Senior Software Engineer

The Opportunity

As a Senior Software Engineer, your expertise will be critical in evolving our platform, directly impacting how thousands of healthcare providers leverage data to deliver more proactive and effective patient care. If you are passionate about solving complex architectural challenges and want to build the scalable, data-intensive services that power better health outcomes, this role could be a great fit.

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

You will design, build, and own the robust services that form the backbone of our platform. You will tackle complex technical challenges to ensure our systems are scalable, reliable, and capable of supporting the providers who depend on us.

• Lead the design and implementation of service-oriented architectures, guiding the decomposition of monolithic applications into scalable, maintainable services.

• Develop high-performance, reliable data pipelines and APIs to support both real-time and batch data processing across our systems.

• Drive pivotal architectural decisions and system optimizations in close collaboration with product and engineering leadership.

• Own technical projects from discovery to delivery with autonomy, ensuring solutions align with business needs and long-term scalability.

• Enhance the observability, monitoring, and reliability of our distributed cloud infrastructure to ensure operational excellence.

• Mentor and upskill fellow engineers, fostering a strong culture of technical best practices and collaborative growth.

What You’ll Bring

You are an experienced engineer who excels at building resilient, scalable systems and enjoys elevating the skills of the entire team. Your background has equipped you to navigate complex technical domains and translate abstract challenges into concrete, high-quality software solutions.

Must-haves:

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

• Strong proficiency in Python, relational databases, and a major cloud platform (AWS preferred).

• A deep understanding of modern service design principles, including RESTful and event-driven architectures.

• Proven experience designing, building, and optimizing data-intensive applications that manage large-scale data movement.

• A demonstrated history of mentoring engineers and successfully driving technical best practices within a team.

• A strong background in performance optimization, reliability engineering, and security best practices.

Nice-to-haves:

• Experience having led or played a significant role in a monolith-to-service-oriented architecture migration.

• A background working in healthcare technology, fintech, or another highly regulated industry.

• Familiarity with compliance and security frameworks such as HIPAA or SOC2.

This role might not be for you if:

• You are seeking a dedicated data engineering role rather than a software engineering role focused on building data-centric services.

• You prefer working exclusively on new projects and do not wish to take on the challenge of decomposing and modernizing existing systems.

• You thrive most in a highly structured corporate environment with top-down decision-making and minimal ambiguity.

Our Values

🤝 Collaborate to Innovate: We believe the best solutions arise from intelligent teamwork. We trust the expertise of our teammates and pursue opportunities to learn and grow from each other. By embracing diverse perspectives and encouraging authenticity, we create and evangelize groundbreaking health solutions.

🗣️ Trust Through Transparency: We prioritize transparency in all our interactions, ensuring that employees, patients, clinicians and partners have access to the information they need to make informed decisions. Integrity is at the core of how we operate, from building products to fostering relationships, a