Lead Software Engineer - Integrations

Cohere Health

11h • $150,000 - $185,000 • Remote

About The Position

We are seeking a Lead Software Engineer to join our Integrations team, designing, developing, and scaling highly available healthcare integration systems that support prior authorization workflows across providers, payers, and delegated entities. You'll lead a fast-paced, autonomous, agile team of engineers building and operating a growing enterprise integration platform — driving technical excellence at the intersection of healthcare interoperability and modern distributed systems. 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.

Requirements

• 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

Nice To Haves

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

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

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree