Cohere Health

Lead design, development, and scaling of AI-powered healthcare payment solutions while mentoring junior engineers. | 12+ years experience in software development lifecycle with expertise in cloud-native system design, distributed systems, observability, API design, and data modeling. | Opportunity Overview: We are seeking a Staff Software Engineer to join our Payment Solutions team. In this role, designing, developing, and scaling highly available AI healthcare products supporting payment integrity workflows across providers, payers, and delegated entities. You'll direct a fast-paced, autonomous, agile team of software engineers in the design, development, and operational support of a growing enterprise platform. This is an opportunity to drive technical excellence at the intersection of healthcare interoperability and modern distributed systems. This is a remote-first role that may require travel to Boston, MA for new hire onboarding and occasional in-person team meetings and company events. What you’ll do: Technical Leadership: Provide technical leadership across architecture, system design, and mentor junior engineers for building scalable SaaS products. Platform Ownership: Lead the development and enhancement of Cohere’s AI-powered applications and platforms, ensuring that it is highly configurable, and optimized for performance. Data & Retrieval Architecture: Design data and retrieval architectures that give AI agents the right context, across diverse healthcare sources. Hands-On Engineering: Design, review, and own high-quality production code — actively contributing alongside the team, leading releases, production deployments, reducing developer development friction and on-call support. NFR, Security & Compliance: Drive technical strategy to ensure the team's designs consistently address non-functional requirements — observability, instrumentation, performance, and operational readiness that incorporate security and privacy regulations Cross-Functional Collaboration: Work closely with ML/DS teams, product teams, and architects to understand requirements and ensure systems meet business needs. Agile Development: Contribute to sprint planning, execution, and retrospectives, driving efficiency and velocity within the engineering team and collaborating closely with stakeholders to align with product goals and business priorities. What you’ll need: 12+ years in the software development lifecycle, with progression to complex, high-impact cloud-native system design Expertise in auth/authz frameworks, secure API design, access control, and automated testing Strong system design, observability, and production operations skills Fullstack expertise in modern languages, event-driven systems, and CI/CD; IaC a plus Experience designing data systems/pipelines for analytical and AI workloads, with strong data modeling fundamentals Track record shaping engineering standards, mentoring engineers, and communicating strategy across technical and non-technical audiences AI architectures (multi-agent, RAG, evaluation frameworks) a plus Healthcare tech, health plan, or Payment Integrity experience a plus; Healthcare interoperability standards and clinical ontologies a plus Bachelor's degree in Computer Science, Software Engineering, or related field, or equivalent experience Pay & Perks: 💻 Fully remote opportunity with about 5% travel 🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program 📈 401K retirement plan with company match; flexible spending and health savings account 🏝️ Flex Time Off + company holidays 👶 Up to 14 weeks of paid parental leave 🐶 Pet insurance The salary range for this position is $185,000 to $225,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment. Interview Process*: Connect with Talent Acquisition for a Preliminary Phone Screening Meet your Hiring Manager! Live System Design Project Discussion Cross Functional Interview *Subject to change About Cohere Health: Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction. With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners. The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone. We can’t wait to learn more about you and meet you at Cohere Health! Equal Opportunity Statement: Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal. #LI-Remote #BI-Remote

Design and execute end-to-end technical integrations for enterprise healthcare customers, bridging IT environments with AI platforms. | 6-10+ years backend software engineering experience with healthcare data standards, AWS proficiency, and enterprise API authentication expertise. | Opportunity Overview: We are seeking a Senior Forward-Deployed Engineer to join our Forward Deployed Engineering team at Cohere Health. In this highly technical, customer-facing role, you will own end-to-end technical integration work with enterprise customers and partners—from pre-sales through production deployment—bridging complex healthcare systems with Cohere’s AI-first platform. You’ll partner closely with Engineering, Product, Solutions Architecture, and Customer Success teams to design and execute sophisticated integrations that improve access to care for millions of members. What you’ll do: Own end-to-end technical integration design and execution for enterprise customers, from initial scoping through production deployment, serving as the primary technical authority throughout Lead technical discovery, scoping, and proof-of-concept work during pre-sales cycles, creating technical proposals and estimates to validate feasibility for prospective customers Design system architectures that bridge customer IT environments with Cohere’s platform, making key architectural decisions that balance customer constraints with platform capabilities Work hands-on with AI/ML-enabled healthcare features—including clinical decision support, automated review, and intelligent routing—ensuring they meet regulatory requirements and clinical safety standards Produce high-quality technical artifacts including integration designs, architecture diagrams, data mappings, API implementation guides, and operational runbooks Build reusable integration patterns and templates that scale across customers, and continuously identify opportunities to improve platform capabilities based on implementation learnings Collaborate cross-functionally with Engineering, Product, Solutions Architecture, and Customer Success teams to drive successful go-live outcomes and mentor junior team members What you’ll need: 6–10+ years of software engineering experience with a strong backend/systems focus Healthcare industry experience, particularly on the payer side (health plans, managed care organizations), including familiarity with healthcare workflows, data standards, and regulatory requirements Deep expertise in data architecture and integration patterns: data modeling, transformation logic, schema design, and enterprise integration patterns (middleware, message queues, event-driven architectures) Hands-on experience with AWS cloud platforms (Lambda, ECS, RDS, S3, API Gateway, EventBridge) Strong API integration and authentication experience: RESTful APIs, webhooks, OAuth2/OIDC, SAML 2.0, JWT, mTLS, and API key management Production coding skills in modern languages (Python, Node.js, Java, Go, or similar) Experience working directly with enterprise customers in technical implementation roles (not just internal teams) Comfort with ambiguity and high agency: ability to define problems, propose solutions, and execute independently Direct experience with payer-side technology: prior authorization platforms, utilization management systems, or claims processing is a plus Familiarity with healthcare data standards: FHIR, X12 (837, 278, 275), HL7v2, or similar specifications is a plus AI/ML integration experience: working with LLMs, embedding AI capabilities into production systems, or ML model deployment is a plus Infrastructure-as-code experience with Terraform, CloudFormation, or similar tools is a plus Experience in regulated environments (HIPAA, SOC2, HITRUST) is a plus Database expertise: SQL and NoSQL (PostgreSQL, MongoDB, DynamoDB), query optimization, and data modeling is a plus Identity and access management (IAM) experience: SSO implementations, federated identity, RBAC, and multi-tenancy security patterns is a plus Pay & Perks: 💻 Fully remote opportunity with about 5% travel 🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program 📈 401K retirement plan with company match; flexible spending and health savings account 🏝️ Flex Time Off + company holidays 👶 Up to 14 weeks of paid parental leave 🐶 Pet insurance The salary range for this position is $135,000 to $155,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment. Interview Process*: Connect with Talent Acquisition for a Preliminary Phone Screening Meet your Hiring Manager! Design Exercises Cross-Functional Interview *Subject to change About Cohere Health: Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members. With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone. We can’t wait to learn more about you and meet you at Cohere Health! Equal Opportunity Statement: Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal. #LI-Remote #BI-Remote