Senior AI Healthcare Integrations Engineer - Remote

coherehealth

United States

Remote

USD 135,000 - 170,000

Full time

14 days+

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Benefits offered by this job

Medical, dental, vision, life, andDis.
Employee Assistance Program
401(k) retirement plan with company 2
Flexible paid time off; holidays; up 4
14 weeks paid parental leave
Pet insurance

Qualifications

  • 6–10+ years of backend-focused software engineering experience.
  • Healthcare payer domain experience and familiarity with payer workflows and regulatory requirements.
  • Deep expertise in data architecture, data modeling, transformations, and integration patterns.
  • Hands-on with AWS services (Lambda, ECS, RDS, S3, API Gateway, EventBridge).
  • Strong API integration skills covering REST, webhooks, OAuth2/OIDC, SAML 2.0, JWT, mTLS, API keys.
  • Production coding in Python, Node.js, Java, or Go.
  • Proven track record working directly with enterprise customers in implementation roles.

Responsibilities

  • Lead end-to-end technical integration design and delivery for enterprise clients from scoping to go-live.
  • Run technical discovery, scoping, and proof-of-concept work during pre-sales with estimates and feasibility guidance.
  • Design system architectures bridging client IT with the platform, balancing constraints and capabilities.
  • Build and validate AI-enabled healthcare features with regulatory and clinical safety compliance.
  • Produce integration designs, architecture diagrams, data mappings, API guides, and runbooks.
  • Develop reusable integration patterns and templates across clients.
  • Collaborate with Engineering, Product, Solutions Architecture, and Customer Success; mentor junior engineers.

Skills

Backend engineering
Healthcare payer domain
Data architecture
AWS services
API integration
Python
Node.js
Java
Go
Enterprise client delivery

Tools

AWS Lambda
ECS
RDS
S3
API Gateway
EventBridge

Job description

Role overview

A senior engineering role focused on the customer-facing side of integrating an AI-enabled healthcare platform with large enterprise clients. The position owns technical integration work from initial scoping through production deployment, bridging complex payer-side systems with a modern AI platform. It is a highly technical, hands-on role that combines pre-sales engineering, architecture design, and production delivery in a regulated healthcare environment.

Responsibilities
  • Lead end-to-end technical integration design and delivery for enterprise clients, serving as the primary technical authority from scoping through go-live.
  • Run technical discovery, scoping, and proof-of-concept work during pre-sales, producing estimates and feasibility recommendations for prospective clients.
  • Design system architectures that connect client IT environments to the platform, making architectural trade-offs against customer constraints and platform capabilities.
  • Build and validate AI/ML-enabled healthcare features such as clinical decision support, automated review, and intelligent routing against regulatory and clinical safety requirements.
  • Produce high-quality technical artifacts including integration designs, architecture diagrams, data mappings, API implementation guides, and operational runbooks.
  • Develop reusable integration patterns and templates that scale across clients, and feed implementation learnings back into platform improvements.
  • Partner closely with Engineering, Product, Solutions Architecture, and Customer Success teams, and mentor junior engineers.
Requirements
  • 6–10+ years of software engineering experience with a strong backend and systems focus.
  • Healthcare industry experience on the payer side, including familiarity with payer workflows, healthcare data standards, and regulatory requirements.
  • Deep expertise in data architecture and integration patterns, including data modeling, transformation logic, schema design, and middleware, message queues, or event-driven architectures.
  • Hands-on experience with AWS services such as Lambda, ECS, RDS, S3, API Gateway, and EventBridge.
  • Strong API integration and authentication skills covering RESTful APIs, webhooks, OAuth2/OIDC, SAML 2.0, JWT, mTLS, and API key management.
  • Production coding skills in a modern language such as Python, Node.js, Java, or Go.
  • Track record of working directly with enterprise customers in technical implementation roles.
Benefits and work setup
  • Fully remote with approximately 5% travel.
  • Medical, dental, vision, life, and disability insurance, plus an Employee Assistance Program.
  • 401(k) retirement plan with company match, flexible spending, and health savings account options.
  • Flexible paid time off plus company holidays, and up to 14 weeks of paid parental leave.
  • Pet insurance benefit.
  • Posted salary range of $135,000 to $170,000 annually, with final pay determined by qualifications, experience, skills, and internal alignment.
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