Senior Solutions Engineer
Fabric
Sales & Business Development
New York, NY, USA
USD 130k-160k / year + Equity
Posted on Jul 31, 2025
Senior Solutions Engineer
New York City
Product
Remote
Full-time
About Fabric Health
At Fabric Health, we're not just building technology; we're fixing healthcare's capacity problem. Our mission is to power healthcare to move faster, work smarter, and deliver better care, creating seamless, intuitive experiences that simplify and unify virtual and in-person care for thousands of providers and millions of patients nationwide. We're a team of brilliant, thoughtful minds, deeply motivated by improving patient and provider lives, and we believe technology can truly enhance the US healthcare system.
Trusted by leading healthcare organizations: Our customers include Luminis Health, OSF HealthCare, MUSC Health, and Intermountain.
We are backed by leading investors such as Thrive Capital, GV (Google Ventures), General Catalyst, Salesforce Ventures, Vast Ventures, BoxGroup, and Atento Capital. We value working quickly for good reason, listening deeply to solve big challenges, and building products like we would for loved ones.
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 clear sense of what needs to get done, all while working collaboratively with dedicated teams.
What You'll Do
As a Senior Solutions Engineer, you will be instrumental in leading the design and governance of our technology solutions. Your primary responsibilities will include:
- Utilizing an enterprise architecture framework, covering application, data, integration, and infrastructure domains.
- Translating business strategies and product vision into scalable, secure, and efficient architectures (both technical and clinical).
- Defining key data sets to inform product development, leveraging customer feedback and market insights.
- Architecting integration solutions across internal systems and external platforms (including EHRs and third-party APIs).
- Leading initiatives to streamline business workflows and data flows between systems using middleware, iPaaS, or custom integrations.
- Guiding the modernization of legacy systems and solutions.
- Ensuring architectural decisions align with HIPAA, HITRUST, and current security best practices.
- Utilizing best practices for system interoperability, scalability, and resilience.
- Collaborating with product, security, clinical, and operations teams to ensure architectural alignment.
- Working closely with business leaders to understand their needs and translate them into sustainable solution plans.
- Creating clear architectural diagrams, decision logs, and comprehensive technical documentation.
- Presenting complex architectural concepts effectively to both technical and non-technical stakeholders.
Why You Might Be a Good Fit
- You are a strategic thinker who is motivated by improving the lives of patients and healthcare providers.
- You thrive on the challenge of building and governing enterprise-wide technology solutions that align with business objectives.
- You excel at acting as a strategic bridge, translating complex business needs into sustainable technical plans.
- You are a collaborative team member who enjoys vigorous conversation, deep research, and working cross-functionally.
- You are excited by the opportunity to join a fast-growing startup and define what it means to enable the health systems of the future.
This Might Not Be The Right Fit If...
- You are not motivated by the specific mission of improving the US healthcare system with technology.
- You prefer a role with less emphasis on architecture, strategy, and governance.
- You are not comfortable working as a strategic bridge between technical and non-technical stakeholders.
- You are not comfortable with the level of ambiguity and fast-paced environment of a startup.
- You do not have experience with the healthcare industry's unique challenges and regulatory frameworks.
Your Qualifications
- 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.
The national pay range for this role is $130,000.00– $160,000.00 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.
Learn more about Fabric
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.
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Req ID: 219