Senior Engineering Leader – Health Tech, Remote

Cohere Health; Northern (KY); Hybrid; USD 185,000 - 225,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Employee Assistance Program

401K with company match

HSA/FSA options

Parental leave 14 weeks

Job summary

Cohere Health is hiring a Senior Engineering Manager to lead the Review Engineering team—over 20 engineers across the US and India. You will own reliability and technical direction, partnering with Product, Design, Security, and Clinical Ops on shared platforms.

This remote-first role may require travel to Boston for onboarding and occasional meetings. Salary ranges from $185,000 to $225,000 with strong benefits and growth opportunities.

Qualifications

• 5+ years managing software engineering teams in a fast-paced, agile environment.
• 3+ years leading multiple teams through technical leads or managers.
• Experience leading distributed/multi-site teams across time zones (US/India).
• Proven ability to own production systems and incident response, ideally in healthcare (HIPAA/SOC2).
• Experience designing and scaling distributed/microservices systems for high-throughput, high-growth products.
• A passion for quality products and high-performing autonomous teams.

Responsibilities

• Lead 20+ engineers across multiple agile squads (US and India) through dedicated technical leads.
• Own production reliability for Review-owned systems — incident response, root-cause RCAs, and cross-functional tiger teams for major incidents.
• Set technical vision and provide leadership across design and sprint processes, partnering with Staff Engineers.
• Drive delivery transparency through sprint metrics, catching risk early and informing data-driven interventions.
• Partner with Product, Design, Security, Clinical Ops, and peer engineering teams on shared systems and initiatives.
• Own hiring, leveling, and career growth for direct reports and their leads; help attract and retain top talent.
• Build a culture that grows early-career engineers into future health-tech leaders, with a bias toward team autonomy.
• Champion testing, quality, and security practices in a regulated (HIPAA/SOC2) environment.

Skills

Team leadership

Distributed teams

Production reliability

Microservices

Quality culture

Education

Bachelor's degree in CS/Engineering or equivalent

Job description

Cohere Health is hiring a Senior Engineering Manager to lead the Review Engineering team—over 20 engineers across the US and India. You will own reliability and technical direction, partnering with Product, Design, Security, and Clinical Ops on shared platforms.

This remote-first role may require travel to Boston for onboarding and occasional meetings. Salary ranges from $185,000 to $225,000 with strong benefits and growth opportunities.