Senior Staff Software Engineer

fabrichealth; United States; On-site; USD 160,000 - 200,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Unlimited PTO

401(k) plan

Stock options

Bonuses

Job summary

FabricHealth is seeking a Senior Staff Software Engineer to set the technical vision for our healthcare platform. You will be a hands‑on leader shaping architecture for speed, scalability, and quality, delivering high‑performance systems for providers and patients.

You will mentor engineers, drive platform improvements, and contribute to roadmap planning, with a focus on Rails backend and React frontend in a healthcare context.

Qualifications

• 8+ years of professional experience in full‑stack web application development in a cross‑functional agile team.
• Demonstrate expertise with Ruby on Rails, node.js, and React or other modern JavaScript frameworks.
• A solid understanding of the healthcare industry, including familiarity with current trends and challenges.
• Proven experience designing and developing well‑tested, secure, and documented software solutions.

Responsibilities

• Architecting and developing our core Ruby on Rails backend, ensuring high performance, scalability, and security for our virtual care platform.
• Acting as a technical authority on the team, providing guidance on architectural decisions and elevating the overall code quality and best practices of the team.
• Developing our React front end to create intuitive and seamless experiences for both providers and patients.
• Collaborating cross‑functionally with product managers, designers, and clinical experts to translate complex business needs into elegant, well‑documented technical solutions.
• Driving the adoption of new technologies and methodologies to continuously improve our development processes and product capabilities.
• Contributing to our long‑term product roadmap and helping define the future of our virtual care platform.

Skills

Technical leadership

Ruby on Rails

Node.js

React

Full-stack development

Healthcare domain knowledge

Education

Computer science background

Tools

REST APIs

CI/CD

Job description

About the Role

We are looking for a Senior Staff Software Engineer to set the technical vision for our healthcare platform. This is a highly impactful role where you will apply your strategic thinking and deep technical expertise to build systems that power our core product. You will be instrumental in setting the architectural direction for speed, scalability, and quality. If you are a hands‑on technical expert who is passionate about improving healthcare accessibility and driving platform‑level impact, you will thrive here.

What You'll Do

As a Senior Staff Software Engineer, you will be a hands‑on technical leader, instrumental in our team's success. Your primary responsibilities will include:

• Architecting and developing our core Ruby on Rails backend, ensuring high performance, scalability, and security for our virtual care platform.
• Acting as a technical authority on the team, providing guidance on architectural decisions and elevating the overall code quality and best practices of the team.
• Developing our React front end to create intuitive and seamless experiences for both providers and patients.
• Collaborating cross‑functionally with product managers, designers, and clinical experts to translate complex business needs into elegant, well‑documented technical solutions.
• Driving the adoption of new technologies and methodologies to continuously improve our development processes and product capabilities.
• Contributing to our long‑term product roadmap and helping define the future of our virtual care platform.

Why You Might Be a Good Fit

• You are a seasoned technical leader who excels at bridging high‑level strategy with hands‑on, day‑to‑day coding.
• You possess a deep expertise in Ruby on Rails and are passionate about using it to build mission‑critical, high‑performance systems.
• You are excited by the challenge of designing and building complex systems that streamline clinical workflows and improve patient experiences.
• You are a natural mentor who enjoys elevating the technical expertise of the engineers around you, without a focus on people management.
• You have a clear understanding of the healthcare industry and are motivated to solve its biggest challenges with technology.

This Might Not Be The Right Fit If…

• You are seeking a people management role with direct reports and a focus on career development rather than technical contribution.
• You are not comfortable with the level of ambiguity that comes with defining and driving new technical initiatives.
• Your experience and primary focus are not heavily centered on Ruby on Rails backend development.
• You do not have experience or a genuine interest in the specific challenges of building software in the healthcare industry.

Your Qualifications

• 8+ years of professional experience in full‑stack web application development in a cross‑functional agile team.
• Demonstrate expertise with Ruby on Rails, node.js, and React or other modern JavaScript frameworks.
• A solid understanding of the healthcare industry, including familiarity with current trends and challenges.
• Proven experience designing and developing well‑tested, secure, and documented software solutions.

Bonus Points

• Experience with conversational agents or systems that handle real‑time race conditions, locking mechanisms, or other complex concepts.
• Experience building integrations with electronic health record systems such as Epic and Cerner.
• A background in computer science or a related field.

The national pay range for this role is $160,000.00 – $200,000.00 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.