Remote Lead Software Engineer – Healthcare Integrations

Cohere Health

Northern (KY)

Hybrid

USD 150,000 - 185,000

Full time

14 days+

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Benefits offered by this job

Medical, dental, vision insurance

401(k) with company match

Parental leave up to 14 weeks

Remote-first culture

Job summary

Cohere Health is seeking a Lead Software Engineer to drive design, development, and scaling of our enterprise healthcare integration platform supporting prior authorization workflows. You will lead an autonomous team across architecture, observability, and cloud infrastructure to deliver secure, high-performing integrations.

Join a fast-paced, remote-first environment with travel to Boston for onboarding and occasional team events.

Qualifications

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; or equivalent experience.

Responsibilities

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.