Senior Software Engineer; Applied AI

A mission worthy of your talent

Join our team in building technology that empowers physicians and improves patient lives.

View Open Roles

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. By embracing diverse perspectives and encouraging authenticity, we create and evangelize groundbreaking health solutions.

Trust Through Transparency: We prioritize transparency in all our interactions, ensuring that employees, patients, clinicians and partners have access to the information they need to make informed decisions. Integrity is at the core of how we operate, from building products to fostering relationships, and is crucial to our ability to communicate openly and gain trust.

Serious Impact, Big Heart: We go above and beyond with our efforts to empower proactive, patient‑centered care — and we celebrate every step forward. Humor and positivity fuel our creativity, strengthen relationships, and remind us to acknowledge the journey as much as the destination.

Culture Quotes:

“We’re working on real and serious problems, trying to make an impact on people’s healthcare—there's nothing bigger than that.” — Ciara Walsh, Chief of Staff

“There’s a sense of trust in the work that I have not experienced elsewhere…I’m not afraid to step up, I’m not afraid to try something that’s out of my comfort zone.” — Zane Wruble, Senior Manager, Customer Success Operations

“At Pearl, the best conversations are the ones where we listen closely and respond with empathy — not just with terms, but with real understanding.” — Sophie Bennett, Senior Manager, Growth Solutions

• Flexible Work Environment:
  Work from home or meet up at our NYC and Boston hubs.
• Flexible PTO with a two‑week minimum, plus 15 paid holidays.
• Comprehensive Health Coverage:
  Blue Cross Blue Shield PPO (base plan fully funded), plus dental, vision, FSA, commuter, disability, life, and wellness programs.
• 401K MATCH: 100% match up to 4.5% with Empower and Sequoia One, funded every pay period.
• Parental Leave: 16 weeks paid for birthing/primary caregivers, 12 weeks for partners.
• Home Office Reimbursement:
  Up to $200 per quarter for internet, phone, or office supplies.

This page references selected aspects of certain benefits currently offered by Pearl Health, Inc. (“Pearl”), but does not describe those benefits in detail. Relevant plan and policy documents should be consulted for more information. These, and all benefits offered by Pearl, are subject to change at Pearl’s discretion.

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

Employment Type: Full time

Location Type: Remote

Department: Engineering

As a Senior Software Engineer (Applied AI), you will play a critical hands‑on role in building the AI‑powered intelligence layer of the Pearl platform. You will design and implement Applied AI features, including RAG pipelines, Agentic workflows, and LLM integrations, while ensuring these capabilities are delivered through scalable, production‑grade services. If you are passionate about turning cutting‑edge AI into real products that drive better health outcomes for thousands of providers and their patients, this role could be a great fit.

Pearl Health is dedicated to empowering primary care providers, health systems, and physician‑led networks to succeed in the shift to value‑based care. Our platform delivers the technology, financial tools, and expert services that enable practices to provide more proactive, effective care to their Medicare patients, ultimately lowering costs and improving health outcomes.

Founded in 2020, we are a team of healthcare and technology innovators backed by premier investors like Andreessen Horowitz, Viking Global Investors, and Alley Corp. We partner with thousands of providers across 44 states to build a more sustainable future for American healthcare.

Applied AI & Full‑Stack Engineering

• Design, build, and own production AI features powered by LLMs, including RAG architectures (chunking strategies,…