Opportunity Overview:
We are seeking a Staff Software Engineer to join our Payment Solutions team. In this role, designing, developing, and scaling highly available AI healthcare products supporting payment integrity 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 platform. This is an opportunity to drive technical excellence at the intersection of healthcare interoperability and modern distributed systems.
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.
What you’ll do:
- Technical Leadership: Provide technical leadership across architecture, system design, and mentor junior engineers for building scalable SaaS products.
- Platform Ownership: Lead the development and enhancement of Cohere’s AI-powered applications and platforms, ensuring that it is highly configurable, and optimized for performance.
- Data & Retrieval Architecture: Design data and retrieval architectures that give AI agents the right context, across diverse healthcare sources.
- Hands-On Engineering: Design, review, and own high-quality production code — actively contributing alongside the team, leading releases, production deployments, reducing developer development friction and on-call support.
- NFR, Security & Compliance: Drive technical strategy to ensure the team's designs consistently address non-functional requirements — observability, instrumentation, performance, and operational readiness that incorporate security and privacy regulations
- Cross-Functional Collaboration: Work closely with ML/DS teams, product teams, and architects to understand requirements and ensure systems meet business needs.
- Agile Development: Contribute to sprint planning, execution, and retrospectives, driving efficiency and velocity within the engineering team and collaborating closely with stakeholders to align with product goals and business priorities.
What you’ll need:
- 12+ years in the software development lifecycle, with progression to complex, high-impact cloud-native system design
- Expertise in auth/authz frameworks, secure API design, access control, and automated testing
- Strong system design, observability, and production operations skills
- Fullstack expertise in modern languages, event-driven systems, and CI/CD; IaC a plus
- Experience designing data systems/pipelines for analytical and AI workloads, with strong data modeling fundamentals
- Track record shaping engineering standards, mentoring engineers, and communicating strategy across technical and non-technical audiences
- AI architectures (multi-agent, RAG, evaluation frameworks) a plus
- Healthcare tech, health plan, or Payment Integrity experience a plus; Healthcare interoperability standards and clinical ontologies a plus
- Bachelor's degree in Computer Science, Software Engineering, or related field, or equivalent experience
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 $185,000 to $225,000 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 System Design
- Project Discussion
- Cross Functional Interview
*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.
#LI-Remote
#BI-Remote
Skills Required
- 12+ years in the software development lifecycle with progression to complex, high-impact cloud-native system design
- Expertise in auth/authz frameworks, secure API design, and access control
- Experience with automated testing and test automation practices
- Strong system design, observability, and production operations skills (on-call, deployments)
- Fullstack expertise in modern languages, event-driven systems, and CI/CD pipelines
- Experience designing data systems and pipelines for analytical and AI workloads with strong data modeling fundamentals
- Track record shaping engineering standards, mentoring engineers, and communicating technical strategy
- Knowledge of non-functional requirements (performance, instrumentation), security and privacy regulations/compliance
- Bachelor's degree in Computer Science, Software Engineering, or related field, or equivalent experience
- Infrastructure as Code (IaC) experience
- AI architectures (multi-agent systems, RAG, evaluation frameworks)
- Healthcare technology, health plan, or payment integrity experience
- Familiarity with healthcare interoperability standards and clinical ontologies
What the Team is Saying
Cohere Health Compensation & Benefits Highlights
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Healthcare Strength — Medical, dental, vision, life and disability insurance, plus an Employee Assistance Program, are explicitly offered, with posted plan documents indicating active benefits administration. HSA/FSA options and ancillary coverage (such as pet insurance) add breadth to the health and protection offering.
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Leave & Time Off Breadth — Approximately 184 hours of PTO per year plus company holidays are outlined, along with up to 14 weeks of paid parental leave. This combination signals substantial time-off and family support within the package.
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Retirement Support — A 401(k) with company match is advertised as part of the core offering. This provides a clear foundation for retirement savings as part of total rewards.
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.
