Pearl Health · 1 day ago
Staff Software Engineer (Applied AI)
United States
Full-time
Remote
Lead/Staff
$180K/yr - $240K/yr
8+ years expPearl Health is dedicated to empowering primary care providers and health systems to succeed in the shift to value-based care. The Staff Software Engineer will serve as a technical leader to architect and build the core LLM intelligence layer for the Pearl platform, ensuring systems are scalable and reliable.
HealthcareHealth Care
Responsibilities
Architect and build the foundational LLM architecture (RAG, Agents, Vector DBs) that powers high-impact product features across the organization
Design and deliver high-performance, distributed systems (data pipelines, APIs, microservices) that process healthcare data at scale and securely integrate LLM outputs into the user experience
Drive Proof-of-Concepts (POCs) and technical evaluation of new AI technologies to validate their product viability and scalability
Design and build responsive web applications using modern frontend frameworks to deliver intuitive, user-facing intelligence and analytic features
Ensure observability, monitoring, and operational excellence, championing security and regulatory compliance (HIPAA, SOC2)
Drive system design and technical planning for all critical projects, including large, complex, and cross-functional initiatives across the organization
Partner strategically with Product, Operations, and Design leadership, translating complex business requirements into technical strategies and influencing roadmap prioritization
Mentor engineers at Software Engineer I, II, and III levels, accelerating their technical growth and leadership development
Educate the organization on the capabilities, best practices, and limitations of using LLMs and applied AI within the healthcare domain
Define and implement engineering standards, patterns, and best practices that significantly improve scalability, reliability, and developer productivity across the product
Conduct thorough design and code reviews, raising the bar for technical quality and sharing knowledge generously across 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
Qualification
Required
8-12 years of experience in large-scale software engineering, with a proven track record in service-oriented architectures and large data systems
Demonstrated architectural experience designing and implementing highly observable, scalable distributed systems, including complex microservices and event-driven architectures
Hands-on experience in the full-stack productization of Applied AI/LLM features, specifically working with RAG architectures (chunking strategies, semantic search, vector databases) and Agentic workflows
Cloud platform proficiency (preferably AWS), including hands-on experience with infrastructure design, deployment pipelines, and cost optimization
Expertise in designing and optimizing data-intensive applications, including deep database expertise (schema design, query optimization) and data consistency patterns
A strong leadership track record in driving technical direction for significant, cross-functional projects
Preferred
Hands-on experience building and deploying robust, user-facing client applications using modern frameworks (e.g., React, Angular, Vue.js, TypeScript)
Experience building systems in healthcare technology or other highly regulated industries, with an understanding of compliance requirements (e.g., HIPAA, SOC2)
Benefits
This role is eligible for a discretionary performance bonus and equity options.
We offer a competitive benefits package.
Company
Pearl Health
Pearl Health provides an integrated platform to help primary care providers focus their attention on the patients who need it.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$95MKey Investors
Andreessen Horowitz,Viking Global Investors
2023-01-26Series B· $75M
2021-09-15Series A· $18M
2020-12-28Seed· $2M
Leadership Team
Jeff De Flavio
Executive Chairman and co-Founder
Matt Solnit
Chief Technology Officer
Recent News
2025-12-01
Business Wire
2025-10-21
Company data provided by crunchbase