Remote Lead Software Engineer for a Healthcare Company
Pearl Companies
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Job summary
Pearl Talent is helping a seed‑stage US healthcare tech company hire a Founding Senior Full‑Stack Engineer. You will own the donation-management platform from concept to production, spanning Python/Django backend, React frontend, PostgreSQL, and AWS infrastructure.
You’ll work with the CEO and Head of Technology, ensuring HIPAA‑compliant handling of PHI data, rapid delivery, and scalable architecture. Remote US-based candidates welcomed; quarterly travel to Houston/New York for onboarding.
Qualifications
- 5+ years of professional software engineering experience, including at seed to Series A startups or small autonomous teams.
- Took at least one product/major feature from zero to production as an early engineer.
- Full-stack production experience across frontend, backend, and database (Python/Django, React, PostgreSQL preferred).
- Hands-on coding in an IC role within the last 2 years.
- Public GitHub profile, portfolio, or open-source/side projects available for review.
Responsibilities
- Build the first donation management platform for health systems, replacing the current email-based process.
- Own new products for healthcare providers, health systems, and medication supply operations.
- Translate complex 50-state compliance rules and multi-state transfers into workable business logic.
- Partner with the Head of Technology on product direction and key engineering decisions.
Skills
Tools
Job description
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. Hear why we exist, what we believe in, and who we’re building for: Watch here: https://www.loom.com/share/863b8e426e6d48309aa8f4ea4c1c94cd
A seed‑stage US healthcare technology company is building a system to redistribute unused medications to patients who cannot afford them. It is looking for a Founding Senior Full‑Stack Engineer to build the products that increase the supply of donated medications. The company runs a pharmacist‑led process that recertifies donated medications for safe reuse. The team is 8 people across two continents. Large health plan contracts are signed or pending, so the company is close to moving from proof of concept to scaled execution.
This is a hands‑on individual contributor role. You will work directly with the Head of Technology and the CEO, building across a Python/Django and PostgreSQL backend, a React frontend, and AWS infrastructure. Your first project is a donation management platform that lets major health systems donate medications without the current email‑based process. Success means health systems donate through the platform instead of email, and the supply of donated medications grows as a result. Remote team members travel to Houston quarterly and to New York for onboarding.
- Build the first donation management platform for health systems, replacing the current email‑based process
- Own new products for healthcare providers, health systems, and medication supply operations
- Turn 50‑state compliance rules, multi‑state transfers, and expiration tracking across thousands of SKUs into working business logic
- Partner with the Head of Technology on product direction and key engineering decisions
- Design, build, and ship full‑stack features from concept to production in React, Django, and PostgreSQL
- Extend the existing codebase and reduce 6–9 months of accumulated tech debt
- Build and maintain integrations with health system, pharmacy, and logistics partners
- Meet HIPAA and PHI data‑handling requirements in every feature
- Manage AWS infrastructure using CDK and Terraform
- Improve architecture, code quality, and documentation so future engineers can onboard quickly
- Find and fix inefficiencies in existing systems, workflows, and user experience
- Work directly with the CEO on product direction and Figma design handoffs
- Contribute to product and technical planning in a flat, 8‑person team
- Set up the technical foundation for a future engineering team
- 5+ years of professional software engineering experience, including 2+ years at seed to Series A startups or small, autonomous engineering teams
- Took at least one product or major feature from zero to production as an early engineer
- Full‑stack production experience across frontend, backend, and database (Python/Django, React, and PostgreSQL preferred; equivalent modern stacks accepted)
- Hands‑on coding in an individual contributor role within the last 2 years
- Public GitHub profile, portfolio, or open‑source or side projects available for review
- Based in the United States with current authorization for W‑2 employment
- English at C1+ CEFR level
- Experience in healthcare, digital pharmacy, healthtech, logistics, or supply chain
- Built software for HIPAA‑compliant or other regulated platforms
- AWS infrastructure experience with CDK or Terraform
- Integrated AI capabilities into a production product or workflow
- Based in, or open to relocating to, New York City or Sugar Land, TX
- Competitive Salary: Based on experience and skills
- Remote Work: Fully remote—work from anywhere
- Team Incentives: Recognition for maintaining 100% CRM hygiene and on‑time reporting
- Generous PTO: In accordance with company policy
- Health Coverage for PH‑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
- Application
- Screening
- Skills Assessment
- Topgrading Interview
- Client Interview
- Job Offer
- Client Onboarding
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