Work From Anywhere in LATAM

Work Schedule: EST | Full overlap with US Eastern business hours (Monday–Friday)

A seed-stage healthcare technology company is building the data infrastructure behind faster, clearer healthcare coverage decisions, and is looking for a Senior Backend Engineer to own and scale that infrastructure end-to-end.

The team is small and moves fast, aggregating and normalizing over 100,000 medical policies from 100+ payers into structured, searchable intelligence using AI-driven systems. The founder is currently the sole engineer, so this hire acts as technical lead — reviewing code and setting architectural direction for a small group of part-time and offshore engineers, without managing people directly.

Day-to-day, the role centers on building and scaling web scraper infrastructure, using LLMs to structure unstructured payer policy text, and standing up CI/CD and reliability improvements across the data pipeline. Success means the founder is no longer the bottleneck — the data infrastructure runs reliably and accurately and scales without constant direction.

Requirements

Must-Have

• 5+ years of backend software engineering experience, with at least 3 years in backend-focused (not generalist full-stack) roles
• 3+ years of professional Python as a primary backend language
• SQL proficiency with relational databases (PostgreSQL, MySQL, or SQL Server), including complex queries and schema design
• Hands-on AWS experience (Azure or GCP transferable) deploying and managing production services, plus CI/CD pipeline ownership
• Experience building and maintaining production data pipelines or ETL systems that ingest from inconsistent, messy, or unstructured external sources
• Demonstrated end-to-end system or architecture ownership at an early-stage startup or small engineering team (2–15 engineers)
• English at C1+ CEFR level for technical communication on video calls with the founder and engineering team

Nice-to-Have

• Web scraping infrastructure experience (Scrapy, Playwright, or similar frameworks)
• Production LLM/AI experience, specifically building evaluation or testing harnesses (beyond API consumption)
• RAG (Retrieval-Augmented Generation) pipeline experience
• Healthcare payer data, medical coding (CPT, ICD-10), or prior authorization workflow experience
• Familiarity with Terraform, FastAPI, or Snowflake

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. They're looking for the sharpest, hungriest candidates who they can consistently promote and work with over many years. Candidates we've hired have been flown out to the US and EU to work with their clients, and even promoted to roles that match folks onshore in the US.

Hear why we exist, what we believe in, and who we're building for:

Watch here: https://www.loom.com/share/863b8e426e6d48309aa8f4ea4c1c94cd

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

1. Application
2. Screening
3. Skills Assessment
4. Topgrading Interview
5. Client Interview
6. Job Offer
7. 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.