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Jobs at Pearl Health (Now Hiring) — 11 open

Pearl Health logoPearl Health

Middle Full-Stack Engineer (.NET)

Ukraine · Remote OK

Mid level$95M raised

About Us Pearl is AI for professional services at global scale, combining advanced AI with verified human expertise to deliver help that is accurate, accountable, and fast. Since 2003, our network has connected millions …

Skills: C#, .NET, MS SQL, TypeScript, JavaScript

Pearl Health logoPearl Health

Senior Software Engineer (Applied AI)

United States · Remote OK

$160k–$200k/yr

Senior+$95M raised

The Opportunity 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, i…

Skills: Applied AI, RAG Architectures, LLM Integration, Python, Vector Databases

Pearl Health logoPearl Health

Director, Enterprise Partnerships - West

Washington, District of Columbia, United States · Remote OK

$150k–$195k/yr

Senior$95M raised

The Opportunity We are seeking a senior healthcare executive to grow our enterprise partnerships in a startup environment. The Director of Enterprise Partnerships will expand our provider network by converting qualified …

Skills: Enterprise Sales, Business Development, Relationship Management, C-suite Communication, Value-Based Care

Pearl Health logoPearl Health

Staff Data Scientist, Clinical Performance

United States · Remote OK

$160k–$200k/yr

Senior+$95M raised

The Opportunity As a Staff Data Scientist on the Clinical Performance team, you will be the head developer of the predictive models that power Pearl Health’s impact on the American healthcare system. Reporting to the Sen…

Skills: Machine Learning, Causal Inference, Python, SQL, Predictive Modeling

Pearl Health logoPearl Health

Senior Product Manager

Bengaluru, Karnataka, India · Remote OK

Senior$95M raised

About Us Pearl is AI for professional services at global scale, combining advanced AI with verified human expertise to deliver help that is accurate, accountable, and fast. Since 2003, our network has connected millions …

Skills: Product Management, A/B Testing, Multivariate Analysis, Growth Strategy, UX Design

Pearl Health logoPearl Health

Deputy General Counsel

San Francisco, California, United States · Remote OK

Senior+$95M raised

About Us Pearl is AI for professional services at global scale, combining advanced AI with verified human expertise to deliver help that is accurate, accountable, and fast. Since 2003, our network has connected millions …

Skills: Corporate Governance, Commercial Transactions, Privacy Law, Consumer Protection, Litigation Management

Pearl Health logoPearl Health

Senior Analyst, Digital Marketing

Bengaluru, Karnataka, India · Remote OK

Senior$95M raised

About Us Pearl is AI for professional services at global scale, combining advanced AI with verified human expertise to deliver help that is accurate, accountable, and fast. Since 2003, our network has connected millions …

Skills: Google Ads, SEM, PPC, SQL, PowerBI

Pearl Health logoPearl Health

Associate AI Conversation Designer (German)

San Francisco, California, United States · Remote OK

Entry level$95M raised

About Us Pearl is AI for professional services at global scale, combining advanced AI with verified human expertise to deliver help that is accurate, accountable, and fast. Since 2003, our network has connected millions …

Skills: Conversation Design, German Fluency, Prompt Engineering, NLP, LLM

Pearl Health logoPearl Health

Associate AI Conversation Designer

San Francisco, California, United States · Remote OK

Entry level$95M raised

About Us Pearl is AI for professional services at global scale, combining advanced AI with verified human expertise to deliver help that is accurate, accountable, and fast. Since 2003, our network has connected millions …

Skills: Conversation Design, Prompt Engineering, NLP, LLM, UX Writing

Pearl Health logoPearl Health

Director, Customer Success

United States · Remote OK

$145k–$175k/yr

Senior+$95M raised

Who We Are 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, an…

Skills: Enterprise Relationship Management, Value-Based Care, Account Retention, Strategic Planning, Performance Coaching

Pearl Health logoPearl Health

Customer Success Manager

United States · Remote OK

$85k–$115k/yr

Mid level$95M raised

Who We Are 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, an…

Skills: Account Management, Strategic Consulting, Value-Based Care, Clinical Workflow Optimization, Data Analysis

Pearl Health logo

Middle Full-Stack Engineer (.NET)

Pearl Health

Ukraine • Remote OK

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  • Full-time
  • Posted 6d ago
  • ~40 hrs/week
  • Remote in Ukraine

Responsibilities

Design and develop backend-focused payment solutions and integrate third-party payment processors using C# and .NET. Maintain payment infrastructure and ensure systems remain secure and PCI compliant.

Requirements

Requires at least 3 years of professional software engineering experience with a strong focus on .NET and MS SQL. Proficiency in front-end technologies and experience with Generative AI tools are also expected.

Full job description

About Us

Pearl is AI for professional services at global scale, combining advanced AI with verified human expertise to deliver help that is accurate, accountable, and fast. Since 2003, our network has connected millions of customers with licensed professionals across 196 countries, making real expertise available anytime, anywhere.

Our Values

  • Data driven: Data decides, not egos
  • Courageous: We take risks and challenge the status quo
  • Innovative: We're constantly learning, creating, and adapting
  • Lean: We focus on customers, using lean testing to learn how to serve them best
  • Humble: Past success is not a guarantee of future success

About the Role

As a Middle Full-Stack Engineer (. NET) on the Pluto team within Finance - Payments, you will help build, maintain, and improve business-critical payment systems that support the full payment lifecycle. This role is ideal for a backend-leaning full stack engineer who enjoys solving complex technical problems while developing a deeper understanding of business logic and payment flows.

You’ll work on integrations with payment processors and third-party systems, support ongoing improvements to payment infrastructure, and help ensure our systems remain secure, reliable, and high quality. This is a strong opportunity for an engineer who is eager to grow long-term, expand domain expertise in payments, and contribute to systems that directly impact core business operations.

What You’ll Do

  • Design, develop, maintain, and improve backend-focused payment solutions using C# and .NET.
  • Integrate new payment processors and third-party systems to support evolving business needs.
  • Contribute to payment-related flows across the lifecycle, including transactions, refunds, chargebacks, and related service interactions.
  • Support ongoing refactoring and improvement of payment infrastructure to increase quality, resiliency, and maintainability.
  • Write and maintain automated tests, including unit tests and, where applicable, integration tests.
  • Work with complex SQL queries and data flows in a high-load environment where quality and performance matter.
  • Help keep systems secure and aligned with PCI compliance requirements.
  • Collaborate with teammates to understand business needs and translate them into reliable technical solutions.
  • Use AI-assisted development tools to support engineering productivity and delivery.
  • Participate in code reviews and contribute to strong engineering standards across the team.

What We’re Looking For

  • Minimum of 3 years of professional experience in software engineering, with a backend focus.
  • Proficiency in .NET frameworks, C#, and data access technologies.
  • Knowledge of MS SQL, including working with more complex queries and performance-sensitive data scenarios.
  • Familiarity with writing unit and integration tests (e.g., using Jest, NUnit, Playwright, React Testing Library, or similar frameworks).
  • Knowledge of front-end technologies such as HTML5, CSS3, JavaScript, and TypeScript.
  • Interest in learning the payments domain and developing an understanding of the business logic behind payment flows.
  • Experience with LLMs / Generative AI tools (e.g., OpenAI, Copilot, Cursor).
  • Experience with Web Page performance optimization and measurement will be a plus.
  • Upper-intermediate level of English or higher.

Our Commitment to an Inclusive Workplace

We welcome people from all backgrounds who seek the opportunity to help build a future where professional services are readily available to all. If you have curiosity, passion, and a collaborative spirit, come work with us. Pearl is committed to an inclusive workplace. Pearl is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, disability, age, or other legally protected status.

AI Disclosure & Informed Consent

Artificial intelligence (AI) technology may be used during the hiring process to record, transcribe, analyze, and rank interview responses. By submitting your application and participating in the interview process, you acknowledge and consent to the use of AI technology in the hiring process. For more information see our AI Disclosure and Consent Policy.
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Related keywords

C#.NETMS SQLTypeScriptJavaScriptHTML5CSS3JestNUnitPlaywrightReact Testing LibraryLLMGenerative AIOpenAICopilotCursor

About Pearl Health

LinkedInVisit site

Unlock the full value of value-based care.

Industry
Hospitals and Health Care
Company size
51-200 employees
Founded
2020
Headquarters
New York, NY
LinkedIn followers
28,730
Total funding
$95M

Pearl Health is powering the future of healthcare. We help primary care providers and healthcare organizations deliver quality healthcare to the patients who need it most, when they need it most — and get rewarded for keeping patients healthy. Our technology, services, and financial tools enable better, more proactive care, decrease the cost of care across patient panels, and optimize performance in value-based care models for Traditional Medicare and Medicare Advantage. We are a team of physicians and public health experts, technologists, healthcare innovators, and experienced risk management professionals who believe that primary care providers are the key to addressing our healthcare system’s biggest challenges. Since its founding in 2020, Pearl has expanded to partner with thousands of primary care providers in practices and organizations across 44 states. Our investors include Andreessen Horowitz, Viking Global Investors, AlleyCorp, and SV Angel.

Offices: 220 5th Avenue, 17th Floor, New York, NY 10001, US

Health DiagnosticsHealth CarePersonal HealthPrimary and Urgent Care
View all jobs at Pearl Health

About Pearl Health

LinkedInVisit site

Unlock the full value of value-based care.

Industry
Hospitals and Health Care
Company size
51-200 employees
Founded
2020
Headquarters
New York, NY
LinkedIn followers
28,730
Total funding
$95M

Pearl Health is powering the future of healthcare. We help primary care providers and healthcare organizations deliver quality healthcare to the patients who need it most, when they need it most — and get rewarded for keeping patients healthy. Our technology, services, and financial tools enable better, more proactive care, decrease the cost of care across patient panels, and optimize performance in value-based care models for Traditional Medicare and Medicare Advantage. We are a team of physicians and public health experts, technologists, healthcare innovators, and experienced risk management professionals who believe that primary care providers are the key to addressing our healthcare system’s biggest challenges. Since its founding in 2020, Pearl has expanded to partner with thousands of primary care providers in practices and organizations across 44 states. Our investors include Andreessen Horowitz, Viking Global Investors, AlleyCorp, and SV Angel.

Offices: 220 5th Avenue, 17th Floor, New York, NY 10001, US

Health DiagnosticsHealth CarePersonal HealthPrimary and Urgent Care
View all jobs at Pearl Health

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