Summary
✨ AI‑Generated
A senior engineering role focused on building scalable software systems and AI-enabled solutions. The position requires strong software development expertise, ownership of complex components, system design experience, and the ability to collaborate across teams to deliver high-impact products.
Highlights
Opportunity to build impactful AI-driven software solutions, work on complex systems, contribute to architecture decisions, and collaborate with diverse technical teams.
Description
About Pearl
Pearl is shaping the future of dentistry with a suite of AI solutions developed to establish higher standards of quality and care for patients worldwide.
Since 2019, our team has engineered FDA-cleared computer vision capabilities for the interpretation of 2D and 3D dental imagery — industry-leading capabilities which clinicians, practice owners, labs, and insurers use to elevate the efficiency, accuracy, and consistency of dental care around the world.
At Pearl, we believe AI isn’t just what we build—it’s how we build.
We’re looking for engineers who embrace AI-powered development tools to amplify their output and ship better software, faster.
The Role
We’re looking for a Senior Engineer who is highly execution-focused and thrives in building and improving complex systems.
You’re someone who can take ownership of meaningful components, contribute to system design, and collaborate closely with cross-functional teams to deliver high-impact solutions.
You’ll work across several core product areas where AI is central to the product experience.
This role contributes to three critical product areas:
Real-Time Clinical AI Workflows: Build and improve systems that capture clinical audio, stream transcription, and generate structured documentation using LLMsAgentic Systems: Contribute to systems that process events, leverage LLM tool-calling, and automate actions across internal and external toolsDental Data Intelligence: Help develop pipelines that ingest, normalize, and enrich data from practice management systems
What You’ll Do
Build and maintain real-time transcription and LLM-powered summarization pipelinesContribute to agentic systems (tool-calling workflows, integrations, and safety guardrails)Develop across the stack: Node.js/TypeScript APIs, React frontends, PostgreSQL, and AWSSupport event-driven architectures using Kafka, SQS, or similar technologiesWrite reliable, testable code with a focus on maintainability and observabilityCollaborate on prompt engineering and evaluation of AI outputsHelp monitor, debug, and improve system performance and reliabilityWork with AI development tools (e.g., Cursor, Copilot, Claude) to enhance productivityPartner with senior engineers on system design and technical decisions
What You’ll Need to Succeed
5+ years of professional experience in software engineeringStrong sense of ownership over your work and ability to deliver independentlyAbility to navigate ambiguity and contribute to problem-solvingExperience building backend services with Node.js / TypeScriptExperience with React and modern frontend developmentFamiliarity with AWS (Lambda, SQS, S3 preferred)Experience with PostgreSQL and data modeling fundamentalsExposure to event-driven systems (Kafka, SQS, etc.)Familiarity with LLM-based systems (prompting, structured outputs, or tool usage)Experience writing tests and working with production systemsComfort using AI-assisted development tools in your workflow
Nice to Have
Experience in healthcare or dental technologyExposure to agent frameworks or LLM orchestration patternsExperience with ETL pipelines or data integrationMulti-tenant SaaS experienceInfrastructure as Code experience (e.g., Serverless Framework)
What we offer
Competitive compensation and benefitsOngoing training and development opportunitiesFlexible, uncapped PTORemote work environment
