Engineering Manager

PatientIQ; Chicago (IL); On-site; USD 140,000 - 200,000; Full time

Benefits offered by this job

Health benefits

401(k)

Flexible PTO

Job summary

PatientIQ, a Chicago-based health tech company, is seeking an Engineering Manager to lead a team of engineers building large production applications. You will drive modern tech choices, mentor 4–6 engineers, and participate as a hands-on contributor in a fast-paced startup environment.

You will own agile rituals, collaborate with Product and Design, and ensure scalable, observable systems while advancing AI-enabled development practices across the lifecycle.

Qualifications

• 8+ years of professional software experience.
• 3+ years of Ruby-on-Rails experience.
• 1+ years of experience managing engineers.
• Experience in healthcare software is preferred.
• Comfortable in a startup environment with ambiguity.

Responsibilities

• Manage and mentor a team of 4-6 engineers, facilitating their professional development.
• Be a player-coach - contribute code and provide technical support.
• Own team agile rituals: planning, ticketing, backlog grooming, retrospectives.
• Lead production features and projects with Product Managers and designers.
• Collaborate with stakeholders to support production usage of the software by enterprise customers.
• Champion software performance, scalability, reliability, and observability.
• Balance new development with technical debt and architectural improvements.
• Lead adoption of AI tooling throughout software development practices.

Skills

Ruby on Rails

Team Leadership

Software Architecture

Healthcare software

AI tooling adoption

Cloud platforms

Open-source tooling

Tools

Docker

AWS

Typescript

React

GraphQL

OpenSearch

Datadog

Job description

About PatientIQ

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.

The Opportunity

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.

What you will work on:

• 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.

How we work:

• 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.

What you'll do:

• 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.

Nice to have

• 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.