Sr. Manager, Engineering

Cohere Health; Boston (MA); Remote; USD 185,000 - 225,000; Full time

Benefits offered by this job

Health insurance

401k with company match

Bonus

Parental leave (up to 14 weeks)

Employee Assistance Program

Job summary

Cohere Health is seeking a Senior Engineering Manager to lead the Review Engineering team of 20+ engineers across US and India. You will own reliability, technical direction, and partner with Product, Design, Security, and Clinical Ops to scale our platform.

The role is remote-first with occasional travel to Boston for onboarding and events. You will mentor managers, drive quality and security in HIPAA/SOC2 regulated environments, and help grow the next generation of health-tech leaders.

Qualifications

• 5+ years managing software teams in a fast-paced, agile environment.
• Experience leading distributed/multi-site teams across time zones.
• Proven ability to own production systems and incident response in healthcare (HIPAA/SOC2).
• Experience designing and scaling distributed/microservices systems for high-growth products.
• Bachelor's degree in computer science or software engineering.

Responsibilities

• Lead 20+ engineers across multiple squads in US and India.
• Own production reliability and incident response for Review systems.
• Set technical vision and lead sprint processes with Staff Engineers.
• Drive delivery transparency with sprint metrics and risk management.
• Partner with Product, Design, Security, Clinical Ops and other teams on shared systems.
• Own hiring, leveling, and career growth for direct reports and leads.

Skills

People management

Distributed teams

Production systems

Microservices

Quality focus

Education

Bachelor's degree in CS/Software Engineering

Job description

We are seeking a Senior Engineering Manager to lead our Review Engineering team — roughly 20+ engineers across three squads in the US and India — building the workflows and capabilities that let clinical operations staff deliver care at scale, efficiently and with high quality. Leading through dedicated technical leads on each squad, you'll own the reliability and technical direction of Review's systems while partnering closely with Product, Design, Security, Clinical Operations, and peer engineering teams on shared platforms. This is an opportunity to shape a growing, business-critical part of Cohere's platform and to grow the next generation of engineering leaders in health technology.

This is a remote-first role that may require travel to Boston, MA for new hire onboarding and occasional in-person team meetings and company events.

What you’ll do:

• 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 (including our Hyderabad group) 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

What you’ll need:

• 5+ years managing software engineering teams in a fast-paced, agile environment, including 3+ years leading multiple teams through technical leads or managers
• Experience leading distributed/multi-site teams across time zones (e.g. US/India), including partnering with groups outside your direct reporting line
• Proven ability to own production systems and incident response, ideally in a regulated (healthcare, HIPAA/SOC2) environment
• Experience designing and scaling distributed/microservices systems for high-throughput, high-growth products
• A passion for quality products and high-performing, autonomous teams
• Bachelor's degree in computer science, software engineering

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 14 weeks of paid parental leave

The salary range for this position is $185,000 to $225,000 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!
• Project Discussion
• Cross Functional Interview

*Subject to change

About Cohere Health:

Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.

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.

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.

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.

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in Cohere Health’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.