Pearl Health is a healthcare technology company that uses AI-powered predictive insights, financial risk modeling, and workflow automation to help providers manage risk and deliver better care to Medicare patients.
THE OPPORTUNITY As a Staff Engineer at Pearl Health, you will serve as a technical architect and strategic partner for both your team and our entire system. You will directly influence organizational direction by driving the design and execution of large-scale, cross-functional initiatives that enable Pearl Health to deliver quality healthcare technology at scale. Your expertise will ensure our systems are scalable, reliable, and directly support our mission of transforming primary care delivery for patients who need it most. This is your chance to model engineering excellence, set the technical bar high, and make a visible, long-term impact on the future of healthcare. WHO WE ARE Pearl Health is dedicated to empowering 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, ultimately lowering costs and improving health outcomes. Founded in 2020, we are a team of healthcare and technology innovators backed by premier investors like Andreessen Horowitz, Viking Global Investors, and AlleyCorp. We partner with thousands of providers across 44 states to build a more sustainable future for American healthcare. WHAT YOU'LL DO Technical Leadership & Architecture - 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 Full-Stack Excellence - 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 Strategic Collaboration & Influence - 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 Mentorship & Cultural Leadership - 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 Delivery & Impact - 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 WHAT YOU’LL BRING We are looking for a seasoned technologist who can seamlessly balance deep technical execution with strategic, organizational leadership. Your experience should reflect a proven ability to lead large-scale projects, elevate team performance, and make technology decisions that directly drive business and healthcare outcomes. MUST-HAVES: - 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 respons