Seattle, New York City, Boston, or Remote Remote (Global) Employment $180,000 - $240,000

Pearl Health is hiring a Staff Software Engineer

Requirements

  • 10+ years of experience in backend or 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.

Nice to Have

  • 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.
  • Experience leading architectural transformation projects, such as monolith-to-SOA migrations or platform modernizations.
  • 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.
  • Deep database expertise with relational databases, including schema design, query optimization, data consistency patterns, and performance tuning.

Benefits

  • Base Salary Range: $180,000 - $240,000 per year.
  • Additional Compensation: 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.
Required Skills
backend or full-stack software developmeinfrastructure designdeployment pipelinescost optimization.distributed systemsencompassing observabilitymonitoringincident responseoperational excellence.aligning technical decisions with busineregulatory compliance with frameworks liAI-enabled development using tools likerelational databasesincluding schema designquery optimization backend or full-stack software developmeinfrastructure designdeployment pipelinescost optimization.distributed systemsencompassing observabilitymonitoringincident responseoperational excellence.aligning technical decisions with busineregulatory compliance with frameworks liAI-enabled development using tools likerelational databasesincluding schema designquery optimization
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About company
Pearl Health
Pearl Health empowers primary care providers, health systems, and physician-led networks to succeed in the shift to value-based care. Our platform delivers the technology, financial tools, and expert services that enable practices to provide more proactive, effective care to their Medicare patients.
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Job Details
Department Engineering
Category fullstack
Posted 2 months ago