# Senior Software Engineer (Full Stack)

**Company:** [Pearl Health](https://hotfix.jobs/companies/pearl-health)
**Location:** Remote
**Role:** Fullstack Engineering
**Salary:** $150K-$200K
**Experience:** 8+ years
**Skills:** React, TypeScript, Node.js, AWS, Relational Databases, HIPAA, Python, Terraform
**Posted:** 2026-04-18

> Builds and owns full-stack web applications with strong frontend emphasis using React and TypeScript, powering healthcare provider platforms. Requires 8+ years experience, Node.js backend skills, AWS, and HIPAA compliance focus.

## Job Description

## What You'll Do
- Design, build, and own the web application that providers interact with every day.
- Tackle complex technical challenges across the full stack (strong emphasis on front end) to ensure systems are performant, intuitive, and support critical clinical workflows.
- 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 the frontend, balancing data transformation needs with API design best practices.
- Ensure data compliance and security at the application layer, including handling protected health information (**PHI**) and adherence to **HIPAA** requirements.
- Collaborate closely with 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 user experience goals and business objectives.
- Drive improvements in application performance, observability, and reliability across distributed infrastructure.
- Mentor and upskill fellow engineers, fostering technical best practices and collaborative growth.

## What You’ll Bring
**Must-haves:**
- 8+ years of professional experience in full-stack software engineering with primary focus on frontend development and strong command of modern web application architecture.
- Strong proficiency in **React** and **TypeScript**, with proven track record of shipping production applications.
- Experience working in **Node.js** for backend services, designing and building APIs that support frontend needs and understand data flow across the stack.
- Hands-on experience working with relational databases and **AWS**.
- Deep understanding of modern frontend architecture principles, user experience considerations, and full lifecycle of web application development.
- Demonstrated history of building applications that prioritize user experience, accessibility, and data security—particularly handling sensitive information.
- History of mentorship and driving technical best practices within a team.

**Nice-to-haves:**
- Experience in healthcare technology or highly regulated industry, particularly with **HIPAA** or similar compliance.
- Familiarity with data pipelines, including **Python** and **Terraform**.
- Familiarity with healthcare workflows, clinical terminology, or healthcare software adoption.
- Exposure to design systems and close collaboration with design teams.

## What We Offer
- **Base Salary Range**: $150,000 - $200,000 per year.
- Additional Compensation: Discretionary performance bonus and equity options.
- Competitive benefits package.

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