Senior Rails Engineer, Virtual Care Platform — Production Reliability

Fabric; United States; On-site; USD 140,000 - 170,000; Full time

Benefits offered by this job

Medical, dental, vision

Unlimited PTO

401(k) plan

Stock options and bonuses

Job summary

Fabric Health is seeking a Senior Software Engineer for the Virtual Care Platform to own production reliability and patient experience. You will fix critical issues in a large Rails codebase, protect patient care, and build admin tools for internal teams.

You will triage production incidents, implement safe live data edits, and document solutions to empower Support and Implementation teams, while driving scalable, self-service tooling.

Qualifications

• 5+ years of professional software engineering experience at a senior level with production ownership.
• Deep Ruby on Rails expertise: navigate large codebase and perform safe live production data changes.
• Strong debugging and production troubleshooting skills, able to handle incidents affecting patients.
• Based in the United States due to production console access and PHI handling.
• Experience operating production SaaS, ideally multi-tenant, with reliability-focused practices.
• Strong written communication for documentation, runbooks, and cross-functional collaboration.

Responsibilities

• Own the bridge between Support and Engineering, protecting the core team's focus.
• Triage production and support issues during business hours, shielding the product team.
• Diagnose and fix bugs across a large, mature Ruby on Rails codebase.
• Make safe live production data edits in Ruby to resolve urgent issues.
• Own and improve the admin portal so Support and Implementations can work independently.
• Build documentation, runbooks, and diagnostic tools for the broader Support team.
• Partner with Support, Implementations, and Engineering to turn recurring incidents into permanent fixes.
• Track patterns across incidents and feed improvements into product and platform.

Skills

Ruby on Rails

Production debugging

Live data edits

Incident response

SaaS reliability

Documentation

Job description

Fabric Health is seeking a Senior Software Engineer for the Virtual Care Platform to own production reliability and patient experience. You will fix critical issues in a large Rails codebase, protect patient care, and build admin tools for internal teams.

You will triage production incidents, implement safe live data edits, and document solutions to empower Support and Implementation teams, while driving scalable, self-service tooling.