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Staff Software Engineer

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Pearl Health

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Location:
United States , Seattle ▼

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Category:
IT - Software Development

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Contract Type:
Not provided

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Salary:

180000.00 - 240000.00 USD / Year
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Job Description:

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.

Job Responsibility:

  • 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
  • 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
  • Champion security best practices, data consistency patterns, and regulatory compliance (HIPAA, SOC2) across the entire application stack
  • 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
  • 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
  • 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

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
  • 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
What we offer:
  • discretionary performance bonus
  • equity options
  • competitive benefits package

Additional Information:

Job Posted:
February 20, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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