Lead Software Engineer - Architecture at Cohere Health

United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

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

Responsibilities

Define and maintain the architectural blueprint for platforms, ensuring designs meet the needs of high-volume healthcare integrations and can scale across multiple systems, payors, and third party services
Establish architectural patterns and reusable frameworks that reduce technical debt, minimize redundant development, and enable integrations to scale securely and efficiently
Partner with product and engineering teams to align technical designs with business goals and ensure long term adaptability
Build architectures that are HIPAA, FHIR, and HL7 compliant, embedding data security, auditability, and privacy into design decisions
Provide architectural reviews, mentor engineers on design trade offs, and champion best practices in performance, resiliency, and cloud native development

Skills

Key technologies and capabilities for this role

microservicesAWSKafkaJavaSpringHIPAAFHIRHL7AI/ML

Questions & Answers

Common questions about this position

What is the salary range for this Lead Software Engineer role?

The salary range is $160,000 to $175,000 annually, as part of a total benefits package which includes health insurance, 401k, and bonus.

Is this position remote, and what's the travel requirement?

This is a fully remote opportunity with about 5% travel.

What key skills and experience are required for this role?

Candidates need 8+ years in software engineering with expertise in architectural design, microservices, AWS cloud infrastructure, and healthcare standards like HIPAA, FHIR, HL7. Kafka for event streaming is strongly preferred, Java Spring is a plus, along with experience in modern data platforms and AI/ML integration.

What benefits does Cohere Health offer?

Benefits include medical, dental, vision, life, disability insurance, Employee Assistance Program, 401K with company match, flexible spending and health savings accounts, up to 184 hours of PTO per year plus holidays, up to 14 weeks paid parental leave, and pet insurance.

What makes a strong candidate for this Lead Software Engineer position?

A strong candidate has a track record of leading design reviews, producing clear architectural documentation, mentoring teams, and a Bachelor’s degree in Computer Science or related field.

Cohere Health

Automates prior authorization in healthcare

About Cohere Health

Cohere Health improves the prior authorization process in healthcare, which requires providers to get approval from health plans before delivering certain services. Their platform, Cohere Unify, automates and streamlines these requests by integrating with electronic medical records and using technologies like optical character recognition and machine learning. This approach allows for faster decision-making and reduces delays in patient care. The goal is to make the prior authorization process more efficient, benefiting healthcare providers, health plans, and patients.

Boston, MassachusettsHeadquarters

2019Year Founded

$103.1MTotal Funding

LATE_VCCompany Stage

AI & Machine Learning, HealthcareIndustries

501-1,000Employees

Benefits

Health Insurance

401(k) Company Match

Performance Bonus

Remote Work Options

Risks

Increased competition from AI-driven startups like Abridge threatens market share.

Flat healthcare IT deal activity may impact future funding opportunities.

Dependency on Humana partnership poses risk if challenges arise in the relationship.

Differentiation

Cohere Health automates prior authorization, reducing delays and administrative burdens.

The Cohere Unify platform integrates with EMR and uses OCR for fax submissions.

Machine learning and AI enhance decision-making based on health plan policies.

Upsides

Humana expanded Cohere's platform use, showing trust and potential for more partnerships.

Cohere raised $50 million, indicating strong investor confidence and growth potential.

KLAS award recognition highlights effectiveness, attracting more healthcare providers.

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