Pearl
Full-Stack Software Engineer (Python + React) (HealthTech/AI) - A136
Pearl, New York, New York, us, 10261
Work Arrangement:
Remote or In-Person (New York City, NY) Job Type:
Independent Contractor, Full-time Work Schedule:
Monday to Friday | 40 hours
Locations:
United States (NYC preferred)
Open to remote candidates with overlapping U.S. hours
About Pearl Talent Pearl works with the top 1% of candidates from around the world and connects them with the best startups in the US and EU. Our clients have raised over $5B in aggregate and are backed by companies like OpenAI, a16z, and Founders Fund. They’re looking for the sharpest, hungriest candidates who they can consistently promote and work with over many years. Candidates we’ve hired have been flown out to the US and EU to work with their clients, and even promoted to roles that match folks onshore in the US.
Why Work with Us?
At Pearl, we’re not just another recruiting firm—we connect you with exceptional opportunities to work alongside visionary US and EU founders. Our focus is on placing you in roles where you can grow, be challenged, and build long-term, meaningful careers.
Role Overview We’re seeking a
Senior Full-Stack Software Engineer
to join a fast-growing AI-driven HealthTech startup that’s redefining pharmacy automation. Their agentic AI platform is already deployed across multiple U.S. pharmacies, streamlining workflows and improving patient access and care.
As a Founding Engineer, you’ll collaborate directly with the founders to design, build, and scale the company’s AI infrastructure. You’ll work across the stack—from backend systems and LLM integrations to frontend product delivery—owning projects that make real-world clinical impact. This role is perfect for an engineer who thrives in early-stage, high-velocity environments and wants to help shape the future of healthcare technology.
Your Impact You’ll be instrumental in building the technical foundation of a category-defining HealthTech startup. From architecting AI workflows that optimize pharmacy operations to ensuring scalable, HIPAA-compliant systems, your work will directly enhance patient outcomes and redefine what’s possible in digital healthcare.
Core Responsibilities AI System Development & Integration – 30%
Design and implement AI-powered workflows for pharmacy operations.
Build and refine LLMs, agentic systems, and integrations that power patient and staff interactions.
Use prompt engineering and experimentation to optimize performance and contextual accuracy.
Backend Engineering & Infrastructure – 30%
Architect and scale backend systems using Python, TypeScript, and Postgres.
Develop APIs ensuring performance, security, and reliability.
Maintain CI/CD pipelines for safe, rapid deployment.
Ensure HIPAA-compliant infrastructure and data integrity.
Frontend & Product Collaboration – 20%
Build modern, responsive UIs with frameworks like React.
Partner with product and design teams to translate ideas into high-performing user experiences.
Establish continuous feedback loops with customers to refine product direction.
Scalability & System Reliability – 10%
Diagnose and optimize system bottlenecks to improve reliability and performance.
Implement monitoring and testing frameworks to ensure uptime and resilience.
Support integrations across both cloud and on-prem environments.
Strategic & Cross-Functional Collaboration – 10%
Contribute to the long-term technical roadmap and architecture decisions.
Mentor new engineers as the team scales.
Work directly with leadership to translate business goals into technical deliverables.
Must-Have (Required):
4+ years of full-time software engineering experience (excluding internships).
Strong backend development experience with
Python, TypeScript, Postgres , and
AWS .
Hands-on experience with
LLMs, prompt engineering, or voice AI systems
(personal or production).
Proven success designing and scaling systems for production environments.
Prior experience in
startups or early-stage engineering teams .
Strong communication and collaboration skills across technical and non-technical teams.
High ownership mindset and bias toward fast, iterative shipping.
Nice-to-Have (Preferred):
Prior experience as a founding engineer or technical lead in a startup.
Background in
healthtech, pharmacy tech, or clinical automation .
Familiarity with
AI engineering tools
such as Copilot, Cursor, or Replit Ghostwriter.
Tools Proficiency Required:
Languages:
Python, JavaScript, TypeScript
Backend:
FastAPI, Flask, Node.js
Frontend:
React or modern JS frameworks
Database:
PostgreSQL
Infrastructure:
AWS (Lambda, EC2, S3), Docker
AI Stack:
OpenAI APIs, LangChain, vector databases
Version Control & CI/CD:
GitHub, CircleCI
Preferred:
HIPAA-compliant frameworks
Data encryption and security libraries
AI-powered productivity tools
Compensation Package
Competitive Salary:
Based on experience and skills
Remote Work:
Fully remote—work from anywhere
Performance Bonus:
Based on data accuracy, reporting timeliness, and overall sales efficiency
Team Incentives:
Recognition for maintaining 100% CRM hygiene and on-time reporting
Health Coverage for Philippines-based talents:
HMO coverage after 3 months for full-time employees
Direct Mentorship:
Guidance from international industry experts
Learning & Development:
Ongoing access to resources for professional growth
Global Networking:
Connect with professionals worldwide
Work-Life Balance:
Flexible hours that support a healthy balance
Our Recruitment Process
Application
Screening
Initial Interview
Internal Assessment
Client Interview
Client Assessment
Job Offer
Onboarding
Ready to Join Us? If this role aligns with your skills and goals, apply now to take the next step in your journey with Pearl.
#J-18808-Ljbffr
Remote or In-Person (New York City, NY) Job Type:
Independent Contractor, Full-time Work Schedule:
Monday to Friday | 40 hours
Locations:
United States (NYC preferred)
Open to remote candidates with overlapping U.S. hours
About Pearl Talent Pearl works with the top 1% of candidates from around the world and connects them with the best startups in the US and EU. Our clients have raised over $5B in aggregate and are backed by companies like OpenAI, a16z, and Founders Fund. They’re looking for the sharpest, hungriest candidates who they can consistently promote and work with over many years. Candidates we’ve hired have been flown out to the US and EU to work with their clients, and even promoted to roles that match folks onshore in the US.
Why Work with Us?
At Pearl, we’re not just another recruiting firm—we connect you with exceptional opportunities to work alongside visionary US and EU founders. Our focus is on placing you in roles where you can grow, be challenged, and build long-term, meaningful careers.
Role Overview We’re seeking a
Senior Full-Stack Software Engineer
to join a fast-growing AI-driven HealthTech startup that’s redefining pharmacy automation. Their agentic AI platform is already deployed across multiple U.S. pharmacies, streamlining workflows and improving patient access and care.
As a Founding Engineer, you’ll collaborate directly with the founders to design, build, and scale the company’s AI infrastructure. You’ll work across the stack—from backend systems and LLM integrations to frontend product delivery—owning projects that make real-world clinical impact. This role is perfect for an engineer who thrives in early-stage, high-velocity environments and wants to help shape the future of healthcare technology.
Your Impact You’ll be instrumental in building the technical foundation of a category-defining HealthTech startup. From architecting AI workflows that optimize pharmacy operations to ensuring scalable, HIPAA-compliant systems, your work will directly enhance patient outcomes and redefine what’s possible in digital healthcare.
Core Responsibilities AI System Development & Integration – 30%
Design and implement AI-powered workflows for pharmacy operations.
Build and refine LLMs, agentic systems, and integrations that power patient and staff interactions.
Use prompt engineering and experimentation to optimize performance and contextual accuracy.
Backend Engineering & Infrastructure – 30%
Architect and scale backend systems using Python, TypeScript, and Postgres.
Develop APIs ensuring performance, security, and reliability.
Maintain CI/CD pipelines for safe, rapid deployment.
Ensure HIPAA-compliant infrastructure and data integrity.
Frontend & Product Collaboration – 20%
Build modern, responsive UIs with frameworks like React.
Partner with product and design teams to translate ideas into high-performing user experiences.
Establish continuous feedback loops with customers to refine product direction.
Scalability & System Reliability – 10%
Diagnose and optimize system bottlenecks to improve reliability and performance.
Implement monitoring and testing frameworks to ensure uptime and resilience.
Support integrations across both cloud and on-prem environments.
Strategic & Cross-Functional Collaboration – 10%
Contribute to the long-term technical roadmap and architecture decisions.
Mentor new engineers as the team scales.
Work directly with leadership to translate business goals into technical deliverables.
Must-Have (Required):
4+ years of full-time software engineering experience (excluding internships).
Strong backend development experience with
Python, TypeScript, Postgres , and
AWS .
Hands-on experience with
LLMs, prompt engineering, or voice AI systems
(personal or production).
Proven success designing and scaling systems for production environments.
Prior experience in
startups or early-stage engineering teams .
Strong communication and collaboration skills across technical and non-technical teams.
High ownership mindset and bias toward fast, iterative shipping.
Nice-to-Have (Preferred):
Prior experience as a founding engineer or technical lead in a startup.
Background in
healthtech, pharmacy tech, or clinical automation .
Familiarity with
AI engineering tools
such as Copilot, Cursor, or Replit Ghostwriter.
Tools Proficiency Required:
Languages:
Python, JavaScript, TypeScript
Backend:
FastAPI, Flask, Node.js
Frontend:
React or modern JS frameworks
Database:
PostgreSQL
Infrastructure:
AWS (Lambda, EC2, S3), Docker
AI Stack:
OpenAI APIs, LangChain, vector databases
Version Control & CI/CD:
GitHub, CircleCI
Preferred:
HIPAA-compliant frameworks
Data encryption and security libraries
AI-powered productivity tools
Compensation Package
Competitive Salary:
Based on experience and skills
Remote Work:
Fully remote—work from anywhere
Performance Bonus:
Based on data accuracy, reporting timeliness, and overall sales efficiency
Team Incentives:
Recognition for maintaining 100% CRM hygiene and on-time reporting
Health Coverage for Philippines-based talents:
HMO coverage after 3 months for full-time employees
Direct Mentorship:
Guidance from international industry experts
Learning & Development:
Ongoing access to resources for professional growth
Global Networking:
Connect with professionals worldwide
Work-Life Balance:
Flexible hours that support a healthy balance
Our Recruitment Process
Application
Screening
Initial Interview
Internal Assessment
Client Interview
Client Assessment
Job Offer
Onboarding
Ready to Join Us? If this role aligns with your skills and goals, apply now to take the next step in your journey with Pearl.
#J-18808-Ljbffr