Lead Software Engineer - Healthcare Integrations (Remote)

Cohere Health; United States; Remote; USD 150,000 - 185,000; Full time

Benefits offered by this job

Medical, dental, vision, life, and LTD

401K with company match

Flexible spending and health savings

Flex Time Off and company holidays

Up to 14 weeks paid parental leave

Pet insurance

Job summary

Cohere Health is seeking a Lead Software Engineer to join our Integrations team, designing and scaling healthcare integration systems that support prior authorization workflows across providers and payers. You’ll lead an autonomous agile team, drive technical excellence, and own distributed systems from architecture to deployment.

This remote-first role may require travel to Boston for onboarding and occasional in-person meetings.

Qualifications

• 8+ years building and supporting scalable enterprise applications and distributed systems.
• Experience integrating external APIs/third‑party systems and building automated testing frameworks.
• Expertise in authentication/authorization frameworks, secure API design, and access control.
• Data modeling across relational/non-relational databases, observability tooling, and event‑driven architecture.
• Healthcare technology or regulated industries experience a plus.
• Experience with Infrastructure as Code, cloud provisioning, and CI/CD pipeline design.
• Bachelor’s degree in CS/IT/Engineering or related field, or equivalent experience.

Responsibilities

• Provide technical leadership across architecture, system design, platform scalability, reliability, and operational excellence.
• Design and build scalable, resilient systems supporting 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.

Skills

Distributed systems

Enterprise applications

API integration

CI/CD

Cloud infrastructure

Security / auth

Observability tooling

Education

Bachelor's degree in CS/IT/Engineering

Tools

Observability tooling

Infrastructure as Code

Relational/non-relational databases

Job description

Cohere Health is seeking a Lead Software Engineer to join our Integrations team, designing and scaling healthcare integration systems that support prior authorization workflows across providers and payers. You’ll lead an autonomous agile team, drive technical excellence, and own distributed systems from architecture to deployment.

This remote-first role may require travel to Boston for onboarding and occasional in-person meetings.