Senior Software Engineer (Full Stack)

Senior Software Engineer (Full Stack)

Location: Seattle, New York City, Boston, or Remote

Employment Type: Full time

Location Type: Remote

Department: Engineering

Opportunity

As a Senior Software Engineer on our web application team, your expertise will be critical in building and evolving the user-facing platform that thousands of healthcare providers depend on daily to deliver proactive, effective care. If you are passionate about creating intuitive, high-performance user experiences and want to own the full stack with an emphasis on front end work that directly impacts clinical workflows, this role could be a great fit.

What You’ll Do

• Build high-performance React applications that transform complex healthcare data into clear, actionable user experiences for clinicians.
• Architect and maintain robust Node.js backend services and APIs that power our frontend, balancing data transformation needs with API design best practices.
• Ensure data compliance and security at the application layer, including careful handling of protected health information (PHI) and adherence to HIPAA requirements.
• Collaborate closely with our design team and product leadership to translate user needs into elegant, functional features.
• Own technical projects from discovery to delivery with autonomy, ensuring solutions align with both user experience goals and business objectives.
• Drive improvements in application performance, observability, and reliability across our distributed infrastructure.
• Mentor and upskill fellow engineers, fostering a strong culture of technical best practices and collaborative growth.

What You’ll Bring

Must-haves:

• 8+ years of professional experience in full-stack software engineering with a primary focus on frontend development and a strong command of modern web application architecture.
• Strong proficiency in React and TypeScript, with a proven track record of shipping production applications using these technologies.
• Experience working in Node.js for backend services, with the ability to design and build APIs that support frontend needs and understand data flow across the stack.
• Hands‑on experience working with relational databases and AWS.
• A deep understanding of modern frontend architecture principles, user experience considerations, and the full lifecycle of web application development.
• A demonstrated history of building applications that prioritize user experience, accessibility, and data security—particularly in handling sensitive information.
• A history of mentorship and successfully driving technical best practices within a team.

Nice‑to‑haves:

• Experience working in healthcare technology or another highly regulated industry, particularly with exposure to HIPAA or similar compliance frameworks.
• Familiarity with data pipelines, including working with Python and Terraform.
• Familiarity with healthcare workflows, clinical terminology, or the realities of healthcare software adoption.
• Exposure to design systems and close collaboration with design teams.

This role might not be for you if:

• You are seeking a backend‑focused or data engineering role rather than a full‑stack role with a strong emphasis on frontend development.
• You are not comfortable with or passionate about frontend development, React, or user experience design.
• You prefer working exclusively on backend services and do not wish to engage deeply with the web application layer.
• 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.
• Trust Through Transparency: We prioritize transparency in all our interactions, ensuring employees, patients, clinicians and partners have access to the information they need to make informed decisions.
• Serious Impact, Big Heart: We go above and beyond with our efforts to empower proactive, patient‑centered care.

What We Offer

• Base Salary Range: $150,000 - $200,000 per year.
• Additional Compensation: Eligible for a discretionary performance bonus and equity options.
• Benefits: Competitive benefits package; details available on our benefits page.

We are an Equal Opportunity Employer on a mission to improve lives. Our strength comes from the diverse backgrounds, experiences, and perspectives of our team. We welcome all candidates and are committed to a fair, inclusive hiring process free from discrimination.

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.

The Interview Process

• Recruiter Screen: Intro call to discuss your background and motivations.
• Technical Exercise: Take‑home assessment meant to evaluate relevant technical skills.
• Engineering Manager Interview: Deeper‑dive conversation with the hiring manager, including a system design exercise.
• Panel Interview: Meetings with teammates and cross‑functional partners.
• Executive Interview: Final conversation(s) with 1‑2 of our leaders.