Requirements
Must-Have5+ years of backend software engineering experience, with at least 3 years in backend-focused (not generalist full-stack) roles3+ years of professional Python as a primary backend languageSQL proficiency with relational databases (PostgreSQL, MySQL, or SQL Server), including complex queries and schema designHands-on AWS experience (Azure or GCP transferable) deploying and managing production services, plus CI/CD pipeline ownershipExperience building and maintaining production data pipelines or ETL systems that ingest from inconsistent, messy, or unstructured external sourcesDemonstrated 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 teamNice-to-HaveWeb 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 experienceHealthcare payer data, medical coding (CPT, ICD-10), or prior authorization workflow experienceFamiliarity with Terraform, FastAPI, or SnowflakeAbout Pearl TalentPearl 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
Description
Work From Anywhere in LATAMWork Schedule: EST | Full overlap with US Eastern business hours (Monday–Friday)Compensation Range: $3,000 - $4,000 USD/month based on experienceA 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.