Cohere Health provides an AI-powered prior authorization and clinical intelligence platform that automates and personalizes provider workflows, aligns plans and physicians on evidence-based care paths, and modernizes utilization management.
<p><strong>Opportunity Overview: </strong></p> <p>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.</p> <p>We are seeking a Senior Software Engineer to join our Engineering team. In this role, you will build and operate mission-critical healthcare technology that powers prior authorization for health plans covering 15+ million members. You'll work across the full stack — backend services, event-driven pipelines, and provider-facing web applications — to deliver systems that healthcare practitioners and clinical operations teams depend on daily. You'll partner closely with product, design, clinical, and platform teams to ship high-quality software in a complex, multi-tenant healthcare environment. This is an opportunity to solve distributed systems problems where engineering quality directly impacts patient access to care.</p> <p><strong>What you’ll do:</strong></p> <ul> <li>Own epic-level efforts end-to-end — from technical design and milestone decomposition through implementation, testing, and production deployment</li> <li>Design, build, and maintain services and applications across the full stack: backend (Java, Groovy/Grails), frontend (React, TypeScript), data (MongoDB), and event-driven messaging (Kafka)</li> <li>Proactively identify systemic technical risks including performance bottlenecks, reliability gaps, data consistency issues, and accumulated technical debt — proposing and executing solutions</li> <li>Evaluate technical approaches through design docs, pilots, and experiments — documenting decisions, tradeoffs, and outcomes to inform team direction</li> <li>Mentor engineers through code reviews, design discussions, and pairing — fostering a culture of ownership, learning, and technical excellence</li> <li>Lead technical design discussions, bringing data-driven analysis and written tradeoffs to resolve ambiguity and align cross-functional stakeholders</li> <li>Ensure launch readiness for your epics — comprehensive testing, rollout strategy, monitoring, and rollback plans — coordinating across teams when dependencies exist</li> <li>Collaborate with cross-functional teams (product, design, clinical, platform) to deliver high-quality experiences while balancing quality, delivery timelines, and operational constraints</li> </ul> <p> </p> <p><strong>What you’ll need:</strong></p> <ul> <li>5+ years of professional software engineering experience with increasing scope and ownership</li> <li>Strong backend development experience using Java or Groovy, including designing and operating production-grade services</li> <li>Experience building modern web applications with React, JavaScript, and TypeScript</li> <li>Hands-on experience with NoSQL data stores (e.g., MongoDB), including schema design and query optimization</li> <li>Demonstrated ability to own and deliver epic-sized efforts — decomposing work into milestones, leading execution, and shipping with design-doc quality</li> <li>Experience building systems that integrate with external partners or upstream data sources, including APIs and event- or message-driven workflows (Kafka or similar)</li> <li>Proficiency with modern development practices including version control (Git), automated testing, and CI/CD pipelines</li> <li>Strong collaboration skills and ability to work effectively across team boundaries with product, design, and engineering partners</li> <li>Proven ability to mentor other engineers and elevate team quality through reviews and technical guidance</li> <li>Bachelor's degree in computer science, software engineering, or equivalent practical experience</li> <li>Experience in healthcare or life sciences industry, plus</li> <li>Familiarity with healthcare interoperability standards (FHIR, HL7), plus</li> <li>Experience with multi-tenant systems handling client-specific configurations at scale, plus</li> <li>Experience with API decomposition or monolith-to-services migration patterns, plus</li> <li>Hands-on experience with test frameworks such as Cypress, Playwright, JUnit, or Jest, plus</li> <li>Familiarity with cloud platforms (AWS) and distributed systems at scale, plus</li> </ul> <p> </p> <p><strong>Pay & Perks:</strong></p> <p>💻 Fully remote opportunity with about 5% travel</p> <p>🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program </p> <p>📈 401K retirement plan with company match; flexible spending and health savings account </p> <p>🏝️ Flex Time Off + company holidays</p> <p>👶 Up to 14 weeks of paid parental leave </p> <p>🐶 Pet insurance </p> <p>The salary range for this position is $135,000 to $160,000 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. </p> <p> </p> <p><strong>Interview Process*:</strong></p> <ol> <li>Connect with Talent Acquisition for a Preliminary Phone Screening</li> <li>Meet your Hiring Manager!</li> <li>Feature Design</li> <li>System Design</li> <li>Behavioral Interview(s)</li> </ol> <p>*Subject to change</p> <p> </p> <p><strong>About Cohere Health:</strong></p> <p>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. </p> <p>With the acq