Senior Software Engineer, Virtual Care Platform

Fabric•United States,

1d•$140,000 - $170,000•Remote

About The Position

As a Senior Software Engineer on our Virtual Care Platform, you will be the strategic anchor of our platform's real-world reliability and patient experience. In this high-trust role, you hold the keys to production health; swiftly resolving critical issues while building the tools, automation, and features that make our platform stronger every day. You won't just be triaging tickets; you will own operational engineering. You'll work in Ruby on Rails to fix complex production bugs, perform precise live-data corrections, and directly protect patient care. Simultaneously, you'll spend significant time building new features for our internal admin portal, creating diagnostic tools, and engineering self-service capabilities that empower our Support and Implementation teams. If you thrive on direct impact, end-to-end autonomy, and building systems that scale, this role offers a high-visibility platform to showcase your problem-solving skills.

Requirements

5+ years of professional software engineering experience, operating at a senior (IC3) level with a record of owning production systems end to end.
Deep, hands-on Ruby on Rails expertise: you can navigate and edit a large, mature Rails codebase and make safe live production data changes.
Strong debugging and production troubleshooting skills, with the composure to work incidents that are actively affecting patients.
Based in the United States (hard requirement) due to production console access and handling of PHI.
Experience operating production SaaS, ideally multi-tenant, with sound instincts for reliability and safe operational practices.
Strong written communication for documentation, runbooks, and cross-functional collaboration with Support, Implementations, and Engineering.
Comfort as a self-directed, solo owner who can set priorities against competing urgency and be trusted to make the right call.

Nice To Haves

Experience building software in healthcare, or in another high-stakes, highly regulated, or safety-critical domain, especially with PHI in a HIPAA environment.
Front-end experience with React (nice to have) and some familiarity with Angular, which the admin portal touches.
A track record of building internal admin tools or self-service diagnostic tooling that reduced load on an engineering team.
Prior experience in a production support, sustaining, or reliability-focused engineering role.
Familiarity with healthcare interoperability standards such as HL7 or FHIR.

Responsibilities

Serving as the first line of engineering response for incoming production and support issues during business hours, triaging immediately and shielding the core product team from constant interruption.
Prioritizing ruthlessly by patient impact, treating any issue that is preventing patients from receiving care as critical and jumping on it first.
Diagnosing and fixing bugs across a large, mature Ruby on Rails codebase, from quick corrections to real root-cause changes.
Making careful, safe live production data edits in Ruby to resolve urgent issues, with the discipline that patient-facing systems demand.
Owning and improving the admin portal on the Virtual Care platform so Support and Implementations can work independently without relying on engineers.
Building documentation, runbooks, and diagnostic tools that empower the broader Support team to resolve common issues on their own over time.
Partnering closely with Support, Implementations, and Engineering to turn recurring incidents into permanent fixes rather than repeat fire drills.
Tracking patterns across incoming issues and feeding them back into the product and platform so the same problems stop coming back.