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Salary
$107k – $130k per year
Location
Remote (United States)
Seniority
Middle · 2+ years exp
Visa
H-1B filings in 12 months: 22 · for this role: 16

Confirmed on the employer's own hiring board on Oct 17, 2026. First seen by Alion on Aug 21, 2026. Cohere Health scores A on the Alion truth index.

Overview
Company
Impact
Profile match
Cohere Health is a Boston company founded in 2019 that automates prior authorisation and utilisation management for health insurers. Its models read clinical documentation, apply payer policy and approve routine requests instantly while routing genuinely complex cases to reviewers. The platform is used by national and regional plans to cut turnaround times that have long frustrated physicians and patients.

Opportunity Overview: 

We are seeking a Software Engineer II to join our Engineering team. In this role, you will independently deliver features and improvements to healthcare technology that powers prior authorization for health plans covering 15+ million members. You'll own story-sized work from design through deployment - decomposing problems, coordinating dependencies, and shipping reliable software with minimal oversight. You'll partner with your squad, product, and QA to build systems that healthcare practitioners rely on daily. This is an opportunity to deepen your engineering skills, take ownership of meaningful work, and grow toward technical leadership in a high-impact healthcare environment. 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:

  • Own story-level work independently - decomposing stories into tasks, implementing across the full stack (Java/Groovy backend, React/TypeScript frontend, MongoDB, Kafka), and leading release and support for your changes
  • Design and ship features with strong quality discipline - writing appropriate tests, producing accurate estimates, and confirming priorities with your team
  • Write short design notes for non-trivial work, articulating tradeoffs between approaches before committing to implementation
  • Debug and resolve production issues in your owned area, using logs, metrics, and traces to identify root causes and ship fixes
  • Identify and ship small platform or process enhancements that improve developer experience, code quality, or operational reliability
  • Provide high-signal code reviews that catch issues, suggest improvements, and help teammates grow
  • Support onboarding of new team members and mentor interns or new hires on bounded, well-scoped tasks
  • Coordinate across tasks and dependencies within your stories - working with PM, QA, and adjacent engineers to resolve blockers and close issues through resolution

What you’ll need:

  • 2+ years of professional software engineering experience demonstrating independent delivery and increasing ownership
  • Backend development experience using Java or Groovy, including writing and maintaining production services
  • Experience building web applications with React, JavaScript, and TypeScript
  • Hands-on experience with databases (MongoDB or similar NoSQL stores preferred), including basic schema design and query writing
  • Demonstrated ability to independently own story-sized work - decomposing into tasks, implementing, testing, and shipping without daily direction
  • Familiarity with event-driven systems or messaging (Kafka, RabbitMQ, or similar) at a working level
  • Proficiency with version control (Git), automated testing, and CI/CD pipelines
  • Ability to produce accurate effort estimates and communicate status, risks, and blockers proactively
  • Strong code review skills - gives and receives feedback constructively
  • Bachelor's degree in computer science, software engineering, or equivalent practical experience

Nice-to-haves

  • Experience in healthcare or life sciences industry
  • Hands-on experience with test frameworks such as Cypress, Playwright, JUnit, or Jest
  • Familiarity with cloud platforms (AWS) and basic infrastructure concepts
  • Experience supporting production systems (incident response, monitoring)
  • Experience writing design documents or technical specs for feature work
  • Familiarity with feature flag systems and progressive rollout strategies

Pay & Perks:

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  

The salary range for this position is $107,000 to $130,000 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!
  • Technical Interviews
  • 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.

We can’t wait to learn more about you and meet you at Cohere Health!

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.

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