Lead Solutions Architect

Cohere Health; Boston (MA); Remote; USD 135,000 - 145,000; Full time

Benefits offered by this job

Fully remote

Travel up to 5%

Health insurance (medical, dental, vis

Employee Assistance Program

401K with company match

Flexible spending / Health Savings

PTO 23 days; 184 hours

Parental leave up to 14 weeks

Pet insurance

Job summary

Cohere Health is seeking a Solution Architect to lead Medicaid-focused health plan solutions. You will design client architectures, translate business requirements into technical designs, and work with the Forward Deployed Engineer to deliver scalable, compliant implementations.

The role is fully remote with about 5% travel and requires deep Medicaid domain knowledge, experience with prior authorization workflows, and strong collaboration across product, implementation, and sales teams.

Qualifications

• 6+ years working as a solutions architect, BA, or PM for health plans.
• 5+ years with Medicaid health plan customers including UM experience.
• Experience designing and implementing technology solutions focussing on prior authorization workflows and healthcare interoperability.
• Clear, precise writing to align stakeholders.
• Ability to communicate with diverse stakeholders.
• Familiar with Agile/Scrum lifecycles and building software products for health plans; Jira proficiency.

Responsibilities

• Design client solutions and guide adoption of Cohere's products.
• Lead internal discussions to identify gaps and coordinate product manager actions.
• Coordinate with project management to plan work and resources.
• Maintain internal documentation on scope, milestones, and resources.
• Translate customer requirements into clear documentation.
• Work with Forward Deployed Engineer on requirements and high-level designs.

Skills

Solutions architect

Medicaid / UM experience

Prior authorization

Clear writing

Stakeholder communication

Agile / Scrum

Jira

Software architecture / APIs

Tools

Jira

Job description

Opportunity Overview

The Solution Architect (SA) serves as a subject matter expert on Cohere Health solutions, maintaining deep knowledge of platform capabilities, products, features, and best practices. They design and oversee the implementation of complex technical solutions that align with client business objectives. The ideal candidate will bridge the gap between business requirements and technical implementation, ensuring scalable and efficient solution designs. For this particular opening, we are looking for specific and deep domain expertise in the Medicaid markets, specifically understanding how to design solutions that meet the unique needs of state variations, regulations, and market landscape in a scalable way. At Cohere Health, the SA is a customer-facing role. They partner with the forward deployed engineer (FDE) to design business requirements and a solution strategy that serves the health plan customer and Cohere. The SA supports pre-sales efforts, designs the solution, gathers requirements, empowers implementation and product teams to execute on planned work, and supports the implementation through go live

What you’ll do

• Designing the client solution and guiding clients to enable Cohere's products to solve for client needs
• Leading internal conversations to support new functionality, identify the product manager that is responsible for developing new functionality, ensuring they understand the requirements and problems to solve and have a plan to address those gaps.
• Partnering with the project manager to ensure that all required work is planned for and resourced.
• Maintaining internal documentation as a source of truth on solution scope, milestone and key resources.
• Translating customer expectations and solution design into clear, well-documented requirements. Documentation will support business, functional and technical requirements and the SA will facilitate client sign off on those artifacts.
• Partnering with a Forward Deployed Engineer to develop requirements and high-level technical designs for novel customer problems and ensure customer value

What you’ll need

• 6+ years working as a solutions architect or business analyst or product manager in a software and/or product organization serving health plans
• 5+ years with either health plan customers in medicaid markets including UM experience, and an understanding of how to navigate and compliance requirements
• Success in designing and implementing technology solutions with a specialized focus on prior authorization workflows and healthcare interoperability.
• Demonstrate clear, precise writing creates shared understanding and ensures everyone is working from the same playbook.
• Ability to communicate with a variety of stakeholders, adjusting the message to the audience
• Familiar with building software products that support a health plan's cost containment and UM needs with a background in Agile/Scrum methodologies and product development lifecycles; Familiar with Jira,
• Strong technical aptitude with ability to understand software architecture, APIs, and integration patterns

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 $135,000 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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