Staff Software Engineer

Pearl Health, Inc.

Job Overview

Location

Seattle, New York City, Boston, or Remote

Job Type

Full-time

Full Job Description

📋 Description

• Serve as a technical architect and strategic partner for engineering teams and the entire system, driving the design and execution of large-scale, cross-functional initiatives to enable scalable healthcare technology.
• Define and implement engineering standards, patterns, and best practices that improve scalability, reliability, and developer productivity across the organization.
• Partner on architectural decisions for critical systems, ensuring solutions are scalable, maintainable, and aligned with Pearl Health’s long-term technical vision.
• Design and build high-performance, distributed systems including data pipelines, APIs, and microservices that process healthcare data at scale.
• Architect intuitive, responsive, end-to-end web applications and internal tools that enable clinical and operations teams to deliver exceptional patient care.
• Ensure observability, monitoring, and operational excellence across distributed services, cloud infrastructure, and frontend applications.
• Apply deep expertise in both backend service design (RESTful and event-driven architectures) and modern frontend frameworks to deliver complete, production-ready solutions.
• Champion security best practices, data consistency patterns, and regulatory compliance (HIPAA, SOC2) across the entire application stack.
• Partner with product, operations, and design leadership to align engineering decisions with company priorities and healthcare outcomes.
• Act as a technical advisor to multiple teams, providing guidance on system design, technology choices, and implementation approaches.
• Influence and drive technical discussions across the organization, helping teams navigate complex technical challenges and make informed decisions.
• Translate business requirements into technical strategies, ensuring engineering work directly supports Pearl Health’s mission and growth objectives.
• Represent the engineering perspective in strategic planning, roadmap prioritization, and resource allocation discussions.
• Mentor engineers at Software Engineer I, II, and III levels, accelerating their technical growth and leadership development.
• Foster a strong engineering culture focused on continuous learning, technical excellence, and Pearl Health’s Leadership Principles.
• Conduct thorough design and code reviews, raising the bar for technical quality and sharing knowledge generously across teams.
• Model proactive problem-solving, ownership mindset, and bias for action that inspires others to take on greater technical challenges.
• Contribute to hiring, onboarding, and retention efforts, helping build and scale high-performing engineering teams.
• Own and drive multi-quarter technical projects with autonomy and accountability, ensuring successful delivery aligned with business timelines.
• Identify and resolve systemic issues, technical bottlenecks, and cross-team dependencies that impact delivery velocity or system reliability.
• Balance speed and quality, making pragmatic decisions that enable rapid iteration while maintaining engineering excellence.
• Measure and communicate the business impact of technical work, connecting engineering outcomes to customer value and organizational goals.
• Apply AI-enabled development tools like Cursor or Claude to accelerate development velocity.

🎯 Requirements

• 10+ years of experience in full-stack software development, with a proven track record in service-oriented architectures and large data systems.
• Demonstrated architectural experience designing and implementing scalable, distributed systems, including microservices and event-driven architectures.
• Cloud platform proficiency (preferably AWS), including hands-on experience with infrastructure design, deployment pipelines, and cost optimization.
• Deep expertise designing and optimizing data-intensive applications involving large-scale data movement, transformation, and presentation.
• Proven production operations experience in distributed systems, encompassing observability, monitoring, incident response, and operational excellence.
• Frontend architecture experience, including state management, component design systems, build optimization, and deployment strategies.

🏖️ Benefits

• Base salary range of $180,000 - $240,000 per year.
• Eligibility for a discretionary performance bonus and equity options.
• Competitive benefits package (details available on company benefits page).

Skills & Technologies

AWS

REST

Senior

Remote

$180k-240k

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Pearl Health, Inc.

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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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