare delivery, we want to hear from you.
What You'll Do
As the Manager, Software Engineering for Virtual Care, you will lead the team building Fabric's Virtual Care platform. Your primary responsibilities will include:
- Lead the Virtual Care engineering team's planning, 1:1s, and growth conversations.
- Own delivery across the virtual care roadmap, partnering with Product, Design, and Quality through all phases of development on a two-week Scrum cadence.
- Stay hands-on: review the team's PRs, set the technical bar, and write code on the highest-leverage problems.
- Own operational health for the platform: reliability, performance, on-call, and incident response for a platform clinicians depend on to deliver care.
- Uphold the security and compliance bar that PHI-handling clinical software requires, partnering with security and compliance owners.
- Report up on roadmap progress, team health, and risks, and represent virtual care engineering to executive and cross-functional stakeholders.
Why You Might Be a Good Fit
- You have led engineering teams building production software that real users depend on, ideally in healthcare or another regulated environment where mistakes have consequences.
- You are a genuine player-coach: you will be writing code in week one and writing code in month six, and that is part of why you want the job.
- You build healthy, durable teams: clear expectations, honest feedback, real growth paths, and a bar that engineers are proud to meet.
- You are comfortable owning operational health, from on-call structure to incident retros, for a platform where downtime means a provider cannot see a patient.
- You communicate clearly with non-technical stakeholders, translating between engineering reality and product and executive priorities.
- You have moved fully into people management and are not interested in reviewing code or contributing technically anymore.
- You have only run internal tools or back-office systems and have not owned user-facing production software with real operational stakes.
- You are uncomfortable with the accountability that comes with PHI, HIPAA, and clinical uptime requirements.
- You need a large management structure around you. This is a hands-on seat at a growth-stage company where the playbook is still being written.
Your Qualifications
- 7+ years of professional software engineering experience, including 2+ years managing or tech-leading an engineering team.
- A track record of shipping and operating production web or mobile applications as part of a cross-functional agile team.
- Strong technical depth ideally in Ruby on Rails or a comparable backend.
- Experience owning operational health for production systems: reliability, monitoring, on-call, and incident response.
- Experience working with PHI or in another regulated environment (HIPAA, SOC 2, or comparable), or demonstrated readiness to own that bar.
- Excellent communication skills and a demonstrated ability to grow engineers and hold a high technical bar.
- Authorized to work in the United States without employer sponsorship, now and in the future.
Bonus Points
- Experience in virtual care, telehealth, or clinical software specifically.
- Experience integrating AI/LLM features into production product surfaces.
- Experience as the first or second engineering manager in a growing org.
- A bachelor's degree in Computer Science, Software Engineering, or a related field.
Fabric Health is aware of scammers attempting to impersonate employers. To ensure that any recruiting contact you receive is legitimate, please adhere to the following:
- Verify the Domain: Official recruitment emails will only come from addresses ending in @fabrichealth.com or @gem.com. No other domain names are legitimate.
- Official Interview Tools: We use Gem for our recruitment process and Google Meet for all video interviews. Google Meet is always the platform used for your first interview; you will never be sent a Zoom link to set up or conduct an initial interview. All interviews are conducted via video unless specifically stated by our team as an audio call. We never conduct interviews via chat, social media, Skype, or WhatsApp.
- Zoom Usage: Zoom is utilized only for specific meetings set directly by our team for purposes outside of the standard interview process (e.g., coordination or onboarding discussions). It is never the first link you will receive from us.
- Authorized Contact & Texting: Fabric will only contact you if you have submitted an application or if you are connected to a current employee who shared your information with us. We will only send text messages if you have provided explicit authorization and consent, either through your application or while communicating directly with our team. If you have not explicitly authorized us to reach out, treat any SMS or unsolicited outreach as fraudulent and do not respond.
- Sensitive Data: We will never ask you for sensitive personal or financial documents (ID, banking info, SSN) during the application, interview, or candidacy stages. All sensitive data is handled through secure internal systems post-offer.
- Verify the Team: You can reference LinkedIn to verify members of our recruiting team; however, please remain vigilant as scammers may create fraudulent profiles. Always cross-reference the sender's email domain with our official @fabrichealth.com address.
If you question the validity of a contact or receive a suspicious message, do not click any links. Report the issue immediately to [email protected].
Please note: The security inbox is for reporting fraudulent activity only. Do not email this address for application status updates or to share application materials, as these will not be reviewed. Applications are only accepted and reviewed if submitted through our official application portal, and no application status information will be provided via the security email.
Fabric Health New York, New York, USA Office
New York, NY, United States, 10011
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