Senior Lead Software Engineer – Healthcare Integrations

Cohere Health; Boston (MA); Remote; USD 150,000 - 185,000; Full time

Benefits offered by this job

Remote-friendly

Medical, dental, vision, life

401K with company match

Paid parental leave

Job summary

Cohere Health is seeking a Lead Software Engineer for our Integrations team to design, develop, and scale healthcare integration systems supporting prior authorization workflows across providers, payers, and delegated entities. You will lead a fast-paced, autonomous, agile team delivering an enterprise integration platform with technical excellence.

This remote-first role may require travel to Boston, MA for onboarding and occasional in-person meetings and events, including design of

Qualifications

• 8+ years building scalable enterprise applications and distributed systems.
• Experience integrating external APIs 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/interoperability experience or work in 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.

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.

Skills

Distributed systems

API integration

Security/auth

Data modeling

IaC/CI-CD

Healthcare tech

Education

Bachelors in CS/IT/CE

Tools

Terraform

Cloud provisioning

Job description

Cohere Health is seeking a Lead Software Engineer for our Integrations team to design, develop, and scale healthcare integration systems supporting prior authorization workflows across providers, payers, and delegated entities. You will lead a fast-paced, autonomous, agile team delivering an enterprise integration platform with technical excellence.

This remote-first role may require travel to Boston, MA for onboarding and occasional in-person meetings and events, including design of