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About the Role
This is a hands-on individual contributor role where you will work directly with the Head of Technology and the CEO. You will build 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.
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
- 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
Requirements
- 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
Skills
- Python/Django
- PostgreSQL
- React
- AWS
- CDK
- Terraform
Location
- Work From Anywhere in the US
- New York
- Houston
Work Type
- Remote
- Full-time
Experience Level
- Senior
Benefits
- Relocation assistance available
About the Company
- 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.
- 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.