About Fabric Health
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.
About the Role
Health plans, employers, and care networks are building custom, headless virtual care experiences powered directly by our platform's APIs. As a Technical Solutions Engineer, you will serve as the premier technical authority and trusted architectural advisor for client engineering teams building on our platform.
This role combines high-touch architectural consulting with hands-on software engineering. Sitting at the intersection of product, integration, and client software teams, you will help external engineers design resilient API architectures, debug complex implementations, and build high-performance virtual care solutions. You won't just advise; you will write real production code by shipping minor API enhancements, enhancing SDKs, and polishing developer documentation. If you thrive on solving complex integration puzzles, driving external technical success, and shaping a world-class API developer experience, this role offers high visibility and significant impact.
What You'll Do
As Fabric's Technical Solutions Engineer, you will own the technical relationship with clients building on our API platform, from initial architecture design through ongoing support. Your primary responsibilities will include:
- Serving as the primary technical resource for clients doing API-based and headless integrations with the Fabric platform, owning their integration success end to end without requiring R&D involvement in day-to-day client meetings
- Attending regular client calls to support architecture design, API implementation, and testing, translating complex technical requirements into guidance that both client engineers and non-technical stakeholders can act on
- Shipping minor API enhancements and configuration changes tailored to unlock specific, high-value client use cases, working within a clear scope that protects the core product roadmap
- Building and maintaining client-facing SDKs, boilerplate code samples, and API documentation to simplify the developer experience and enable self-service onboarding for new clients
- Partnering with the Solutions Design team to understand client requirements and translate them into technically sound integration approaches
- Debugging client integration issues independently, triaging what requires a product engineering fix versus what can be resolved at the API layer or through configuration
- Communicating API feature changes and rollouts to active client teams so no integration breaks quietly
Why You Might Be a Good Fit
- You are a client-facing engineer who actually codes: You have been the person clients call when their integration breaks, and you find that satisfying rather than draining.
- You translate fluently in both directions: You can hold a technical architecture conversation with a client engineering team in the morning and present a clean summary to their non-technical VP in the afternoon without losing either audience.
- You own outcomes, not just tasks: When a client is stuck, you investigate before escalating, and you treat handing a problem back over the wall as a last resort.
- You treat documentation and code samples as a force multiplier: You would rather build a well-documented SDK that enables ten clients to self-serve than answer the same integration question ten times.
- You are comfortable at the intersection of product and customer success: The role exists because Fabric needs one person who can do both, not two people doing half of each.
This Might Not Be The Right Fit If...
- You want to focus exclusively on the core product roadmap. This role exists specifically to absorb client work and keep it off the core engineering team, not to move you closer to it.
- You expect a commission structure and a traditional pre-sales SE model. There is no quota here; success is measured by client integration success, not deal velocity.
- You are uncomfortable with ambiguity in client requirements. Clients building headless solutions often cannot fully articulate what they need until they see options; you will need to help them get there.
- You prefer async-only work. This role involves regular, scheduled client-facing meetings and real-time debugging alongside client engineers.
- You need deep healthcare domain expertise to feel confident. The work here is API integration; clinical context helps but is not the foundation.
Your Qualifications
- 4+ years of experience in a technical client-facing role: solutions engineering, technical account management, implementation engineering, or developer relations, with real coding responsibility, not just demo delivery
- Strong proficiency in Ruby on Rails, the core language of Fabric's platform and the foundation for all API work
- Fluency with RESTful API design and integration patterns: authentication flows (OAuth 2.0, API keys), webhooks, pagination, error handling, and debugging each
- Experience building or contributing to client-facing developer resources: SDKs, code samples, or API documentation
- Strong written and verbal communication, including the ability to translate between engineering-level detail and business-level requirements in real time
- Demonstrated ability to independently debug complex integration issues, including working alongside client engineers in real time to isolate root causes
Bonus Points
- Exposure to HL7, FHIR, or EHR API integrations (Epic, Cerner, or similar)
- Experience with headless or composable architecture patterns in a B2B context
- Experience at a digital health, health tech, or health plan company
- Experience with API documentation platforms such as Stoplight, ReadMe, or the OpenAPI specification
The national pay range for this role is $140,000.00 - $170,000.00 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
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. Please submit a report via this link: https://forms.gle/N1AGAiXcAL2W57H9A
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.
Requires 4+ years in a technical client-facing role with coding responsibility, strong Ruby on Rails, RESTful API design and integration skills, SDK or documentation experience, communication, and independent debugging ability.
Key Responsibilities
- advising clients
- debugging integrations
- building SDKs
Skills & Tools
Ruby on Rails, RESTful API, OAuth 2.0, API keys, webhooks, HL7, FHIR, EHR, Epic, Cerner, Stoplight, ReadMe, OpenAPI
Job Details
- Category: Engineering
- Seniority: Mid Level
- Commitment: Full Time
- Workplace: Remote — United States
- Salary: USD 140,000 – 170,000 / year
- Languages: English
Benefits
- Generous paid time off
- Retirement plan
About Fabric Health
A healthcare technology company that uses intelligent automation and APIs to improve care delivery efficiency. — Industry: Healthcare