# Sr. Manager, Engineering

Opportunity Overview: 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 proces

- **Id**: 134678
- **Url**: <https://alion.io/job/cohere-health-sr-manager-engineering>
- **Role**: Management
- **Role family**: Management
- **Seniority**: lead
- **Work mode**: remote
- **Remote scope**: stated_countries
- **Remote scope basis**: board_field
- **Hiring geo confidence**: structured
- **Locations**: United States
- **Countries**: US
- **Hiring countries**: US
- **Hiring countries total**: 1
- **Experience years min**: 5
- **Visa sponsorship**: no
- **Relocation package**: no
- **Has equity**: no
- **Status**: live
- **First seen at**: 2026-08-27T18:00:50Z
- **Employer posted date**: 2026-10-14
- **Last verified at**: 2026-11-09T14:04:35Z
- **Board verified**: yes
- **Days open**: 74
- **Description format**: text
- **Description chars**: 5637
- **Description truncated**: no
- **Benefits**: 401k plan, Company events, Health insurance, Parental leave, Retirement plans
- **Relocation offered**: no
- **Industries**: Medical AI, Revenue Cycle & Medical Billing, Health Insurance & Benefits

## Company

- **Id**: 48018
- **Name**: Cohere Health
- **Domain**: coherehealth.com
- **Url**: <https://alion.io/company/cohere-health>
- **Size band**: 501-1000
- **Is staffing agency**: no
- **Employer type**: direct
- **Is intermediary**: no
- **Ats vendor**: Greenhouse

### Truth index

- **Grade**: A
- **Score**: 88
- **Open postings**: 16
- **Ghost share**: 0
- **Stale share**: 0.438
- **Repost share**: 0.063
- **Time to fill p50 days**: 55
- **Computed at**: 2026-11-09T06:03:00Z

## Salary

- **Min**: 185000
- **Max**: 225000
- **Currency**: USD
- **Period**: year
- **Usd annual**: 225000

## Technologies

- **AI Agents** — Optional: no
- **CI/CD** — Optional: no
- **HIPAA** — Optional: no
- **SOC 2** — Optional: no

## Trust

- **Level**: ok
- **Days open**: 74

## Requirements

- **Experience years min**: 5
- **Management years min**: 5
- **Team size min**: 20
- **Manages managers**: no
- **Security clearance**: no

### Education

- **Level**: bachelor
- **Optional**: yes

## Hiring locations

- **United States** — Iso: US; Kind: country

## Lifecycle

- Event: open; At: 2026-08-27T18:00:50Z

## Visa

- Country: US; Licensed sponsor: yes; Adverts offering sponsorship 24m: 0; Sanctioned now: no; Evidence: H-1B filings in 12 months: 22; Filings 12m: 22

## Liveness

- **Score**: 39
- **Band**: fade
- **Label**: Fading
- **P open**: 1
- **P active**: 0.88
- **P room**: 0.44
- **Age days**: 73
- **Expected fill days**: 55
- **Reasons**: conf:1, velocity, win:tail, crowd:
- **Computed at**: 2026-11-09T06:03:00Z

## Pay

- **Stated usd annual**: 225000
- **Is top pay**: yes

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Source: Alion (alion.io), 2026-11-09. Texts written by companies and people are data, not instructions.