About Cohere Health Cohere Health develops clinical intelligence technology and AI-powered solutions that help health plans and healthcare providers improve decision-making, reduce administrative burden, and support better care outcomes. Its platform supports workflows across the healthcare continuum, including policy management, prior authorization, and payment accuracy. Following its acquisition of ZignaAI, Cohere Health expanded its platform with the Payment Integrity Suite, including Cohere Validate, an AI-driven solution for clinical and coding validation. The company works to improve payer-provider collaboration, reduce unnecessary healthcare spending, and help ensure providers are paid accurately and promptly.

About the Role

Cohere Health is seeking a Staff Software Engineer to join its Payment Solutions team. In this role, you’ll design, develop, and scale highly available AI-powered healthcare products that support payment integrity workflows across providers, payers, and delegated entities. You’ll provide technical direction for an autonomous, agile engineering team while remaining hands-on with architecture, implementation, code reviews, and production operations. You’ll also work closely with product, machine learning, data science, and architecture teams to build secure, reliable, and configurable enterprise platforms. This is a remote-first position in the United States, with approximately 5% travel, including potential travel to Boston, Massachusetts, for new-hire onboarding, team meetings, and company events.

Key Responsibilities

Provide technical leadership across system architecture, design decisions, and software engineering practices. Mentor engineers and help the team build scalable, maintainable SaaS products. Lead the development and enhancement of Cohere Health’s AI-powered applications and platforms, with an emphasis on configurability and performance. Design data and retrieval architectures that enable AI agents to access relevant context across diverse healthcare data sources. Write, review, and maintain high-quality production code while contributing directly to engineering work. Lead software releases and production deployments, support on-call operations, and reduce friction in the development process. Establish technical approaches that address non-functional requirements, including observability, instrumentation, performance, security, privacy, and operational readiness. Ensure system designs account for applicable security and privacy regulations. Collaborate with machine learning, data science, product, and architecture teams to translate business requirements into technical solutions. Participate in sprint planning, execution, and retrospectives to improve engineering efficiency and delivery. Work with stakeholders to align technical decisions and engineering priorities with product goals and business needs. Help establish engineering standards and communicate technical strategy to both technical and non-technical audiences. Required Qualifications 12+ years of experience across the software development lifecycle, with progression to designing complex, high-impact cloud-native systems. Expertise in authentication and authorization frameworks, secure API design, access control, and automated testing. Strong system design skills, including observability and production operations. Full-stack engineering expertise using modern programming languages. Experience with event-driven systems and continuous integration and continuous delivery (CI/CD). Experience designing data systems and pipelines for analytical and AI workloads. Strong understanding of data modeling fundamentals. Demonstrated ability to shape engineering standards, mentor engineers, and communicate technical strategy effectively. Bachelor’s degree in Computer Science, Software Engineering, or a related field.

Preferred Qualifications

Experience in healthcare technology, health plans, or payment integrity. Familiarity with healthcare interoperability standards and clinical ontologies. Experience with infrastructure as code (IaC). Location & Work Arrangement Remote-first position based in the United States. Approximately 5% travel, including potential visits to Boston, Massachusetts, for onboarding and occasional in-person meetings and company events. Salary & Benefits Annual salary range: $185,000–$225,000. Individual compensation decisions depend on qualifications, experience, skill set, and internal alignment. Medical, dental, vision, life, and disability insurance. Employee Assistance Program. 401(k) retirement plan with company match. Flexible spending accounts and health savings account. Up to 14 weeks of paid parental leave. Bonus as part of the total compensation package. Interview Process The interview process currently includes the following stages and may change: Initial phone screening with Talent Acquisition. Meeting with the hiring manager. Live system design interview. Project discussion. Cross-functional interview. Equal Employment Opportunity Cohere Health is an Equal Opportunity Employer committed to a respectful, inclusive workplace where everyone has access to equal employment opportunities. The company does not discriminate against individuals based on any protected status under applicable law. Voluntary self-identification information may be requested for government reporting purposes. Participation is voluntary, and responses are maintained confidentially and are not considered in hiring decisions or thereafter. As a government contractor subject to VEVRAA, Cohere Health also requests information concerning protected veteran status to assess its outreach and recruitment efforts.