Opportunity Overview:
We are seeking an innovative and highly driven Senior Machine Learning Engineer to design and deploy advanced machine learning solutions across retrieval, classification, and generative AI use cases. In this role, you will apply state-of-the-art language models and agentic architectures to complex clinical data, uncovering meaningful insights that directly support our product, leadership, and clinical operations teams.
You will work cross-functionally with product managers, clinicians, and technical leadership to translate real-world healthcare challenges into scalable, production-ready machine learning systems. This opportunity offers the chance to tackle a wide range of strategic and operational problems while building reliable, high-impact AI solutions in a mission-driven clinical environment.
What you’ll do:
- Design, develop and deploy advanced machine learning algorithms for retrieval, classification and generative use cases.
- Apply advanced analysis techniques and statistical concepts to draw insights from massive datasets, create intuitive simulations, data visualizations, and business narratives.
- Develop reliable and scalable production machine learning systems.
- Write and maintain reusable codebases to perform data preprocessing, model training, evaluation, and deployment
- Provide software and machine learning best practice guidance to junior engineers
- Work cross-functionally with diverse stakeholders, including product managers, clinicians, and technical leadership to align ML solutions with Cohere’s core objectives.
What you’ll need:
- You have 5+ years experience in applied ML in the industry with a masters degree in computer science, machine learning, mathematics or a similar field
- Expert in Python with experience in deep learning frameworks (e.g., PyTorch)
- Experience with generative AI and Retrieval Augmented Generation (RAG)
- Experience working with Healthcare data is preferred
- Clear understanding of model building, model maintenance and the measures that optimize models for production use
- Understand experimental design and can independently perform collection, measurement, and interpretation of results.
- Excellent written and verbal communication skills - experience collaborating with and presenting to technical and non technical (i.e., clinical, service operations) audiences.
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 $135,000 to $170,000 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!
- Behavioral Interview(s)
- Case Study
*Subject to change
About Cohere Health:
Cohere Health is a fast-growing clinical intelligence company that’s improving lives at scale by promoting the best patient-specific care options, using cutting-edge AI combined with deep clinical expertise. In only four years our solutions have been adopted by health plans covering over 15 million lives, while our revenues and company size have quadrupled. That growth combined with capital raises totaling $106M positions us extremely well for continued success. Our awards include: 2023 and 2024 BuiltIn Best Place to Work; Top 5 LinkedIn™ Startup; TripleTree iAward; multiple KLAS Research Points of Light awards, along with recognition on Fierce Healthcare's Fierce 15 and CB Insights' Digital Health 150 lists.
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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Skills Required
- 5+ years experience in applied machine learning
- Masters degree in computer science, machine learning, mathematics, or a similar field
- Expert in Python with experience in deep learning frameworks
- Experience with generative AI and Retrieval Augmented Generation
- Experience working with healthcare data (preferred)
- Understanding of model building, maintenance, and optimization for production
- Understanding of experimental design and ability to interpret results
- Excellent written and verbal communication skills
What the Team is Saying
Cohere Health Compensation & Benefits Highlights
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Leave & Time Off Breadth — Policies indicate PTO of about 23 days per year plus 10 company holidays, with wellness and floating holidays also highlighted on some listings. This breadth is emphasized across official materials and third‑party profiles.
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Parental & Family Support — Offerings include up to 14 weeks of paid parental leave in the U.S., alongside adoption and fertility support. These provisions are consistently presented as part of a people‑first policy set.
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Healthcare Strength — Coverage spans medical, dental, vision, life and disability insurance, plus EAP and mental‑health benefits; transgender health care benefits are also called out. Plan summaries on the benefits portal indicate established carrier options and clear documentation.
Cohere Health Insights
What We Do
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 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 recognized on TIME’s World Top HealthTech Companies 2025 list, the 2025 Inc. 5000 list, in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024.
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
Cohere Health Offices
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.
