Senior Software Engineer

Who we are...

Pearl Health is powering the future of healthcare. We help primary care providers and organizations to deliver quality healthcare to the patients who need it most, when they need it most — and get rewarded for keeping patients healthy.

Our technology, services, and financial tools enable better, more proactive care, decrease total cost of care across patient panels, and optimize performance in value-based care models for Traditional Medicare and Medicare Advantage.

We are a team of physicians and public health experts (Stanford, Harvard, Mount Sinai), technologists (athenahealth, Amazon, Meta, Flatiron), healthcare innovators (Centivo, Aledade, Stellar, Arcadia), and experienced risk management professionals (CVS / Aetna, Humana, Oscar) who believe that primary care providers are the key to addressing our healthcare system’s biggest challenges.

Since its founding in 2020, Pearl has expanded to partner with thousands of primary care providers in practices and organizations across 44 states. Our investors include Andreessen Horowitz, Viking Global Investors, AlleyCorp, and SV Angel.

The role...

As a Senior Software Engineer at Pearl Health, you will play a pivotal role in building scalable, high-impact software solutions. You will work across our technology stack, designing and developing robust services and applications that enable proactive healthcare decision-making.

Responsibilities include :

Leading the design and implementation of service-oriented architectures , decomposing monolithic applications into scalable and maintainable services.

Developing high-performance, reliable data pipelines and APIs to support real-time and batch data processing.

Collaborating with product and engineering leadership to drive architectural decisions and system optimizations.

Owning and driving technical projects with autonomy and accountability, ensuring solutions align with business needs and scalability requirements.

Improving observability, monitoring, and reliability across distributed services and cloud infrastructure.

Mentoring and upskilling lower and mid-level engineers, fostering a strong engineering culture.

Applying best practices in service design, data consistency, and security to ensure system integrity and regulatory compliance.

This role requires a strong foundation in service and data engineering , but it is not a dedicated data engineering position. Instead, the focus is on building robust services that efficiently manage and process data across the system.

Who you are...

To be successful in this role, you should have :

8+ years of experience in full-stack development with a focus on service-oriented architectures and distributed systems .

Strong experience in Python, relational databases, and cloud platforms (prefer AWS).

Deep understanding of service design principles , including RESTful and event-driven architectures.

Experience designing and optimizing data-intensive applications that involve large-scale data movement and transformation.

Strong background in performance optimization, reliability engineering, and security best practices .

A track record of mentoring engineers and driving best practices for service and API development.

Hands-on experience with observability, monitoring, and operational excellence in distributed systems.

Familiarity with best practices in data consistency, eventual consistency, and database performance tuning .

Bonus qualifications :

Experience leading monolith-to-SOA migrations or other major architectural transformations.

Background in healthcare technology, fintech, or other highly regulated industries .

Experience working in regulated environments (HIPAA, SOC2, etc.), with a strong focus on privacy and security.

Our Values

We are an Equal Opportunity Employer and our employees are people with different strengths, experiences and backgrounds, who share a passion for improving people's lives. Our definition of diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. We believe all of our colleague’s points of view are integral to our success, and that inclusion is everyone's responsibility and a cause of beautiful things.

We welcome candidates from all backgrounds and are committed to a fair hiring process free from discrimination and focused around problem solving, improvement, and mutual empowerment.

Compensation and Benefits

The salary range Pearl Health expects to pay for this position is between $130,000-$180,000 per year.  Full time employees are also eligible for annual discretionary bonus. Where a given candidate falls within that range will depend on a variety of factors, including, but not limited to, the candidate’s relevant skills, experience and location, labor market conditions and participation, if any, in other compensation arrangements.  Pearl Health provides its employees a competitive benefit package - for more information please review our benefits page .

Agency Submissions

We are not currently working with contingency search firms. If a resume is submitted to any Pearl Health employee by a third party without a valid written and signed search agreement, it will become the property of Pearl Health and no fee will be paid, irrespective of whether the candidate is hired.