---
title: 'Senior Software Engineer at Pearl'
canonical: 'https://feeny.ai/job/senior-software-engineer-pearl-united-states-d5qn0k0ddvgp'
type: 'job'
last_seen: '2026-10-16'
---

# Senior Software Engineer at Pearl

- **Company:** Pearl
- **Location:** United States
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-09-29
- **Last confirmed live:** 2026-10-16
- **Apply:** https://jobs.ashbyhq.com/pearl/6cc3c0c5-ea2f-4db3-83b8-6b45b6cc881b

## Job 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 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
- 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

## About Pearl

## Company Overview
- **One-liner**: Pearl provides FDA-cleared artificial intelligence solutions that elevate the efficiency, accuracy, and consistency of dental care globally.
- **Entity Type**: Private (Series B)
- **Headquarters**: West Hollywood, California, United States
- **Founded**: 2019
- **Founders**: Ophir Tanz, Cambron Carter

## Core Business
- **Primary industry/industries**: Dental AI, Healthcare Technology, Computer Vision
- **Target customers**: B2B – dental practices, DSOs (Dental Service Organizations), dental laboratories, and universities
- **Mission or purpose statement**: To elevate the standard of care in dentistry and improve billions of lives worldwide.

## Products & Services
- **Second Opinion®**: AI diagnostic support tool that analyzes 2D X-rays and 3D CBCT imagery to detect pathologies, helping clinicians catch 37% more disease. FDA-cleared and supports both 2D and 3D workflows.
- **Practice Intelligence®**: Turns practice data into actionable insights to boost growth and improve care.
- **RCM™ (Revenue Cycle Management)**: Insurance intelligence from verification to submission, helping build cleaner claims and reduce denials.
- **Pearl Voice™**: Ambient voice AI for clinical notes and perio charting, streamlining documentation.
- **Calibrate®**: AI-guided clinical training to drive consistent, outstanding care across teams.
- **Integrations**: Works with 40+ imaging and practice management systems (e.g., Open Dental, Eaglesoft, Curve Dental, Vatech, Medit).

## Market Standing
- **Valuation/Market Cap**: Not publicly available (private company).
- **Key Metric**: Total Funding $69.0M; Annual Revenue estimated at $12.0M (LinkedIn data).
- **Notable Investors/Partners**: Left Lane Capital (led Series B), Craft Ventures (led Series A), Dental Innovation Alliance. Partners include 40+ imaging and PMS vendors.
- **Growth Signals**: 
  - 153 employees (+19.6% YoY growth).
  - 23,000+ dental practices using Pearl (29,000+ per website).
  - Active in 120+ countries.
  - Recent AI clearances for 3D CBCT workflows.
  - 14 active job postings as of mid-2026.

## Competitive Advantages
- **First-mover in FDA-cleared 3D CBCT AI**: Only AI platform cleared for both 2D and 3D diagnostic workflows in dentistry.
- **Deep integration ecosystem**: 40+ imaging and PMS partners, embedded directly into existing dental workflows.
- **Proven clinical impact**: Helps clinicians catch 37% more disease and drives 30% higher treatment acceptance.
- **Global reach**: 120+ countries, with physical offices in LA, SF, NYC, Lehi (UT), and London.
- **Strong leadership**: CEO Ophir Tanz brings deep computer vision and AI startup expertise (previous founder of GumGum).

## Strategic Focus
- **Product Expansion**: Enhancing the connected platform with ambient voice AI (Pearl Voice), revenue cycle management, and AI-driven clinical training.
- **Global Scale**: Deepening presence in existing markets and expanding into new countries through partnerships and regulatory clearances.
- **Enterprise/DSO Growth**: Targeting large DSOs to drive adoption at scale (already 100+ DSOs onboarded).
- **Continued Innovation**: Building agentic AI capabilities (Senior Agentic Software Engineer role posted) to automate more clinical and administrative tasks.

## Why Work Here
- **Culture & Mission**: Work on meaningful AI that directly improves patient outcomes and dentist confidence. Described as “brightest and kindest minds in AI and dentistry.”
- **Remote/Hybrid/Office**: Remote-first with offices in Los Angeles, San Francisco, New York, Lehi (UT), and London. Global team with employees in 12 countries.
- **Perks & Benefits**:
  - Competitive salaries and meaningful equity (Fidelity 401k).
  - Flexible PTO.
  - Dental, health, and vision insurance plus wellness stipend.
  - Home office stipend and ongoing learning/ continuing education support.
  - Company gatherings (off-sites, team dinners, happy hours).
- **Engineering Culture**: Emphasis on collaboration, rigorous computer vision R&D, and pushing what’s possible with AI. Open roles include Senior Software Engineer, Machine Learning Scientist, and Senior Data Scientist.

## Sources
1. [hellopearl.com/careers](https://hellopearl.com/careers)
2. [hellopearl.com/about](https://hellopearl.com/about)
3. [hellopearl.com/](https://hellopearl.com/)
4. [linkedin.com/company/hellopearl](https://www.linkedin.com/company/hellopearl)
5. [hellopearl.eu/careers](https://hellopearl.eu/careers)

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