Senior AI Engineer

Cohere Health

15h • $135,000 - $170,000 • Remote

About The Position

Cohere Health is seeking a Senior AI Engineer to join its Engineering team. The role designs retrieval architectures, builds AI-powered agents, and owns production deployments serving health insurance plans that cover more than 15 million people. The engineer will partner with product, data science, and clinical teams to build systems that deliver clinical intelligence at scale, including hands-on software development and HIPAA-compliant production systems. This is a remote-first role that may require travel to Boston, Massachusetts, for new-hire onboarding and occasional in-person team meetings and company events.

The engineer will participate in developing, evaluating, and deploying Cohere’s AI-powered agents and applications; design data and retrieval architectures that provide agents with relevant context from diverse healthcare sources; and design, review, and own high-quality agentic code. Responsibilities include leading releases and production deployments, providing on-call support, collaborating with ML/data science, product, and architecture teams, ensuring security and privacy compliance, and contributing to agile planning and delivery.

Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals with providers’ needs to optimize the speed, cost, and quality of care. Its solutions support payer-provider decision-making across the care continuum, including policy, prior authorization, and payment accuracy. Following its acquisition of ZignaAI, Cohere Health launched its Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution. The company describes its culture as collaborative, empathetic, inclusive, and growth-oriented.

Requirements

• At least 5 years of experience in the software development lifecycle, with demonstrated experience working with popular agent frameworks and language models.
• Expertise in one or more modern programming languages.
• Experience with a cloud platform, CI/CD pipelines, and Infrastructure as Code (IaC) tools.
• Experience with AI architectures, multi-agent systems, RAG, and evaluation frameworks.
• Experience shaping engineering standards, frameworks, or libraries used across multiple teams.
• Bachelor’s degree in Computer Science, Software Engineering, or a related field.

Nice To Haves

• Familiarity with human-in-the-loop system design and AI safety considerations in production.
• Experience with graph-based or multimodal data retrieval in the context of AI reasoning.

Responsibilities

• Participate in the development, evaluation, and deployment of Cohere’s AI-powered agents and applications.
• Design data and retrieval architectures that give AI agents appropriate context across diverse healthcare sources.
• Design, review, and own high-quality agentic code; lead releases and production deployments and provide on-call support.
• Work with ML/data science teams, product teams, and architects to understand requirements and ensure systems meet business needs.
• Ensure agentic components comply with healthcare security and privacy regulations, including HIPAA, and follow security best practices.
• Contribute to sprint planning, execution, and retrospectives, improving engineering-team efficiency and velocity while aligning with stakeholders on product goals and business priorities.

Benefits

• Medical, dental, vision, life, and disability insurance, plus an Employee Assistance Program.
• 401(k) retirement plan with company match.
• Flexible spending account and health savings account.
• Flex Time Off and company holidays.
• Up to 14 weeks of paid parental leave.
• Pet insurance.
• Bonus included as part of the total benefits package.
• Fully remote opportunity with about 5% travel.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior