Ruby On Rails Contractor Jobs in Illinois (NOW HIRING)

PatientIQ is a fast-growing health tech company on a mission to improve patient outcomes. We partner with healthcare providers, medical device companies, and researchers to collect, analyze, and act on patient-reported outcomes data at scale — powering smarter clinical decisions and accelerating the future of value-based care.

Headquartered in Chicago and backed by top-tier venture capital and major health system investors, PatientIQ is building the largest platform for healthcare providers, industry partners, and researchers to collaborate on what matters most: helping patients get better.

We are searching for an Engineering Manager that has experience leading teams working with large production applications. As an Engineering Manager, your leadership will be critical in revamping our existing software experience and helping build our future from the ground up using modern technologies and techniques.

• Building features that support customer compliance with emerging regulatory mandates.
• Optimizing patient compliance - the rate of successful data collection from our customers’ patients.
• Building benchmarking features that enable customers to identify their strengths and weaknesses in patient care.
• Enabling effective patient data collection using configurable patient care pathways, HL7, and FHIR.
• Contributing to a multi-tier data architecture that enables cross-referencing of patient outcomes with comorbidities, medical devices, and other related health factors.
• Building benchmarking features that enable customers to identify their strengths and weaknesses in patient care.

• We operate in 2-week sprints, within 6-month company planning cycles, and deploy weekly.
• We use Google Suite, JIRA, Slack, Notion, Claude, Macbook Pros.
• We use Ruby on Rails, Docker, AWS, Typescript, React, GraphQL, OpenSearch, Datadog.
• We actively use AI throughout the entire software development lifecycle.

• Manage and mentor a team of 4-6 engineers, facilitating their professional development.
• Be a player-coach - active in coding contributions and technical support.
• Own team agile rituals such as planning, ticketing, backlog grooming, and retrospectives.
• Plan, lead, and support new production features and projects - partnering with Product Managers and designers to turn business requirements into sound technical solutions.
• Proactively collaborate with key internal stakeholders to support production usage of our software by our enterprise customers.
• Champion software performance, scalability, reliability, and observability.
• Actively balance new development against technical debt and architectural improvements.
• Actively lead in the adoption/usage of AI tooling and techniques throughout our software development practices.

• 8+ years of professional software experience and 3+ years of Ruby-on-Rails experience.
• 1+ years of experience managing engineers.
• Comfortable using AI throughout the software development lifecycle.
• Experience within the healthcare software industry.
• Comfortable working in a startup environment where you must create clarity out of ambiguity.

• Experience with React, Typescript, GraphQL.
• Experience integrating with EHRs, HL7, FHIR, and/or SmartOnFHIR.
• Experience with medical coding standards - CPT, ICD-10, SNOMED.
• Experience working on large-scale data-driven products or features - leveraging aggregation, data cleaning, data transformation, data attribution, etc.

• Mission-driven work. We're solving a hard problem that matters — improving patient outcomes through better data. Every person here is working on something real.
• True idea meritocracy. Great ideas win, regardless of title. We encourage every team member to challenge the status quo.
• World-class team. You'll work alongside people who are at the top of their fields in health tech, enterprise software, and clinical science.
• Fast-growing. We're building the largest platform for healthcare providers and industry to collaborate — and we're just getting started.
• Great benefits. Top-notch health, dental, and vision. 401(k). Flexible PTO — we trust you to take the time you need. Professional development stipends.
• Real ownership. This is not a role where you maintain someone else's playbook. You'll build, shape strategy, and see your impact directly.