Staff Software Engineer

Pearl Health

Staff Software Engineer driving technical architectures and strategic initiatives at Pearl Health. Ensuring scalable delivery of quality healthcare technology across diverse projects and systems.

Posted 5/21/2026full-timeRemote • Massachusetts, New York, Washington • 🇺🇸 United StatesLead💰 $180,000 - $240,000 per yearWebsite

Tech Stack

Tools & technologies

AWSCloudDistributed SystemsMicroservices

About the role

Key responsibilities & impact

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, 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
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

What you’ll need

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 response, and operational excellence.
Experience in aligning technical decisions with business objectives and clearly communicating complex trade-offs to technical and non-technical stakeholders.
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.

Benefits

Comp & perks

Competitive benefits package

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

full-stack software developmentservice-oriented architecturesdistributed systemsmicroservicesevent-driven architecturesdata-intensive applicationsobservabilitymonitoringincident responsecloud infrastructure design

Soft Skills

leadershiptechnical directionproblem-solvingcommunicationmentoringcollaborationstrategic planningownership mindsetcontinuous learninginfluence