Cohere Health
Healthcare & Life SciencesDirect Greenhouse career site

Lead Software Engineer - Integrations

Location
Remote (US)
Job type
Full-time
Level
Lead / Staff
Experience
8+ years
Listed
30 days ago

Skills & highlights for this role

  • distributed systems
  • healthcare interoperability
  • API integration

Also useful

  • event-driven architecture
  • CI/CD

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

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. 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.

Read the original posting

From Cohere Health's careers page, first listed on Rolev.ai on October 10, 2026. Rolev.ai is not the employer.

How Rolev.ai helps with this application

Rolev.ai is a job search and application tool for US job seekers. For this Lead Software Engineer - Integrations role at Cohere Health, it shows how your resume fits, tailors your resume to the posting, and prepares the application for you to review.

  • See how you fit

    Openings from employer career sites are ranked against your whole resume—and searchable inside Claude, ChatGPT, and Cursor via Rolev.ai MCP.

  • Tailor without inventing

    Every change to your resume is checked against your original. New experience goes in only with your yes—zero fabricated claims.

  • Draft the full kit

    Tailored and Full Match resumes, role-specific cover letters, and answers to employer screening questions are prepared in seconds.

  • 1-Click Extension Autofill

    The Chrome extension fills the employer's Greenhouse, Workday, Lever, or Ashby form in 1 click. You review it and press Submit.

Common questions

Where is the Lead Software Engineer - Integrations job at Cohere Health located?

Yes, this Lead Software Engineer - Integrations opening at Cohere Health is listed as Remote (US). Always check Cohere Health's application page for specific state eligibility or relocation policies.

What qualifications are required for Lead Software Engineer - Integrations at Cohere Health?

For the Lead Software Engineer - Integrations role, Cohere Health highlights 8+ years of relevant experience; experience with distributed systems, healthcare interoperability, API integration. Rolev.ai can score your existing resume against these requirements and show any skill gaps before you apply.

How do I apply for the Lead Software Engineer - Integrations position at Cohere Health?

This listing links directly to Cohere Health's Greenhouse application page. You can apply directly on Cohere Health's site, or use Rolev.ai to check your resume fit, generate a zero-hallucination tailored resume and cover letter for this posting, and autofill the Greenhouse application form in 1 click with the Rolev.ai Chrome extension. You always review the form and press Submit yourself.