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Staff Software Engineer (Node.js)

Fabric HealthPortugalRemote

About Fabric


Fabric is a health tech company that powers healthcare providers to move faster, work smarter, and deliver better care through its care enablement system. The system offers three solutions: In-Person Care Suite, Virtual Care Suite, and Engagement Suite. Leveraging conversational AI and intelligent adaptive interviews, Fabric unifies virtual and in-person care across intake, triage, routing, and treatment while automating workflows for staff. Built by a team of physicians and clinical informaticists, Fabric protocols uphold excellence in care quality while offering omnichannel access for patients.

The results enable clinicians to work 2-10 times faster (dependent on setting), decrease call center volume by 15%, and increase utilization of unfilled visit blocks. Some of Fabric’s customers include Luminis Health, OSF HealthCare, MUSC Health, and Intermountain. Fabric is backed by Thrive Capital, GV (Google Ventures), Salesforce Ventures,Vast Ventures, BoxGroup, and Atento Capital.

Your Responsibilities:


  • Architect and develop high-performance web applications using Node.js, NestJS, and TypeScript within a microservice architecture.
  • Contribute code actively, refactor existing codebases, and provide technical guidance to improve overall code quality and system architecture.
  • Act as a key resource for our product engineering team by sharing your deep knowledge and insights into our products and the technical landscape.
  • Create and maintain technical documentation, software design documents, best practices, and guidelines.
  • Conduct code reviews and review technical documentation of other engineers to deliver high-quality, efficient, and performant solutions.
  • Participate in an on-call rotation to ensure system reliability and address any critical incidents that may arise outside of normal working hours.

Requirements:


  • 7+ years of professional experience in backend development as part of a cross-functional agile team, ideally with Node.js / NestJS / Express.
  • Strong experience with a NoSQL database (preferably MongoDB, Dynamo, etc.).
  • Strong experience maintaining and deploying web applications and services on cloud providers such as AWS, GCP, or Azure.
  • Strong system design skills in RESTful APIs, microservices, and event-driven architecture.
  • A proven track record of architecting, deploying, owning, and maintaining well-designed, thoroughly tested, secure, and documented software solutions.
  • Experience building CI/CD pipelines.
  • Experience with APM (Application Performance Monitoring) and application monitoring tools.
  • Proven technical leadership and mentorship experience.
  • Effective communication skills in English.

Extra points if you have:


  • Experience building integrations with electronic health record systems such as Epic and Cerner.
  • Experience in front-end development and React.
  • Experience in Python, AI, LLMs.

Life at Fabric Health

We help busy families where they already are — at the laundromat. 32M Americans show up every week. So do we. Healthcare doesn't have to be inaccessible. We're just down the block. Partners work with Fabric to 1. recruit new members, 2. update contact information, 3. help families understand and use their benefits. If you want to make busy families' lives easier instead of adding to their overpacked schedules, we'd love to meet you.
Thrive Here & What We Value- Built by a team of physicians and clinical informaticists- Results enable clinicians to work 210 times faster (dependent on setting), decrease call center volume by 1e, and increase utilization of unfilled visit blocks- Backed by Thrive Capital, GV (Google Ventures), Salesforce Ventures, Vast Ventures, BoxGroup, and Atento Capital- Passionate about contributing to Fabric's mission- Comfortable working in fast-paced, unstructured environment- Driven to provide best possible experience to customers and make them happy

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