Lead Software Engineer - Integrations at Cohere Health

<p><strong>Opportunity Overview:&nbsp;</strong></p> <p>We are seeking a Lead Software Engineer to join our Integrations team, designing, developing, and scaling highly available healthcare integration systems that support prior authorization workflows across providers, payers, and delegated entities. You'll lead a fast-paced, autonomous, agile team of engineers building and operating a growing enterprise integration platform — driving technical excellence at the intersection of healthcare interoperability and modern distributed systems.</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><strong>What you’ll do:</strong></p> <ul> <li>Provide technical leadership across architecture, system design, platform scalability, reliability, and operational excellence</li> <li>Design and build scalable, resilient, high-performing systems supporting critical enterprise integrations</li> <li>Lead development of secure integrations with internal, external, and third-party platforms</li> <li>Design event-driven, distributed architectures and drive cloud infrastructure and CI/CD automation</li> <li>Establish monitoring, observability, and incident response practices, and lead resolution of production issues</li> <li>Partner cross-functionally with product, operations, data, security, and business stakeholders on agile delivery</li> <li>Mentor engineers and contribute to hiring, coaching, and career development</li> </ul> <p><strong>What you’ll need:</strong></p> <ul> <li>8+ years building and supporting scalable enterprise applications and distributed systems</li> <li>Hands-on experience integrating external APIs/third-party systems and building automated testing frameworks required&nbsp;</li> <li>Expertise in authentication/authorization frameworks, secure API design, and access control required&nbsp;</li> <li>Experience with data modeling across relational/non-relational databases, observability tooling, and event-driven architecture required&nbsp;</li> <li>Healthcare technology/prior authorization experience, interoperability standards, or experience in other highly regulated industries a plus&nbsp;</li> <li>Experience with Infrastructure as Code, cloud provisioning, and CI/CD pipeline design</li> <li>Bachelor's degree in Computer Science, Information Technology, Computer Engineering, or related field</li> </ul> <p><strong>Pay &amp; Perks:</strong></p> <p>💻 Fully remote opportunity with about 5% travel</p> <p>🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program&nbsp;</p> <p>📈 401K retirement plan with company match; flexible spending and health savings account&nbsp;</p> <p>🏝️ Flex Time Off + company holidays</p> <p>👶 Up to 14 weeks of paid parental leave&nbsp;</p> <p>🐶 Pet insurance &nbsp;</p> <p>The salary range for this position is $150,000 to $185,000 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.&nbsp;</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>Live System Design Exercise&nbsp;</li> <li>Project Discussion&nbsp;</li> <li>Cross Functional Interview&nbsp;</li> </ol> <p>*Subject to change</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.&nbsp;</p> <p>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.</p> <p>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 &amp; 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners.&nbsp;</p> <p>The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody <a href="https://coherehealth.com/our-story">our core values and principles</a>. 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.</p> <p><strong>We can’t wait to learn more about you and meet you at Cohere Health!</strong></p> <p><strong>Equal Opportunity Statement:&nbsp;</strong></p> <p>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.&nbsp; To us, it’s personal.</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>#LI-Remote</p> <p>#BI-Remote</p>