Senior Software Engineer, Client Implementations

<p><strong>Opportunity Overview:&nbsp;</strong></p> <p>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.</p> <p>We are seeking a Senior Software Engineer to join our Engineering team. In this role, you will build and operate mission-critical healthcare technology that powers prior authorization for health plans covering 15+ million members. You'll work across the full stack — backend services, event-driven pipelines, and provider-facing web applications — to deliver systems that healthcare practitioners and clinical operations teams depend on daily. You'll partner closely with product, design, clinical, and platform teams to ship high-quality software in a complex, multi-tenant healthcare environment. This is an opportunity to solve distributed systems problems where engineering quality directly impacts patient access to care.</p> <p><strong>What you’ll do:</strong></p> <ul> <li>Own epic-level efforts end-to-end — from technical design and milestone decomposition through implementation, testing, and production deployment</li> <li>Design, build, and maintain services and applications across the full stack: backend (Java, Groovy/Grails), frontend (React, TypeScript), data (MongoDB), and event-driven messaging (Kafka)</li> <li>Proactively identify systemic technical risks including performance bottlenecks, reliability gaps, data consistency issues, and accumulated technical debt — proposing and executing solutions</li> <li>Evaluate technical approaches through design docs, pilots, and experiments — documenting decisions, tradeoffs, and outcomes to inform team direction</li> <li>Mentor engineers through code reviews, design discussions, and pairing — fostering a culture of ownership, learning, and technical excellence</li> <li>Lead technical design discussions, bringing data-driven analysis and written tradeoffs to resolve ambiguity and align cross-functional stakeholders</li> <li>Ensure launch readiness for your epics — comprehensive testing, rollout strategy, monitoring, and rollback plans — coordinating across teams when dependencies exist</li> <li>Collaborate with cross-functional teams (product, design, clinical, platform) to deliver high-quality experiences while balancing quality, delivery timelines, and operational constraints</li> </ul> <p>&nbsp;</p> <p><strong>What you’ll need:</strong></p> <ul> <li>5+ years of professional software engineering experience with increasing scope and ownership</li> <li>Strong backend development experience using Java or Groovy, including designing and operating production-grade services</li> <li>Experience building modern web applications with React, JavaScript, and TypeScript</li> <li>Hands-on experience with NoSQL data stores (e.g., MongoDB), including schema design and query optimization</li> <li>Demonstrated ability to own and deliver epic-sized efforts — decomposing work into milestones, leading execution, and shipping with design-doc quality</li> <li>Experience building systems that integrate with external partners or upstream data sources, including APIs and event- or message-driven workflows (Kafka or similar)</li> <li>Proficiency with modern development practices including version control (Git), automated testing, and CI/CD pipelines</li> <li>Strong collaboration skills and ability to work effectively across team boundaries with product, design, and engineering partners</li> <li>Proven ability to mentor other engineers and elevate team quality through reviews and technical guidance</li> <li>Bachelor's degree in computer science, software engineering, or equivalent practical experience</li> <li>Experience in healthcare or life sciences industry, plus</li> <li>Familiarity with healthcare interoperability standards (FHIR, HL7), plus</li> <li>Experience with multi-tenant systems handling client-specific configurations at scale, plus</li> <li>Experience with API decomposition or monolith-to-services migration patterns, plus</li> <li>Hands-on experience with test frameworks such as Cypress, Playwright, JUnit, or Jest, plus</li> <li>Familiarity with cloud platforms (AWS) and distributed systems at scale, plus</li> </ul> <p>&nbsp;</p> <p><strong>Pay &amp; Perks:</strong></p> <p>💻 Fully remote opportunity with about 5% travel</p> <p>🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program&nbsp;</p> <p>📈 401K retirement plan with company match; flexible spending and health savings account&nbsp;</p> <p>🏝️ Flex Time Off + company holidays</p> <p>👶 Up to 14 weeks of paid parental leave&nbsp;</p> <p>🐶 Pet insurance &nbsp;</p> <p>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.&nbsp;</p> <p>&nbsp;</p> <p><strong>Interview Process*:</strong></p> <ol> <li>Connect with Talent Acquisition for a Preliminary Phone Screening</li> <li>Meet your Hiring Manager!</li> <li>Feature Design</li> <li>System Design</li> <li>Behavioral Interview(s)</li> </ol> <p>*Subject to change</p> <p>&nbsp;</p> <p><strong>About Cohere Health:</strong></p> <p>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.&nbsp;</p> <p>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.</p> <p>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 &amp; 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners.&nbsp;</p> <p>The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody <a href="https://coherehealth.com/our-story">our core values and principles</a>. 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.</p> <p><strong>We can’t wait to learn more about you and meet you at Cohere Health!</strong></p> <p><strong>Equal Opportunity Statement:&nbsp;</strong></p> <p>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.&nbsp; To us, it’s personal.</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>#LI-Remote</p> <p>#BI-Remote</p>