Sr. Software Engineer

Opportunity Overview:

Cohere Health is at the forefront of leveraging artificial intelligence (AI) to transform prior authorization, shifting from transaction-based processes to creating elevated care journeys. By integrating AI into healthcare decisioning, we aim to improve efficiency, reduce costs, and ultimately enhance patient care. This is a unique opportunity to join our rapidly growing Clinical Intelligence team, where you’ll work on building impactful healthcare technologies that streamline and optimize the prior authorization process using AI/ML and Advanced Rules Engines.

What you’ll do:

• Contribute to the functional & technical roadmap for the team, working alongside cross-functional teams to deliver high-impact deterministic rules-based and AI-driven healthcare automation solutions.
• Actively support the technical design process, bringing your expertise and analysis to help make data-driven decisions
• Continuously discover, understand, and implement new technologies & services to maximize development efficiency
• Contribute heavily to feature design, development, testing, and delivery of our cloud platform and web applications
• Support all parts of our platform from the database to the frontend
• Drive daily engineering release once 2-4 times a month
• Perform production support duties 1-2 times a year. 

What we looking for:

• You have experience working on software development teams, building and deploying full stack web applications
• You are passionate about building quality products and want to own product development end-to-end, with excellent design and development standards
• You can collaborate closely with teammates in product and design to build applications providing healthcare practitioners with the highest quality user experience
• You have experience with common software development practices such as version control, unit testing, and CI/CD
• You are a team player and are interested in working at a fast-paced startup environment

What you’ll need: 

• Bachelor's degree or higher in Computer Science, software engineering, or equivalent experience in the field.
• Minimum of 6 - 8 years of full time experience in software development lifecycle, required Proficiency with Java/Groovy or Python
• Experience building applications using React and Javascript. TypeScript is a plus 
• Familiarity with cloud development AWS/Azure
• Hands on experience leveraging test frameworks such as Cypress, Jest, Mocha, JUnit, or Cucumber is a plus, but not required
• Experience using relational (MySql, Postgres) and NoSQL (Dynamo, Elastic, Mongo) datastores along with data access patterns and strategies.
• Ability to demonstrate a high level of ownership for the entire SDLC, including designing, building, testing, deploying and supporting production services in a fast-paced environment. 
• Be self-starter requiring minimal direction with ability to learn quickly and adapt to changing priorities and requirements
• Prior experience in healthcare and life sciences is a plus, but is not required

Nice-to-haves

• Integrating AI/LLM-based systems into product workflows.
• Open source or community projects. 
• Designing or implementing agent based systems or AI products involving autonomous or task-driven agents. 

About ZignaAI, a Cohere Health Company: 

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 ZignaAI, a Cohere Health company! 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.