Senior Software Engineer, Client Implementations

Opportunity Overview:

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.

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.

What you’ll do:

• Own epic-level efforts end-to-end — from technical design and milestone decomposition through implementation, testing, and production deployment
• 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)
• Proactively identify systemic technical risks including performance bottlenecks, reliability gaps, data consistency issues, and accumulated technical debt — proposing and executing solutions
• Evaluate technical approaches through design docs, pilots, and experiments — documenting decisions, tradeoffs, and outcomes to inform team direction
• Mentor engineers through code reviews, design discussions, and pairing — fostering a culture of ownership, learning, and technical excellence
• Lead technical design discussions, bringing data-driven analysis and written tradeoffs to resolve ambiguity and align cross-functional stakeholders
• Ensure launch readiness for your epics — comprehensive testing, rollout strategy, monitoring, and rollback plans — coordinating across teams when dependencies exist
• Collaborate with cross-functional teams (product, design, clinical, platform) to deliver high-quality experiences while balancing quality, delivery timelines, and operational constraints

What you’ll need:

• 5+ years of professional software engineering experience with increasing scope and ownership
• Strong backend development experience using Java or Groovy, including designing and operating production-grade services
• Experience building modern web applications with React, JavaScript, and TypeScript
• Hands-on experience with NoSQL data stores (e.g., MongoDB), including schema design and query optimization
• Demonstrated ability to own and deliver epic-sized efforts — decomposing work into milestones, leading execution, and shipping with design-doc quality
• Experience building systems that integrate with external partners or upstream data sources, including APIs and event- or message-driven workflows (Kafka or similar)
• Proficiency with modern development practices including version control (Git), automated testing, and CI/CD pipelines
• Strong collaboration skills and ability to work effectively across team boundaries with product, design, and engineering partners
• Proven ability to mentor other engineers and elevate team quality through reviews and technical guidance
• Bachelor's degree in computer science, software engineering, or equivalent practical experience
• Experience in healthcare or life sciences industry, plus
• Familiarity with healthcare interoperability standards (FHIR, HL7), plus
• Experience with multi-tenant systems handling client-specific configurations at scale, plus
• Experience with API decomposition or monolith-to-services migration patterns, plus
• Hands-on experience with test frameworks such as Cypress, Playwright, JUnit, or Jest, plus
• Familiarity with cloud platforms (AWS) and distributed systems at scale, 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 $128,000 to $145,000 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*:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Feature Design
4. System Design
5. Behavioral Interview(s)

*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.

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