Site Reliability Engineer

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.

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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.

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.

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.

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.

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.

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.

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.

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.