About the Role

We are looking for a technical and people focused Engineering Manager to lead our Virtual Care backend development team. In this role, you will champion the engine that powers our Virtual Care product, directly impacting both patient and provider experiences. You will lead a talented team of engineers, driving technical excellence, overseeing sprint execution, and collaborating closely with engineering leadership to deliver scalable, reliable software. Along with running the team, you will stay hands-on in the code: reviewing PRs, participating in architecture discussions, and picking up high-leverage work yourself. If you are passionate about mentoring engineers, setting high technical standards, and building technology that transforms healthcare delivery, we want to hear from you.

What You'll Do

As the Manager, Software Engineering for Virtual Care, you will lead the team building Fabric's Virtual Care platform. Your primary responsibilities will include: Lead the Virtual Care engineering team's planning, 1:1s, and growth conversations. Own delivery across the virtual care roadmap, partnering with Product, Design, and Quality through all phases of development on a two-week Scrum cadence. Stay hands-on: review the team's PRs, set the technical bar, and write code on the highest-leverage problems. Own operational health for the platform: reliability, performance, on-call, and incident response for a platform clinicians depend on to deliver care. Uphold the security and compliance bar that PHI-handling clinical software requires, partnering with security and compliance owners. Report up on roadmap progress, team health, and risks, and represent virtual care engineering to executive and cross-functional stakeholders. Why You Might Be a Good Fit You have led engineering teams building production software that real users depend on, ideally in healthcare or another regulated environment where mistakes have consequences. You are a genuine player-coach: you will be writing code in week one and writing code in month six, and that is part of why you want the job. You build healthy, durable teams: clear expectations, honest feedback, real growth paths, and a bar that engineers are proud to meet. You are comfortable owning operational health, from on-call structure to incident retros, for a platform where downtime means a provider cannot see a patient. You communicate clearly with non-technical stakeholders, translating between engineering reality and product and executive priorities. This Might Not Be The Right Fit If... You have moved fully into people management and are not interested in reviewing code or contributing technically anymore. You have only run internal tools or back-office systems and have not owned user-facing production software with real operational stakes. You are uncomfortable with the accountability that comes with PHI, HIPAA, and clinical uptime requirements. You need a large management structure around you. This is a hands-on seat at a growth-stage company where the playbook is still being written. Your Qualifications 7+ years of professional software engineering experience, including 2+ years managing or tech-leading an engineering team. A track record of shipping and operating production web or mobile applications as part of a cross-functional agile team. Strong technical depth ideally in Ruby on Rails or a comparable backend. Experience owning operational health for production systems: reliability, monitoring, on-call, and incident response. Experience working with PHI or in another regulated environment (HIPAA, SOC 2, or comparable), or demonstrated readiness to own that bar. Excellent communication skills and a demonstrated ability to grow engineers and hold a high technical bar. Authorized to work in the United States without employer sponsorship, now and in the future. Bonus Points Experience in virtual care, telehealth, or clinical software specifically. Experience integrating AI/LLM features into production product surfaces. Experience as the first or second engineering manager in a growing org. A bachelor's degree in Computer Science, Software Engineering, or a related field. The national pay range for this role is $160,000.00 – $180,000.00 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.