Site reliability engineer

About Fabric Health

At Fabric Health, we are powering boundless care by solving healthcare’s biggest challenge: clinical capacity. We aren’t here to disrupt healthcare; we’re here to fix it. We unify the care journey from intake to treatment, using intelligent automation to remove administrative burdens and make care delivery 2-10x more efficient. Our technology empowers clinicians to move faster and focus on what matters most: the patient. We are a mission-driven team of brilliant minds trusted by leading organizations including Intermountain Health, OSF HealthCare, SSM Health, and MUSC Health. Our vision is backed by premier investors such as Thrive Capital, GV (Google Ventures), General Catalyst, and Salesforce Ventures. We move quickly for good reason, listen deeply to solve big challenges, and build products with the same care and quality we’d want for our own loved ones. Learn more: About Us | News & Press | LinkedIn | Careers

About the Role

We are looking for a Site Reliability Engineer to help us evolve and safeguard the infrastructure powering healthcare experiences for millions of patients, all while keeping operational toil to a minimum for the Fabric tech community.

What You'll Do

As a Site Reliability Engineer, you will act as an architect of our AWS and Kubernetes (EKS) platform, playing an active part in shaping the strategy to make it resilient, scalable, and compliant. Your primary responsibilities include:

• Infrastructure & Kubernetes Orchestration
  • Designing, deploying, and maintaining Kubernetes (EKS) clusters for enterprise-grade availability.
  • Optimizing the footprint of infrastructure objects across core AWS services (EC2, RDS, S3) for performance, cost, and reliability.
  • Evolving a scalable infrastructure management platform, with the right interfaces and guardrails to maximize engineering agency at minimal cognitive load.
  • Defining golden paths for workload orchestration and integration with infrastructure dependencies, ensuring the right way to do things is also the easiest.
• Automation & AI-Assisted Operations
  • Providing robust, reusable GitHub Actions components to streamline the software delivery lifecycle.
  • Developing internal tools that replace manual operations with intelligent, autonomous systems.
  • Exploring and deploying agentic workflows for AI-assisted runbooks that automate complex, error-prone procedures and repetitive tasks.
• Observability & Incident Management
  • Driving the evolution of observability practices by maintaining reliable mechanisms to collect the metrics, traces, and logs needed to meet SLOs.
  • Leading incident response efforts and facilitating the blameless postmortems that help systematically reduce recovery time (MTTR).
  • Defining and monitoring platform-level SLIs and SLOs to ensure it consistently meets rigorous healthcare performance standards.
• Compliance & Collaboration
  • Ensuring every piece of infrastructure is continuously compliant with HIPAA and other critical healthcare regulatory requirements.
  • Reviewing architectural decisions and technical proposals, asking incisive questions to surface technical and organizational risks before they become incidents.
  • Mentoring engineers across the company on reliability best practices and contributing a clinical-safety perspective to cross-functional design reviews.

Why You Might Be a Good Fit

You design systems, shape processes, and write code, treating provisioning, orchestration, observability, and security as disciplines, not just tools to operate. You want to empower the people around you and make that the point of everything you build for them, not a side effect. You instinctively dig for the root cause rather than settling for a quick patch. You use AI and agentic tools where they help, know where they add risk, and own everything you ship. You thrive in fast-paced, safety-critical environments where pragmatism is balanced with technical rigor.

This Might Not Be The Right Fit If...

You prefer the stability of static infrastructure and settled processes over continually adapting your codebase, tooling, and workflows as systems evolve. You are looking for a more specialized role where you can focus on a single discipline or technology. You prefer a siloed role that does not involve active collaboration with colleagues from different departments and backgrounds. You take pride in being the indispensable go-to person when something needs to be executed, rather than in building systems others can run without you.

Your Qualifications

• 5+ years of experience in SRE or Platform Engineering roles managing production environments at scale.
• Expert technical depth in AWS (EKS, EC2, RDS, S3) and production-grade Kubernetes management.
• Proficiency with modern tooling including Terraform (IaC), Datadog (Observability), Helm (Release Management), and GitHub Actions (CI/CD).
• Solid coding and scripting skills in Python, Bash, or Go.
• Preferred experience building agentic workflows or AI-assisted tooling to drive operational efficiency.
• A "rigor-first" mindset with a dedication to HIPAA-compliant, high-availability architecture.

The national pay range for this role is $135,000.00 – $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.

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.

Recruitment Fraud Alert: Protect Yourself

Fabric Health is aware of scammers attempting to impersonate employers. To ensure that any recruiting contact you receive is legitimate, please adhere to the following: Verify the Domain: Official recruitment emails will only come from addresses ending in @fabrichealth.com or @gem.com. No other domain names are legitimate. Official Interview Tools: We use Gem for our recruitment process and Google Meet for all video interviews. Google Meet is always the platform used for your first interview; you will never be sent a Zoom link to set up or conduct an initial interview. All interviews are conducted via video unless specifically stated by our team as an audio call. We never conduct interviews via chat, social media, Skype, or WhatsApp. Zoom Usage: Zoom is utilized only for specific meetings set directly by our team for purposes outside of the standard interview process (e.g., coordination or onboarding discussions). It is never the first link you will receive from us. Authorized Contact & Texting: Fabric will only contact you if you have submitted an application or if you are connected to a current employee who shared your information with us. We will only send text messages if you have provided explicit authorization and consent, either through your application or while communicating directly with our team. If you have not explicitly authorized us to reach out, treat any SMS or unsolicited outreach as fraudulent and do not respond. Sensitive Data: We will never ask you for sensitive personal or financial documents (ID, banking info, SSN) during the application, interview, or candidacy stages. All sensitive data is handled through secure internal systems post-offer. Verify the Team: You can reference LinkedIn to verify members of our recruiting team; however, please remain vigilant as scammers may create fraudulent profiles. Always cross-reference the sender's email domain with our official @fabrichealth.com address. If you question the validity of a contact or receive a suspicious message, do not click any links. Please submit a report via this link: https://forms.gle/N1AGAiXcAL2W57H9A Please note: The security inbox is for reporting fraudulent activity only. Do not email this address for application status updates or to share application materials, as these will not be reviewed. Applications are only accepted and reviewed if submitted through our official application portal, and no application status information will be provided via the security email.