The Opportunity This is your opportunity to build and lead a high-performing engineering team that is at the forefront of revolutionizing healthcare technology. You will directly contribute to Pearl Health's mission by developing data-driven, scalable platforms that enhance patient care and create critical efficiencies for physicians. If you are a leader with the vision to inspire a team and the technical expertise to drive complex projects, this role offers a clear path to making a tangible impact on our healthcare system. 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, 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 AlleyCorp. We partner with thousands of providers across 44 states to build a more sustainable future for American healthcare. What You'll Do As a Software Engineering Manager, you will be a true owner of your team's outcomes, guiding them in developing transformative, data-driven solutions. You will balance day-to-day execution with long-term strategy, ensuring your team’s efforts align with Pearl's strategic goals. - Build and lead a high-performing team by recruiting, mentoring, and retaining exceptional engineering talent. - Foster a culture of continuous learning and professional development through coaching and new opportunities. - Set and enforce high standards for code quality, architecture, and process rigor, while balancing technical tradeoffs and speed to deliver results. - Own your team’s commitments to deliver high-quality, robust, and scalable systems on time. - Partner with Product, UX, and cross-functional stakeholders to define and deliver bold, scalable solutions. - Engage deeply with the technical details of your team’s work to ensure sound decision-making and foster a "Bias for Action" to resolve blockers. - Champion privacy and security, ensuring your team delivers solutions that comply with healthcare regulations like HIPAA and HITRUST. - Communicate clearly with all stakeholders , aligning teams and modeling the "Disagree and Commit" principle when navigating conflicting priorities, What You’ll Bring We are looking for an experienced leader who blends deep technical expertise with a proven ability to build and inspire high-performing teams. The ideal candidate is passionate about our mission and thrives in a dynamic, collaborative environment. Must-haves: - 4+ years of experience managing diverse teams of engineers across junior and senior levels. - A proven track record of building and developing high-performing teams in dynamic, fast-paced environments. - 5+ years of hands-on, full-stack engineering experience building customer-facing web applications. - Deep experience with highly data-driven systems , including proficiency in API development and modern frameworks. - A proven track record for solving complex problems that deliver tangible value to customers. - Experience working in close partnership with Product Management, User Experience (UX), and other stakeholders. - Strong communication skills with the ability to tailor messages to both technical and non-technical audiences. - Experience working with diverse teams and leveraging varied perspectives to build stronger solutions. Nice-to-haves: - Experience with Python and React. - Experience integrating emerging technologies like machine learning and natural language processing. - Knowledge of healthcare, insurance, or financial technology (Fintech) ecosystems. - Familiarity with operating in highly regulated environments (e.g., HIPAA, HITRUST) and ensuring the safety of customer data. This role might not be for you if... - You prefer a highly structured, top-down environment with a slow, deliberate pace. - You prefer to manage from a high level and are not interested in engaging with the technical details of your team’s work. - You are uncomfortable navigating ambiguity or balancing conflicting priorities. - You are looking for a role that does not require balancing the need for speed with high standards for code quality and architecture. - You thrive in a traditional, co-located office environment and are not set up for success in a remote-first company. Our Values 🤝 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. We are an Equal Opportunity Employer on a mission to improve lives. Our strength comes from the diverse backgrounds, experiences, and perspectives of our team. We welcome all candidates and are committed to a fair, inclusive hiring process free from discrimination. What We Offer The expected offer for this role includes the following components: - Base Salary Range: $180,000 - $210,000 per year. - Additional Compensation: This role is eligible for a discretionary performance bonus and equity options. - Benefits: We offer a competitive benefits package. You can learn more on our benefits page. Final compensation for this role will be determined by a variety of factors, including a candidate's relevant skills, experience, labor market conditions, and location. Agency Submissions We are not currently working with contingency search firms. If a resume is submitted to any Pearl Health employee by a third party without a valid written and signed search agreement, it will become the property of Pearl Health and no fee will be paid, irrespective of whether the candidate is hired. The Interview Process While steps may vary by role, you can typically expect: - Recruiter Screen: An intro call to discuss your background and motivations. - Manager Interview: A deeper-dive conversation with an Engineering Manager. - Case Study: A brief take home that dives into a previous project that you've led. - Panel Interview: A technical interview, a non-technical interview, and a meeting with your would-be manager. - Executive Interview: Final conversation(s) with 1-2 of our leaders.

• Build, grow, and lead a high-performing team of full-stack engineers delivering patient request, forms, and supporting admin platform capabilities. • Define and drive the technical vision for scalable, reusable workflows that reduce engineering and operational cost per new provider implementation. • Partner closely with Product, Operations, Security, and Commercial teams to translate business goals—adoption, turnaround time, efficiency—into measurable engineering outcomes. • Ensure secure, compliant handling of sensitive health data, embedding strong controls around access, auditability, reliability, and incident management. • Architect modular, maintainable systems that align with broader provider platform standards and enable long-term scale. • Improve implementation speed and operational efficiency through automation, tooling, and clear integration patterns. • Establish and uphold strong engineering practices across CI/CD, testing, observability, and production readiness. • Be hands-on when needed—guiding critical design decisions, unblocking complex technical challenges, and mentoring engineers into technical leaders.

• Hands on with data analysis and technical problem solving • Leverage open source tools like OpenTelemetry to acquire data • Help design and build our APM agents that run in our customer environments and give engineers deep insight into application performance, and business line owners actionable intelligence on their business performance • Build processes that ensure reliability, scalability, team growth and execution • Work across teams to build engineering plans and execute, getting things done in a distributed, large-scale, and fast-growing environment

• Build and lead a high-performing team by recruiting, mentoring, and retaining exceptional engineering talent. • Foster a culture of continuous learning and professional development through coaching and new opportunities. • Set and enforce high standards for code quality, architecture, and process rigor, while balancing technical tradeoffs and speed to deliver results. • Own your team’s commitments to deliver high-quality, robust, and scalable systems on time. • Partner with Product, UX, and cross-functional stakeholders to define and deliver bold, scalable solutions. • Engage deeply with the technical details of your team’s work to ensure sound decision-making and foster a "Bias for Action" to resolve blockers. • Champion privacy and security, ensuring your team delivers solutions that comply with healthcare regulations like HIPAA and HITRUST. • Communicate clearly with all stakeholders, aligning teams and modeling the "Disagree and Commit" principle when navigating conflicting priorities.