Staff Software Engineer

Opportunity Overview:

This is a unique opportunity to join a high-caliber software engineering team that is experiencing rapid growth. You will play a key role in building impactful healthcare technology on a modern technology stack, with a focus on our core data and AI platforms. Your work will focus on enhancing the platform's key features, while also balancing scalability, reusability, and performance.

As a Staff Engineer on the Application Engineering team, you will serve as a senior technical leader—responsible for designing and delivering high-quality, scalable software systems that power Cohere Health’s core platform. You’ll act as a multiplier, elevating the technical bar for the team, mentoring engineers, and partnering with product, data, and clinical teams to deliver solutions that meet compliance, quality, and performance standards.

This role is ideal for engineers who thrive on solving complex problems in healthcare, have deep expertise in building distributed systems, and want to influence architecture and engineering practices at scale.

What you’ll do:

• Technical Leadership & Architecture
• Define and drive the architecture of large-scale, distributed application systems across the Cohere platform.
• Ensure solutions are secure, performant, maintainable, and compliant with NCQA, CMS, and payer requirements.
• Champion engineering best practices in CI/CD, testing, release management, and observability.
• Hands-On Engineering
• Write clean, maintainable, and well-tested code, primarily in modern frameworks (e.g., Python, TypeScript/React, Java/Kotlin).
• Lead the development of core features and APIs that directly impact providers, payers, and patients.
• Partner with DevOps and Data teams to ensure seamless integration, scalability, and operational readiness.
• Quality & Compliance Focus
• Embed automated testing, monitoring, and release safeguards into the development lifecycle.
• Proactively address compliance and audit-readiness requirements in application design.
• Collaborate with Quality, Security, and Compliance stakeholders to close CAP issues and maintain high delivery standards.
• Mentorship & Influence
• Mentor engineers across the team, guiding them on technical design, code quality, and system thinking.
• Lead design reviews, technical deep-dives, and incident retrospectives to foster continuous improvement.
• Act as a thought leader in scaling engineering practices across multiple teams.
• Cross-Functional Collaboration
• Work closely with Product, Clinical, and Operations teams to ensure solutions meet real-world healthcare needs.
• Partner with Release Management to ensure predictable, high-quality delivery and quick resolution of hotfixes.

What you’ll need:

• 10+ years of software engineering experience, with at least 3+ years in a staff/principal/lead role.
• Expertise in designing and scaling distributed, cloud-native applications (AWS preferred).
• Strong background in one or more modern languages: Python, Java, TypeScript/React.
• Proven track record of driving system architecture, technical strategy, and execution.
• Experience working in healthcare technology or other regulated environments, strongly preferred.
• Demonstrated success in mentoring and growing engineering talent.
• Excellent communication skills with the ability to influence technical and non-technical stakeholders

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 

🏝️ Up to 184 hours (23 days) of PTO per year + company holidays

👶 Up to 14 weeks of paid parental leave 

🐶 Pet insurance  

The salary range for this position is $175,000 to $190,000 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*:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Live Design Exercise 
4. Architecture Discussion 
5. Cross-Functional Interview 

*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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