Lead Software Engineer - Integrations

Role Description

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.

What you’ll do:

• 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

Qualifications

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

Benefits

• Fully remote opportunity with about 5% travel
• 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

Interview Process

• Connect with Talent Acquisition for a Preliminary Phone Screening
• Meet your Hiring Manager!
• Live System Design Exercise
• Project Discussion
• Cross Functional Interview

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.