Software Engineer - Opportunistic

Fabric•New York, NY

11d

About The Position

The software behind Fabric carries real clinical weight. It decides how fast a patient reaches care, whether a clinician sees the right information at the right moment, and how safely 100+ million lives move through intake, triage, routing, and treatment. Engineering choices here are not abstract; they show up in someone's care. We want to stay in conversation with the senior-and-above engineers we would hire the day the right seat opens, which is why this pipeline exists. This is an evergreen posting, not a role with an immediate start date. It is how we build a bench of exceptional engineers ahead of need, so that when a team is ready to grow we are already having discussions with potential applicants. We are deliberately language agnostic: we care far more about the judgment you show, the systems you have built, and the problems you have owned than about any single language or framework on your resume. If you are a serious engineer who wants to build technology that makes healthcare work better, we want to know you.

Requirements

3+ Professional software engineering experience, with a clear record of building and owning production systems (level within the range is set by depth and scope).
Demonstrable, recent professional depth in one or more modern languages and frameworks, with the ability to name the systems you built and your role on them.
Strong fundamentals in system design, data modeling, testing, and building for reliability, performance, and security.
Experience collaborating across product, design, and domain experts to ship real software against ambiguous requirements.
Sound engineering judgment, especially about tradeoffs, failure modes, and the consequences of the systems you own.

Nice To Haves

Experience building software in healthcare, or in another high-stakes, highly regulated, or safety-critical domain.
A demonstrated ability to become productive in a new stack quickly.
Experience with conversational agents, real-time systems, or systems handling race conditions, locking, and other complex concurrency concerns.
A background in computer science or a related field.

Responsibilities

Design, build, and own production systems that are reliable, secure, and performant under real clinical load.
Make high-stakes technical decisions with incomplete information, weigh the tradeoffs explicitly, and stand behind them.
Raise the bar around you through code review, design guidance, and the standards you hold, whether or not you carry a formal leadership title.
Partner closely with product managers, designers, and clinical experts to turn ambiguous problems into clear, well-tested solutions.
Debug and harden complex systems, and put safeguards in place so the same failure cannot happen twice.
Contribute to the technical direction of your team and, at the staff and principal levels, help set the architectural direction for the platform.