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Pearl Health Logo

Staff Software Engineer

Pearl Health

$180,000 - $215,000
Nov 21, 2025
New York, NY, US
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Pearl Health is looking to solve the problem of delivering quality healthcare technology at scale by transforming primary care delivery for patients who need it most. The Staff Engineer will drive the design and execution of large-scale, cross-functional initiatives to ensure systems are scalable and reliable, directly supporting this mission.

Requirements

  • 8-12 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.
  • 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.
  • Expertise in regulatory compliance with frameworks like HIPAA, SOC2, or similar regulated environments, demonstrating a strong focus on privacy and security.

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
  • Design and build high-performance, distributed systems including data pipelines, APIs, and microservices that process healthcare data at scale
  • Architect intuitive, responsive 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

Other

  • Serve as a technical architect and strategic partner for both your team and our entire system.
  • Directly influence organizational direction by driving the design and execution of large-scale, cross-functional initiatives.
  • Model engineering excellence, set the technical bar high, and make a visible, long-term impact on the future of healthcare.
  • Partner with product, operations, and design leadership to align engineering decisions with company priorities and healthcare outcomes.
  • Mentor engineers at Software Engineer I, II, and III levels, accelerating their technical growth and leadership development.