Jobs at Fabric Health

Serve as the clinical quality owner for Medical Intelligence: build and review clinical logic, define evidence standards, validate AI/LLM-driven protocols, run safety reviews, support data analyses and platform work, and represent Fabric with clients to ensure safe, evidence-based product delivery.

Lead growth within the Payer vertical on the West Coast by building executive relationships at health plans, managing full enterprise sales cycles and pipelines, delivering tailored presentations, negotiating large deals, and partnering cross-functionally to drive revenue and inform product strategy.

Define architecture and technical roadmap for production AI/ML systems, productionize NLP and voice features in Python, mentor engineers, partner with product/medical teams to implement responsible safeguards, build evaluation and monitoring frameworks, own AWS Bedrock strategy, and drive long-term AI strategy and improvements across Fabric's products.

Lead technical vision and architecture for a scalable virtual care platform. Architect and develop Ruby on Rails backend, build React front end, guide technical decisions, collaborate cross-functionally, drive adoption of new technologies, and contribute to long-term product roadmap while mentoring engineers.

Own and evolve Fabric's AWS/EKS infrastructure, build Terraform-managed infrastructure, improve observability with Datadog, lead incident response and SLOs, automate operations with AI/agentic workflows, optimize AWS resources, and ensure HIPAA-compliant, high-availability platform architecture while mentoring engineers.

Lead and mentor the Virtual Care backend engineering team, drive roadmap delivery on a two-week Scrum cadence, stay hands-on in code and architecture, own platform operational health (reliability, on-call, incidents), and ensure security and compliance for PHI-handling clinical software while reporting progress and risks to cross-functional and executive stakeholders.

Provide regulatory, compliance, privacy, and commercial legal support for physician organizations, MSOs, telehealth, and healthcare technology products. Advise on federal and state healthcare laws, develop compliance programs, support audits and investigations, negotiate commercial and privacy agreements, and partner cross-functionally with product, security, clinical, and operations teams to enable compliant scaling across states.

Lead and expand Fabric's employer channel partnerships by owning relationships with benefits consultants, brokers, and alliances. Develop partner go-to-market strategies, drive partner-sourced client acquisition and pipeline, coordinate with Sales/Marketing/Client Success, present business cases, track partnership performance, represent Fabric at industry events, and provide market feedback to Product and Strategy teams to scale distribution into the self-insured employer market.

Lead design, development, delivery, and maintenance of high-performance web applications for Provider Directory and Scheduling. Collaborate cross-functionally, mentor engineers, resolve performance and concurrency issues, build integrations with EHRs, and improve reservation/resource-sharing systems to ensure secure, well-tested, and documented solutions.

Lead enterprise sales to health systems across Texas and north, build pipeline, close complex multi-stakeholder deals, negotiate contracts, collaborate with cross-functional teams, maintain CRM records, provide market feedback, and grow revenue within the Provider and Health System vertical.