Hire Elevation Resources

Compensation

Full Description

EMR Ruby on Rails Development Leader (Manager/Lead) Remote (U.S.-based) | HQ: Santa Fe, NM | Team: Mexico $Targeting 150K Base - with potential flexibility for the right candidate. Direct Hire No Visa Sponsorship | No Third Parties About the Opportunity On behalf of our customer, who is a growing healthcare technology organization, we are seeking a hands-on Ruby on Rails Development Leader to take ownership of a mission-critical EMR platform. This is a high-impact role for a technical leader who thrives in both legacy modernization and team leadership. You’ll step into a platform with a strong foundation—but clear opportunity to modernize, scale, and evolve. If you enjoy cleaning up legacy systems, guiding teams, and driving meaningful technical change, this role offers both ownership and influence. What You’ll Do Platform Ownership & Modernization • Own and evolve a Ruby on Rails-based EMR platform (primarily a modular monolith) • Lead modernization efforts across an aging codebase (Rails + jQuery) • Drive upgrades (e.g., Rails 5 → 6+ and beyond) and improve system maintainability • Identify and reduce technical debt while balancing feature delivery Architecture & Technical Leadership • Guide system design across a monolith with emerging microservices • Make key decisions around scalability, performance, and platform evolution • Stay hands-on—contributing to code, debugging, and architecture when needed • Act as a technical escalation point for complex production issues Cloud & Infrastructure • Support and help lead migration to Amazon Web Services (AWS) • Work within a containerized environment using Docker and Kubernetes • Drive improvements across CI/CD, deployment processes, and system reliability AI-Enabled Development • Leverage tools like GitHub Copilot and similar technologies to accelerate development • Explore opportunities to integrate AI into both engineering workflows and product capabilities (APIs, prompting, automation) • Help the team adopt a forward-thinking, AI-enabled engineering mindset Team Leadership • Lead and mentor a distributed team of ~5–6 engineers • Foster collaboration between engineering and product teams • Support hiring, coaching, and team growth What We’re Looking For Technical Expertise • Strong hands-on experience with Ruby on Rails (architect-level preferred) • Proven experience working with and modernizing legacy monolithic applications • Experience with MySQL or relational databases, including debugging data-related issues • Solid understanding of system design, architecture, and production systems Cloud & DevOps • Experience with AWS (migration experience highly preferred) • Hands-on experience with Docker and Kubernetes in production environments AI Mindset (Must-Have) • Active use of AI tools (e.g., Copilot) in development workflows • Interest in applying AI beyond coding—into product features and automation • Open, forward-thinking approach to adopting new technologies Leadership & Collaboration • Experience leading or mentoring engineering teams (distributed/offshore preferred) • Strong communicator who partners well with product and business stakeholders • Team-oriented mindset—able to influence without ego Nice to Have • Experience with EMR/EHR or healthcare platforms • Spanish language skills (to support collaboration with Mexico-based team) What Success Looks Like • You successfully modernize and stabilize a legacy Rails platform • You improve development velocity through AI-enabled workflows • You become a trusted technical leader across engineering and product • You elevate team performance while maintaining a hands-on presence Why This Role • Direct ownership of a core healthcare platform • Opportunity to lead meaningful modernization efforts • High visibility and influence with leadership • Strong balance of technical depth + leadership + innovation Interested? If you’re a hands-on engineering leader who enjoys solving real-world problems, modernizing legacy systems, and building high-performing teams—we’d love to connect.