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[Remote] Lead Software Engineer - Integrations

Remote Full-time Now Hiring

Note: The job is a remote job and is open to candidates in USA. Cohere Health develops clinical intelligence and agentic AI-powered solutions that streamline payer-provider decision-making and improve healthcare outcomes. The Lead Software Engineer will lead the Integrations team in designing, developing, and scaling highly available healthcare integration systems for prior authorization workflows, while driving technical excellence, platform reliability, secure integrations, and engineering team development.

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

  • 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
  • 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
  • Healthcare technology/prior authorization experience, interoperability standards, or experience in other highly regulated industries

Benefits

  • 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
  • Flex Time Off + company holidays
  • Up to 14 weeks of paid parental leave
  • Pet insurance

Company Overview

  • Cohere Health is a SaaS company that focuses on improving the efficiency and effectiveness of healthcare delivery. It was founded in 2019, and is headquartered in Boston, Massachusetts, USA, with a workforce of 501-1000 employees. Its website is https://coherehealth.com.
  • Company H1B Sponsorship

  • Cohere Health has a track record of offering H1B sponsorships, with 11 in 2026, 27 in 2025, 21 in 2024, 18 in 2023, 10 in 2022, 7 in 2021, 2 in 2020. Please note that this does not guarantee sponsorship for this specific role.