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 LLMs

• Agentic Systems: Contribute to systems that process events, leverage LLM tool-calling, and automate actions across internal and external tools

• Dental 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 pipelines

• Contribute to agentic systems (tool-calling workflows, integrations, and safety guardrails)

• Develop across the stack: Node.js/TypeScript APIs, React frontends, PostgreSQL, and AWS

• Support event-driven architectures using Kafka, SQS, or similar technologies

• Write reliable, testable code with a focus on maintainability and observability

• Collaborate on prompt engineering and evaluation of AI outputs

• Help monitor, debug, and improve system performance and reliability

• Work with AI development tools (e.g., Cursor, Copilot, Claude) to enhance productivity

• Partner with senior engineers on system design and technical decisions

What You’ll Need to Succeed

• 5+ years of professional experience in software engineering

• Strong sense of ownership over your work and ability to deliver independently

• Ability to navigate ambiguity and contribute to problem-solving

• Experience building backend services with Node.js / TypeScript

• Experience with React and modern frontend development

• Familiarity with AWS (Lambda, SQS, S3 preferred)

• Experience with PostgreSQL and data modeling fundamentals

• Exposure 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 systems

• Comfort using AI-assisted development tools in your workflow

Nice to Have

• Experience in healthcare or dental technology

• Familiarity with speech-to-text systems (e.g., Deepgram, Whisper, AWS Transcribe)

• Exposure to agent frameworks or LLM orchestration patterns

• Experience with ETL pipelines or data integration

• Multi-tenant SaaS experience

• Infrastructure as Code experience (e.g., Serverless Framework)

What We Offer

• Competitive compensation and benefits

• Ongoing training and development opportunities

• Flexible, uncapped PTO

• Remote work environment