Remote Lead Software Engineer for a Healthcare Company

About the role

Work From Anywhere in the US (New York or Houston preferred, relocation assistance available)

Work Schedule: US Timezone (EST/CT) | Overlap with US business 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.

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About the Client

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.

About the Role

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.

Core Responsibilities

Product Development

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

Engineering Execution

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

Infrastructure and Quality

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

Founder Collaboration

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

Must-Have

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

Nice-to-Have

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

Benefits

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

Our Recruitment Process

Application

Screening

Skills Assessment

Topgrading Interview

Client Interview

Job Offer

Client Onboarding

Ready to Join Us?

If you’re empathetic, organized, and passionate about improving patient experiences through operational excellence, this role is for you. Apply now to help make specialized healthcare more accessible to patients across the U.S.

Posting text as published by Pearl.

The evidence behind this listing

Workplace

Remote Matched in posting text

Seniority

senior From the job title

Employment type

Not established

Location as listed

Houston, Texas, United States

Pay and work authorization

Stated pay

Not stated

Visa sponsorship

Not stated

Security clearance

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Citizenship

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