This is a unique opportunity to join a software engineering team that is growing quickly. You will build impactful healthcare technology on a modern stack utilizing your full stack software engineering background. You'll provide senior-level technical leadership, own architecture and delivery of core features across the BI platform, while also improving scalability, performance, and reliability of the front-end application that embeds and serves BI content to clients.

What You’ll Do

Lead technical design and architecture for complex features across the BI platform
Own end-to-end delivery of features, platform improvements, and system optimizations
Drive technical decisions by evaluating trade-offs and making data-informed choices
Architect and build scalable cloud-based services using Python (FastAPI/Flask/Django)
Develop REST APIs, ETL pipelines, and backend systems for analytics and reporting
Build and maintain React + TypeScript web applications and interactive dashboards
Design systems that handle large datasets, complex queries, and high-scale usage
Establish and enforce engineering best practices, design patterns, and coding standards
Optimize performance, reliability, and scalability across services and databases
Define and maintain testing strategies using tools like pytest, Jest, and Cypress
Ensure systems meet healthcare security, compliance, and data governance standards
Mentor junior and mid-level engineers through code reviews and pairing
Collaborate with product, data science, analytics, and business teams

What You’ll Need

Bachelor’s degree in Computer Science or equivalent experience
6+ years of experience across the software development lifecycle
Strong backend experience with Python and modern web frameworks
Experience building and scaling RESTful APIs and cloud-native systems
Hands-on experience with AWS (S3, DynamoDB, Lambda, API Gateway, Athena, CloudWatch)
Strong knowledge of object-oriented design, system architecture, and design patterns
Frontend experience with React and TypeScript/JavaScript
Experience working with SQL and NoSQL databases (DynamoDB, MongoDB, etc.)
Strong understanding of data modeling, query optimization, and large datasets
Experience building data pipelines, ETL processes, or analytics platforms
Familiarity with CI/CD pipelines, DevOps practices, and infrastructure as code
Proven ability to lead technical initiatives and mentor other engineers
Strong communication skills and ability to explain technical concepts clearly
Ownership mindset and ability to balance speed with quality in a startup environment

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

🏝️ Flexible Time Off + Company Holidays

👶 Up to 14 weeks of paid parental leave

🐶 Pet insurance

The salary range for this position is $128,000 to $145,000 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!
Behavioral Interview(s)
Case Study
Subject to change

About Cohere Health

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 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.

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