Staff Software Engineer - Payment Solutions

Cohere Health

4d • $185,000 - $225,000 • Remote

About The Position

We are seeking a Staff Software Engineer to join our Payment Solutions team. In this role, you will be responsible for designing, developing, and scaling highly available AI healthcare products supporting payment integrity workflows across providers, payers, and delegated entities. You'll direct a fast-paced, autonomous, agile team of software engineers in the design, development, and operational support of a growing enterprise platform. This is an opportunity to drive 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

• 12+ years in the software development lifecycle, with progression to complex, high-impact cloud-native system design
• Expertise in auth/authz frameworks, secure API design, access control, and automated testing
• Strong system design, observability, and production operations skills
• Fullstack expertise in modern languages, event-driven systems, and CI/CD; IaC a plus
• Experience designing data systems/pipelines for analytical and AI workloads, with strong data modeling fundamentals
• Track record shaping engineering standards, mentoring engineers, and communicating strategy across technical and non-technical audiences
• Bachelor's degree in Computer Science, Software Engineering, or related field, or equivalent experience

Nice To Haves

• AI architectures (multi-agent, RAG, evaluation frameworks) a plus
• Healthcare tech, health plan, or Payment Integrity experience a plus; Healthcare interoperability standards and clinical ontologies a plus

Responsibilities

• Provide technical leadership across architecture, system design, and mentor junior engineers for building scalable SaaS products.
• Lead the development and enhancement of Cohere’s AI-powered applications and platforms, ensuring that it is highly configurable, and optimized for performance.
• Design data and retrieval architectures that give AI agents the right context, across diverse healthcare sources.
• Design, review, and own high-quality production code — actively contributing alongside the team, leading releases, production deployments, reducing developer development friction and on-call support.
• Drive technical strategy to ensure the team's designs consistently address non-functional requirements — observability, instrumentation, performance, and operational readiness that incorporate security and privacy regulations.
• Work closely with ML/DS teams, product teams, and architects to understand requirements and ensure systems meet business needs.
• Contribute to sprint planning, execution, and retrospectives, driving efficiency and velocity within the engineering team and collaborating closely with stakeholders to align with product goals and business priorities.

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