Pearl Health, Inc. logo

Senior Software Engineer (Applied AI)

Job Overview

Location

Remote

Job Type

Full-time

Category

Software Engineer

Date Posted

February 14, 2026

Full Job Description

đź“‹ Description

  • • As a Senior Software Engineer focused on Applied AI at Pearl Health, you will be at the forefront of innovation, architecting and implementing the core AI-powered intelligence layer that defines our platform. This is a hands-on role where you will translate cutting-edge artificial intelligence concepts into tangible, production-grade features that directly impact the delivery of healthcare.
  • • You will be instrumental in designing, building, and owning sophisticated AI features. This includes developing robust Retrieval Augmented Generation (RAG) pipelines, which involve intricate strategies for data chunking, semantic search, and efficient vector database management. Furthermore, you will architect and implement Agentic workflows, enabling AI systems to perform complex tasks autonomously and intelligently.
  • • A significant part of your role will involve the seamless integration of Large Language Models (LLMs) into our existing and new services. This requires not only a deep understanding of LLM capabilities but also the ability to manage their outputs and ensure they are delivered through scalable, production-ready services that can handle healthcare data at scale.
  • • You will be responsible for developing high-performance data pipelines and APIs. These pipelines will be crucial for processing vast amounts of sensitive healthcare data securely and efficiently, ensuring that LLM outputs are integrated flawlessly into user-facing applications and analytical tools.
  • • This role extends to building responsive and intuitive web applications using modern frontend frameworks. The goal is to create user experiences that leverage AI-driven intelligence and advanced analytics, making complex healthcare data accessible and actionable for providers.
  • • You will also play a key role in executing Proof-of-Concepts (POCs) and conducting technical evaluations of emerging AI technologies. This proactive approach will help validate the product viability and scalability of new AI solutions before full-scale implementation.
  • • Ensuring the operational excellence of our AI-powered services is paramount. This includes establishing comprehensive observability, robust monitoring systems, and championing stringent security and regulatory compliance, particularly concerning HIPAA and SOC2 standards.
  • • As a Senior Engineer, you will drive critical architectural decisions and system optimizations for AI features. This will be done in close collaboration with product managers and engineering leadership, ensuring that our technical direction aligns with strategic business objectives and supports long-term scalability.
  • • You will own technical projects from their initial discovery phase through to successful delivery, operating with a high degree of autonomy. This end-to-end ownership ensures that solutions are not only technically sound but also directly address business needs and are built for future growth.
  • • Mentoring and upskilling fellow engineers is a core responsibility. You will share your expertise in Applied AI best practices, fostering a culture of continuous learning, technical excellence, and collaborative problem-solving within the engineering team.
  • • You will contribute significantly to the team's collective understanding of LLM capabilities, their inherent limitations, and the best practices for their application within the sensitive and complex healthcare domain.
  • • Active participation in thorough design and code reviews is expected, serving as a catalyst for raising the technical quality bar across the entire team.
  • • You will be accountable for the successful delivery of complex technical projects, managing timelines and ensuring alignment with business objectives. Identifying and resolving technical bottlenecks and cross-team dependencies will be crucial for maintaining delivery velocity and system reliability.
  • • A key aspect of this role is balancing the need for speed and iteration with the imperative for maintaining high engineering quality and reliability, making pragmatic decisions that enable rapid progress without compromising on excellence.
  • • Ultimately, your work will directly contribute to Pearl Health's mission of empowering primary care providers, enabling them to succeed in value-based care, and improving health outcomes for thousands of patients. You will be turning cutting-edge AI into real-world products that make a significant difference in healthcare.

🎯 Requirements

  • • 5-8 years of professional experience in software engineering, with a strong foundation in service-oriented architectures and distributed systems.
  • • Hands-on experience building and productionizing Applied AI LLM features, including working with RAG architectures, vector databases, embedding models, and/or Agentic workflows.
  • • Strong proficiency in Python, relational databases, and a major cloud platform (AWS preferred).
  • • A deep understanding of modern service design principles, including RESTful and event-driven architectures.
  • • Proven experience designing, building, and optimizing data-intensive applications.
  • • A demonstrated history of mentoring engineers and driving technical best practices within a team.

🏖️ Benefits

  • • Competitive Base Salary Range: $130,000 - $200,000 per year.
  • • Additional Compensation: Eligibility for discretionary performance bonuses and equity options.
  • • Comprehensive Benefits Package: Offering a competitive suite of benefits designed to support employee well-being.
  • • Remote Work Flexibility: Opportunity to work remotely, providing flexibility and work-life balance.
  • • Professional Development: Opportunities for growth, learning, and upskilling in cutting-edge AI and healthcare technology.

Skills & Technologies

Python
JavaScript
TypeScript
Go
React
Senior
Remote

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About Pearl Health, Inc.

Pearl Health is a technology company that provides data-driven tools to primary care physicians for managing value-based care contracts. Its platform aggregates and analyzes claims, clinical, and social data to identify high-risk patients, surface actionable insights, and track performance against quality and cost metrics. By offering workflows, benchmarking, and financial reconciliation, the company helps independent practices shift from fee-for-service to risk-sharing arrangements with Medicare Advantage and other payers, aiming to improve patient outcomes while increasing physician revenue.

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