Note: The job is a remote job and is open to candidates in USA. Pearl Health is dedicated to empowering primary care providers and health systems to succeed in value-based care. As a Staff Software Engineer, you will serve as a technical architect, driving the design and execution of large-scale initiatives to enhance healthcare technology. Your role will involve technical leadership, full-stack development, and collaboration with various teams to ensure scalable and reliable systems.
Responsibilities
- Drive system design and technical planning for projects, including large, complex, cross-functional initiatives
- Partner on architectural decisions for critical systems, ensuring solutions are scalable, maintainable, and aligned with Pearl's long-term technical vision
- Define and implement engineering standards, patterns, and best practices that improve scalability, reliability, and developer productivity across the organization
- Partner to make strategic trade-offs between technical debt, feature delivery, and system reliability, clearly communicating the rationale and impact of these decisions
- 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'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'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
Skills
- 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
- A strong leadership track record in driving technical direction for significant, cross-functional projects
- 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
- Experience in aligning technical decisions with business objectives and clearly communicating complex trade-offs to technical and non-technical stakeholders
- Frontend architecture experience, including state management, component design systems, build optimization, and deployment strategies
- Hands-on experience with AI-enabled development using tools like Cursor, Claude, or other productivity tools to accelerate development velocity
- Experience building systems in healthcare technology, fintech, or other highly regulated industries with complex compliance requirements
- Expertise in regulatory compliance with frameworks like HIPAA, SOC2, or similar regulated environments, demonstrating a strong focus on privacy and security
- Deep database expertise with relational databases, including schema design, query optimization, data consistency patterns, and performance tuning
Benefits
- This role is eligible for a discretionary performance bonus and equity options.
- We offer a competitive benefits package. You can learn more on our benefits page.
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