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Salary
$39k – $83k per year (Estimated)
Location
In office (Hyderabad)
Seniority
Staff · 13+ years exp
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:

This is a unique opportunity to join a high-caliber software engineering team that is experiencing rapid growth. You’ll play a key role in building impactful healthcare technology on a modern technology stack, with a focus on our core data and AI platforms. Your work will focus on enhancing the platform's key features, while also balancing scalability, reusability, and performance.

As a Staff Engineer on the Application Engineering team, you’ll serve as a senior technical leader - responsible for designing and delivering high-quality, scalable software systems that power Cohere Health’s core platform. You’ll act as a multiplier, elevating the technical bar for the team, mentoring engineers, and partnering with product, data, and clinical teams to deliver solutions that meet compliance, quality, and performance standards.

This role is ideal for engineers who thrive on solving complex problems in healthcare, have deep expertise in building distributed systems, and want to influence architecture and engineering practices at scale.

What you’ll do:

  • Technical Leadership & Architecture
    • Define and drive the architecture of large-scale, distributed application systems across the Cohere platform.
    • Ensure solutions are secure, performant, maintainable, and compliant with NCQA, CMS, and payer requirements.
    • Champion engineering best practices in CI/CD, testing, release management, and observability.
  • Hands-On Engineering
    • Write clean, maintainable, and well-tested code, primarily in modern frameworks (e.g., Python, TypeScript/React, Java/Kotlin).
    • Lead the development of core features and APIs that directly impact providers, payers, and patients.
    • Partner with DevOps and Data teams to ensure seamless integration, scalability, and operational readiness.
  • Quality & Compliance Focus
    • Embed automated testing, monitoring, and release safeguards into the development lifecycle.
    • Proactively address compliance and audit-readiness requirements in application design.
    • Collaborate with Quality, Security, and Compliance stakeholders to close CAP issues and maintain high delivery standards.
  • Mentorship & Influence
    • Mentor engineers across the team, guiding them on technical design, code quality, and system thinking.
    • Lead design reviews, technical deep-dives, and incident retrospectives to foster continuous improvement.
    • Act as a thought leader in scaling engineering practices across multiple teams.
  • Cross-Functional Collaboration
    • Work closely with Product, Clinical, and Operations teams to ensure solutions meet real-world healthcare needs.
    • Partner with Release Management to ensure predictable, high-quality delivery and quick resolution of hotfixes.

ISMS roles and responsibilities

  • Good knowledge of Information practices.
  • Assist the manager in all the information security activities implementation and maintenance process.
  • Ensuring the  team and imparted with Competence related to Information security
  • Responsible for implementation of security policies and procedures and report any issues to the Information Security Manager.

Required Qualifications:

  • 13+ years of software engineering experience, with at least 3+ years in a staff/principal/lead role
  • Expertise in designing and scaling distributed, cloud-native applications
  • Strong background in one or more modern languages: Python, Java, TypeScript/React
  • Proven track record of driving system architecture, technical strategy, and execution
  • Experience working in healthcare technology or other regulated environments, strongly preferred
  • Demonstrated success in mentoring and growing engineering talent
  • Excellent communication skills with the ability to influence technical and non-technical stakeholders

Ability to commute/relocate:

  • Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (Preferred)

Interview Process*:

  • Connect with Talent Acquisition for a Preliminary Phone Screening
  • Meet your Hiring Manager!
  • Live Design Exercise 
  • Technical Discussion
  • Cross-Functional Interview 
  • Final 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 expanded our AI-native platform with a comprehensive Payment Integrity Suite that spans data mining, clinical and coding validation, authorization and claims reconciliation, and end-to-end payment integrity services across pre- and post-pay workflows. By connecting clinical and payment insights, our transparent, AI-powered solutions help health plans proactively improve payment accuracy, reduce waste and vendor dependency, strengthen provider relationships, and build smarter, more efficient payment integrity programs.

Cohere Health’s innovations continue to receive industry-wide recognition. We’ve been recognized on TIME’s World Top HealthTech Companies 2025 list, the 2025 Inc. 5000 list, in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024.

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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