Opportunity Overview:
We are seeking a Lead Software Engineer to join our Integrations team. In this role, you will be designing, developing, and scaling highly available healthcare integration systems supporting prior authorization workflows across providers, payers, and delegated entities. You'll direct a fast-paced, autonomous,agile team of software engineers in the design, development, and operational support of a growing enterprise integration platform. This is an opportunity to drive technical excellence at the intersection of healthcare interoperability and modern distributed systems.
What you’ll do:
- Technical Leadership: Provide technical leadership across architecture, system design, platform scalability, reliability, and operational excellence.
- Platform Engineering: Design and build scalable, resilient, and high-performing systems that support critical business workflows and enterprise integrations.
- Integration Solutions: Lead the development and maintenance of secure integrations with internal and external platforms, partners, and third-party systems.
- Cloud & Automation: Drive cloud infrastructure, deployment automation, and software delivery practices that enable reliable and efficient releases.
- Distributed Systems: Design and support event-driven and distributed architectures that enable scalable and fault-tolerant processing.
- Operational Excellence: Establish monitoring, observability, and incident response practices to ensure system reliability, performance, and availability.
- Quality Engineering: Champion automated testing, quality assurance, and engineering best practices throughout the software development lifecycle.
- Production Support: Lead the resolution of complex production issues and drive continuous improvement in platform stability and operational efficiency.
- Cross-Functional Collaboration: Partner with product, operations, data, security, and business stakeholders to deliver solutions aligned with organizational goals.
- Agile Delivery: Lead technical planning, design reviews, backlog refinement, and delivery execution within an agile development environment.
- Security & Compliance: Ensure solutions adhere to security, privacy, regulatory, and compliance requirements while following industry best practices.
- Mentorship & Team Development: Mentor engineers, foster technical excellence, and contribute to hiring, coaching, and career development initiatives.
What you’ll need:
Must-haves
- Bachelor's degree in Computer Science, Information Technology, Computer Engineering or related field; or equivalent experience.
- 11+ years of experience in software development, designing, building, and supporting scalable enterprise applications and distributed systems.
- Hands-on experience with Java, Groovy, and Spring Boot for building enterprise-grade integration services and APIs.
- Experience designing and implementing RESTful APIs and integrations with external systems, third-party platforms, and partner applications.
- Expertise with authentication/authorization frameworks, secure API design, and access control mechanisms.
- Experience with data modeling and storage design across relational and non-relational database technologies.
- Experience with event-driven architecture patterns and asynchronous messaging using Apache Kafka, AWS SQS, and SNS.
- Experience with cloud infrastructure on AWS, Infrastructure as Code using Terraform, and containerization with Docker.
- Experience with CI/CD pipeline design, deployment automation, and DevOps practices.
- Experience with observability, monitoring, and alerting tools for production system visibility and performance analysis.
- Working knowledge of healthcare interoperability standards including HL7 FHIR, X12 EDI, and HL7 v2.
- Familiarity with clinical ontologies such as SNOMED CT, LOINC, and ICD-10.
- Ability to navigate ambiguity, influence stakeholders, and drive technical decisions across teams.
Nice-to-haves:
- Experience in healthcare technology, health plan operations, or prior authorization systems.
- Deep experience applying FHIR resources, X12 transaction sets, and HL7 messaging in production integration workflows.
- Advanced knowledge of clinical terminologies (SNOMED CT, LOINC, ICD-10) for data mapping and clinical decision support.
- Cloud architecture certifications (e.g., AWS Solutions Architect).
- Demonstrated success leading distributed engineering teams.
Additional Information
- Reporting to: Raj Pyda
- Team: Integrations Engineering, The team designs, builds, and supports Cohere’s integration platform, delivering scalable integration solutions that connect providers, payers, and partner systems while enabling efficient prior authorization and clinical decision workflows across the healthcare ecosystem.
- Internal Applicants: Please discuss your interest with your current manager before applying. For more information about the process, check out the Talent Acquisition Confluence page.
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.
Skills Required
- 9+ years in the software development lifecycle
- Experience building and maintaining scalable data and AI platforms
- Deep experience in designing platforms for data processing and ML engineering
- Proven expertise in large-scale data infrastructure
- Strong communication and collaboration skills
- Knowledge of healthcare industry standards
- Commitment to high-quality code and CI/CD practices
- Ability to identify and resolve platform issues proactively
What the Team is Saying
Cohere Health Compensation & Benefits Highlights
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Leave & Time Off Breadth — PTO is presented at up to 184 hours (23 days) per year plus company holidays, and feedback suggests flexibility and PTO are appreciated. Clear policy details on PTO and holidays are highlighted across official materials.
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Parental & Family Support — Parental leave is listed as up to 14 weeks paid in the U.S., with adoption and fertility benefits also referenced. Candidates are encouraged to confirm specifics given potential variations by role, timing, or location.
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Healthcare Strength — Coverage spans medical, dental, vision, life, and disability insurance alongside an EAP, with hosted plan summaries indicating concrete medical and disability offerings. Inclusive elements such as transgender health care benefits and pet insurance are also cited.
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 expanded our AI-native platform with a comprehensive Payment Integrity Suite that spans data mining, clinical and coding validation, authorization and claims reconciliation, and end-to-end payment integrity services across pre- and post-pay workflows. By connecting clinical and payment insights, our transparent, AI-powered solutions help health plans proactively improve payment accuracy, reduce waste and vendor dependency, strengthen provider relationships, and build smarter, more efficient payment integrity programs. 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 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.
