--- title: 'Lead Software Engineer - Integrations at Cohere Health' canonical: 'https://feeny.ai/job/lead-software-engineer-integrations-cohere-health-united-states-d86txckqv74z' type: 'job' last_seen: '2026-09-09' --- # Lead Software Engineer - Integrations at Cohere Health - **Company:** Cohere Health - **Location:** United States - **Posted:** 2026-08-11 - **Last confirmed live:** 2026-09-09 - **Apply:** https://job-boards.greenhouse.io/coherehealth/jobs/7855803003 ## Job description Opportunity Overview: We are seeking a Lead Software Engineer to join our Integrations team, designing, developing, and scaling highly available healthcare integration systems that support prior authorization workflows across providers, payers, and delegated entities. You'll lead a fast-paced, autonomous, agile team of engineers building and operating a growing enterprise integration platform — driving 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: - Provide technical leadership across architecture, system design, platform scalability, reliability, and operational excellence - Design and build scalable, resilient, high-performing systems supporting critical enterprise integrations - Lead development of secure integrations with internal, external, and third-party platforms - Design event-driven, distributed architectures and drive cloud infrastructure and CI/CD automation - Establish monitoring, observability, and incident response practices, and lead resolution of production issues - Partner cross-functionally with product, operations, data, security, and business stakeholders on agile delivery - Mentor engineers and contribute to hiring, coaching, and career development What you’ll need: - 8+ years building and supporting scalable enterprise applications and distributed systems - Hands-on experience integrating external APIs/third-party systems and building automated testing frameworks required - Expertise in authentication/authorization frameworks, secure API design, and access control required - Experience with data modeling across relational/non-relational databases, observability tooling, and event-driven architecture required - Healthcare technology/prior authorization experience, interoperability standards, or experience in other highly regulated industries a plus - Experience with Infrastructure as Code, cloud provisioning, and CI/CD pipeline design - Bachelor's degree in Computer Science, Information Technology, Computer 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 $150,000 to $185,000 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 Exercise - 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](https://coherehealth.com/our-story). 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 ## About Cohere Health ## Company Overview - **One-liner**: Cohere Health provides an AI-powered clinical intelligence platform that automates prior authorization, payment integrity, and care management for health plans. - **Entity Type**: Private (venture-backed, funding details not publicly available) - **Headquarters**: Boston, Massachusetts, USA (with a second office in Hyderabad, India) - **Founded**: Not publicly available - **Founders**: Not publicly available ## Core Business - **Primary Industry**: Healthcare technology (health plan operations, utilization management, payment integrity) - **Target Customers**: B2B – health plans (insurers), providers, and physician groups - **Mission**: Simplify healthcare by enabling patients, physicians, and health plans to efficiently collaborate on getting the right care at the right time, place, and value. ## Products & Services - **[Cohere Unify™ Platform](https://www.coherehealth.com/)**: A unified clinical intelligence platform that connects utilization management, payment integrity, appeals, care management, quality, and claims operations. It uses domain-specific AI to digitize care requests, automate prior authorization (85% real-time approvals), shift payment integrity upstream, and improve decision accuracy. Type: SaaS/Platform. ## Market Standing - **Valuation/Market Cap**: Not disclosed - **Key Metric**: Total funding not publicly available; operational metrics include 94% provider satisfaction, 70% faster patient access to care, 63% lower denial rates, and 18x ROI for prior authorization. - **Notable Investors/Partners**: Not disclosed in provided sources - **Growth Signals**: - Named a 2025 Built Best Place to Work and one of "150 Top Places to Work in Healthcare." - Employees span 47 U.S. states and India, fluent in over a dozen languages. - Claims auditor and data science teams actively hiring across multiple roles (67 open positions as of search date). ## Competitive Advantages - **Domain-specific AI** trained on proprietary clinical context, enabling high real-time approval rates (85%) and low provider abrasion. - **Connected intelligence** across multiple health plan workflows (UM, payment integrity, appeals, quality, claims) from a single platform, reducing silos. - **Human-in-the-loop** design ensures clinical oversight for the remaining 15% of prior authorization submissions. - Proven ROI: 5x ROI for utilization management, 8–9x for payment integrity, and 18x for prior authorization. ## Strategic Focus - Expand platform capabilities to further automate and streamline health plan operations, with emphasis on medex risk management and upstream payment integrity. - Maintain remote-first US culture while expanding India-based engineering and operations teams. - Continue investing in AI and machine learning to improve decision accuracy and audit efficiency. ## Why Work Here - **Remote/Hybrid Policy**: US team is 100% remote with a physical office in Boston available for voluntary use; India team works in-office in Hyderabad. - **Benefits**: Medical, dental, vision, life & disability insurance, 401(k) with employer match, up to 23 days PTO + holidays, up to 14 weeks paid parental leave, pet insurance, and employee assistance program. - **Culture**: Values-driven (humility, rethink status quo, purpose drives performance, connect collaborate cohere). Emphasis on mission-driven work that directly impacts patient care. - **Career Development**: Manager/leadership training, bi-annual promotion cycles, internal mobility, and learning opportunities. - **Recognition**: Awarded "Best Places to Work" and "Top Places to Work in Healthcare" in 2025. ## Sources 1. [Cohere Health Careers](https://www.coherehealth.com/careers) 2. [Cohere Health Homepage](https://www.coherehealth.com/) 3. [Our Story – Cohere Health](https://www.coherehealth.com/our-story) 4. [Cohere Health LinkedIn](https://www.linkedin.com/company/coherehealth) 5. [Jobs at Cohere Health – Greenhouse](http://job-boards.greenhouse.io/coherehealth) ## Other roles at Cohere Health - [Lead Technical Program Manager](https://feeny.ai/job/lead-technical-program-manager-cohere-health-hyderabad-mky1emnaecz6) — Hyderabad, India - [Provider Success Manager](https://feeny.ai/job/provider-success-manager-cohere-health-united-states-0a5zhx58men4) — United States - [Clinical Integrity Manager](https://feeny.ai/job/clinical-integrity-manager-cohere-health-united-states-ydtxfqhreevk) — United States - [Intake Quality Assurance Specialist](https://feeny.ai/job/intake-quality-assurance-specialist-cohere-health-hyderabad-7aev9ry6amt3) — Hyderabad, India - [Lead Healthcare Analyst](https://feeny.ai/job/lead-healthcare-analyst-cohere-health-united-states-tyt7se9f4rhy) — United States - [People Business Partner, India](https://feeny.ai/job/people-business-partner-india-cohere-health-hyderabad-jw807aqjm584) — Hyderabad, India - [Healthcare Analytics](https://feeny.ai/job/healthcare-analytics-cohere-health-hyderabad-xz4qzhtqqscx) — Hyderabad, India - [Clinical Training & Quality Specialist](https://feeny.ai/job/clinical-training-quality-specialist-cohere-health-united-states-js9y74k4jswa) — United States - [Software Engineer](https://feeny.ai/job/software-engineer-cohere-health-hyderabad-kcchyzg5fs8w) — Hyderabad, India - [Senior Data Engineer](https://feeny.ai/job/senior-data-engineer-cohere-health-hyderabad-hsd1m0x7vtva) — Hyderabad, India