Opportunity Overview:
This is a unique opportunity to join a high caliber engineering team that is growing quickly. As Lead Software Engineer, Architecture, you will play a key role in shaping the architectural direction of our healthcare technology platforms. You will be responsible for designing and evolving system architecture across core services, ensuring scalability, performance, and long-term resilience. Your work will balance immediate delivery needs with platform reusability, cloud native best practices, and compliance in a highly regulated environment.
What you’ll do:
- Architectural Leadership: Define and maintain the architectural blueprint for our platforms, ensuring designs meet the needs of high-volume healthcare integrations and can scale across multiple systems, payors, and third party services.
- Scalable Systems Design: Establish architectural patterns and reusable frameworks that reduce technical debt, minimize redundant development, and enable integrations to scale securely and efficiently.
- Cross-Functional Collaboration: Partner with product and engineering teams to align technical designs with business goals and ensure long term adaptability.
- Security & Compliance: Build architectures that are HIPAA, FHIR, and HL7 compliant, embedding data security, auditability, and privacy into design decisions.
- Technical Guidance: Provide architectural reviews, mentor engineers on design trade offs, and champion best practices in performance, resiliency, and cloud native development.
What you’ll need:
- 8+ years in software engineering with significant experience in architectural design and system level thinking.
- Proven expertise in microservices development and AWS cloud infrastructure. Kafka for event streaming is strongly preferred. Experience with Java Spring is a plus.
- Experience working with modern data platforms that enable reliable, governed and analytics ready data.
- Familiarity with AI/ML Platforms, agentic frameworks, and evaluation methods for integrating AI agents, model pipelines and architectural design.
- Understanding of healthcare integration standards (HIPAA, FHIR, HL7) and secure architecture practices.
- Track record of leading design reviews, producing clear architectural documentation, and mentoring teams on modern software architecture.
- Bachelor’s degree in Computer Science or related field.
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
🏝️ Up to 184 hours (23 days) of PTO per year + company holidays
👶 Up to 14 weeks of paid parental leave
🐶 Pet insurance
The salary range for this position is $160,000 to $175,000 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 Design Exercise
- Architectural Discussion
- 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.
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Top Skills
What the Team is Saying
What We Do
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.
Why Work With Us
Cohere Health brings together a community of healthcare and technology team members, passionate about changing the challenging parts of healthcare. If you enjoy solving challenging problems and learning about healthcare, then Cohere Health is a great career choice.
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Cohere Health Teams
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Remote Workspace
Employees work remotely.
Cohere employees work from 45 different states throughout the US - Cohere hosts retreats at our headquarters in Boston. ZignaAI, a Cohere Health Company, employees based in Hyderabad, India, work in-office 5 days a week.
