About Fabric Fabric Health is a leading healthcare technology startup revolutionizing how patients access and experience care. Our innovative platform reimagines how patients connect to care—delivering personalized guidance, tailored engagement, and intuitive experiences throughout their healthcare journey. We are a passionate, mission-driven team committed to improving healthcare outcomes and expanding patient access to high-quality, personalized care. 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. About the Role As a Senior Solution Engineer, you'll be instrumental in shaping the future of healthcare technology at Fabric. This is a unique chance to get on the ground floor of a fast-growing startup and truly define what it means to enable the health systems of the future to do their best work. You'll lead the design and governance of enterprise-wide technology solutions, ensuring they align with business objectives, drive innovation, and support scalability across our customers' organizations. You'll serve as a strategic bridge between business stakeholders, product teams, and technical engineering, ensuring all technology investments support our long-term vision and operational goals within the dynamic healthcare space. If you're motivated by improving the lives of patients and healthcare providers, believe technology can substantially improve the US healthcare system, and are excited to understand the human processes behind care, you'll thrive here. We value vigorous conversation, deep research, and a strong sense of what needs to get done, all while working collaboratively with dedicated teams. As a Senior Solutions Engineer, you will: Architecture & Strategy Utilize an enterprise architecture framework, covering application, data, integration, and infrastructure domains. Translate business strategies and product vision into scalable, secure, and efficient architectures (both technical and clinical). Define key data sets to inform product development, leveraging customer feedback and market insights. Systems Integration & Optimization Architect integration solutions across internal systems and external platforms (including EHRs and third-party APIs). Lead initiatives to streamline business workflows and data flows between systems using middleware, iPaaS, or custom integrations. Guide the modernization of legacy systems and solutions. Governance & Compliance Ensure architectural decisions align with HIPAA, HITRUST, and current security best practices. Utilize best practices for system interoperability, scalability, and resilience. Stakeholder Collaboration Collaborate with product, security, clinical, and operations teams to ensure architectural alignment. Work closely with business leaders to understand their needs and translate them into sustainable solution plans. Documentation & Communication Create clear architectural diagrams, decision logs, and comprehensive technical documentation. Present complex architectural concepts effectively to both technical and non-technical stakeholders.

Requirements Bachelor’s or Master’s degree in Computer Science, Information Systems, or a related field. 7+ years of experience in enterprise solution, or business systems architecture within the healthcare industry. A solid understanding of SaaS platforms, cloud infrastructure (preferably AWS), and microservices architecture. Experience in healthcare IT and familiarity with EHR systems (e.g., Epic, Cerner), HL7/FHIR standards, and regulatory frameworks (e.g., HIPAA, HITRUST). Demonstrated ability to lead enterprise technology transformation initiatives. Hands-on experience with integration platforms (e.g., Mulesoft, Boomi, Workato) and data strategy (ETL, warehousing, analytics). Excellent communication, documentation, and stakeholder management skills. Ability to travel, estimated at 10%.

Bonus Points Familiarity with agile software development practices. Background working in a startup or high-growth SaaS environment. A technical or product design background, or a clinical background. Learn more about Fabric LinkedIn Awards Press Releases Careers Page

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. #LI-Remote

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