Job Description

Opportunity Overview: 

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.

We’re seeking a Senior Software Engineer to join our Data Platform team and take ownership of designing and delivering large-scale, reliable, and governed data pipelines that power analytics, operations, and clinical intelligence across Cohere Health. This role is ideal for an engineer who thrives on solving complex data challenges, mentoring others, and raising engineering standards while contributing to scalable and sustainable platform growth.

As a Senior Software Engineer of the data platform team, you’ll operate across the end-to-end data lifecycle—from ingestion to transformation to integration—driving solutions that align with architectural best practices, governance needs, and business outcomes. You’ll partner closely with analytics engineers, architects, and product stakeholders to ensure that data products are performant, compliant, and trustworthy.

What you’ll do:

• Lead the design and implementation of complex data pipelines and infrastructure across multiple domains
• Mentor junior engineers, sharing expertise and raising team-wide engineering standards
• Implement and enforce data quality, schema validation, and observability practices to ensure trustworthy outputs
• Contribute to architecture discussions and tool evaluation, helping to shape platform scalability and governance alignment
• Write clean, maintainable, and testable code in Python and SQL, following best practices in version control, CI/CD, and documentation
• Optimize and monitor production workflows using tools such as Airflow, dbt, Athena, EMR, Kafka, and Iceberg/Parquet
• Collaborate with cross-functional stakeholders (analytics, product, compliance) to ensure technical solutions meet business needs
• Participate in on-call rotations to support critical platform jobs and reduce operational disruptions
• Champion a culture of excellence, accountability, and continuous improvement through code reviews, documentation, and knowledge sharing

What you’ll need:

• 5+ years of experience in data engineering or software development with a strong focus on data infrastructure
• Demonstrated success designing and delivering large-scale, reliable, and governed data infrastructure projects
• Track record of building and maintaining production grade systems using APIs
• Strong proficiency in Python and SQL, with experience applying software engineering rigor to data workflows (testing, version control, observability)
• Hands-on experience with modern data tools such as Airflow, dbt, AWS (EMR, Athena, S3), Iceberg, Parquet, and Kafka
• Track record of mentoring engineers and raising team-wide engineering standards through code reviews, documentation, and knowledge sharing
• Ability to work effectively in a fast-paced, agile environment, collaborating across technical and non-technical stakeholders
• Experience with healthcare data (claims, eligibility, clinical, EHR) is strongly preferred
• Understanding of data security, privacy, and compliance practices (HIPAA or similar) in pipeline and platform design
• Experience with snowflake, Databricks is a plus
• Bachelor’s or Master’s degree in Computer Science, Data Engineering, or a related field is a plus

Pay & Perks:

💻 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  

The salary range for this position is $130,000 to $160,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment. 

Interview Process*:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Feature Design
4. System Design
5. Behavioral 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’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners. 

The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.

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.

#LI-Remote

#BI-Remote

Job Description

Opportunity Overview: 

The RN Reviewer position is a crucial role in our organization — in this role you are responsible for performing a full range of activities that will positively impact the organization and contribute to guiding the strategic operations for the company. 

As an RN Reviewer, you will perform prospective review (prior authorization) admission, concurrent, and retrospective reviews according to established criteria and protocols to determine the medical appropriateness of the clinical requests from providers. You will work closely with Medical Directors and other Cohere Health staff to ensure appropriate cost-effective care by applying your clinical knowledge and critical thinking skills to assess the medical necessity of inpatient admissions, outpatient services and procedures, and provider out of network requests. You will be required to review Commercial, Medicare, and Medicaid lines of business.

You will need to be an agile and comprehensive thinker and planner and be able to work in an environment that is in flux. This position offers the ability to make a substantive mark in simplifying the way healthcare is delivered and contributes to an up and coming company with exponential growth opportunity.

What you'll do:

• Review medical necessity for inpatient, concurrent, prior auth, and retrospective cases to ensure appropriate, high-quality care
• Collaborate with Medical Directors and providers to align on clinical decisions
• Document reviews accurately and meet production/quality goals
• Apply MCG, Cohere, and coverage guidelines to ensure compliance and consistency
• Partner across teams (Operations, Product, Quality, Health Plans) to improve processes and outcomes
• Identify opportunities for care management or quality improvement programs
• Support accreditation, regulatory, and quality initiatives

What you'll need:

• Strong communication and collaboration skills across remote teams
• Customer-focused mindset and ability to stay calm under pressure
• Adaptability in a fast-moving, startup environment
• Solid understanding of utilization and case management programs
• Organized, detail-oriented, and comfortable managing multiple priorities
• Knowledge of NCQA/CMS standards; proficiency with MCG (CareWebQI a plus)

Must Haves:

• Active, unencumbered RN license (state of residence)
• 3+ years of clinical experience
• Utilization Management experience
• Experience in acute or post-acute settings
• Comfortable using Mac and Google Workspace
• Strong communication skills and continuous improvement mindset
• Preferred: HEDIS abstraction, Legal RN, or Utilization Review background
• Bachelor’s degree in Nursing, Business, or related field

Important to know about this role:

• This is a 100% remote role, and requires robust internet speeds (above 50 megabytes/second), including the ability to utilize zoom meeting software and to stream video
• The department is staffed seven days per week, 8a m-8pm EST and shifts will be assigned based on need
  • Current shift availability is weekend coverage
• This is a full time, 40 hour per week opportunity

Pay & Perks:

💻 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 

🏝️ Up to 184 hours (23 days) of PTO per year + company holidays

👶 Up to 14 weeks of paid parental leave 

🐶 Pet insurance  

The salary range for this position is $33 per hour to $35 per hour; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.

Interview Process*:

1. Internet Speed Test
2. Behavioral Interview(s) with your Hiring Manager!

*Subject to change

About Cohere Health:

Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members.

With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes.

The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.

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.

#LI-Remote

#BI-Remote

Job Description

Opportunity Overview:

This is an excellent opportunity for an outstanding data analyst to join a Series C digital health company. You will work closely with clinicians, program implementation, operation experts, informaticists, data scientists, and actuaries to support data-driven clinical programs. These programs are essential in improving a) payor/provider/patient collaboration, b) quality of care and patient outcomes, and c) healthcare utilization and spending efficiency. The work will be fast-paced and project-based, with evolving needs requiring adaptability, curiosity, and grace under pressure.  

What you’ll do:

• Cultivate a deep understanding of Cohere’s clinical content, UM products and clinical programs and use analytics to produce insights to drive program effectiveness and value for internal business partners and clients
• Work with administrative and clinical health data to build and maintain analytical and reporting solutions to support strategy and program decision making  
• Identify optimization opportunities using statistical analysis, data mining, and predictive modeling methods to improve automation while enhancing decision quality and patient outcome
• Collaborate with clinical, account management, data science, and engineering partners to refine Cohere’s product features and client support
• Track cost, utilization, and industry trends to inform stakeholders of product performance and provide data-driven insights around opportunities to optimize clinical value for patients, providers and payers.

What you’ll need:

• Work Experience: 5+ years experience working in a big-data analytics role
• Data Analysis and Interpretation: Ability to use statistical analysis and modeling tools (such as SQL and Python) to extract insights from complex healthcare data, interpret trends, and derive actionable recommendations – experience with Athena and AWS Sagemaker preferred
• Healthcare Knowledge: Understanding of healthcare systems, medical terminologies, clinical workflows, and experience with large data sets including medical claims, pharmacy, and eligibility data required
• Experience with clinical and utilization management programs for speciality care (e.g., musculoskeletal, cardiology, imaging, oncology, pharmacy) preferred
• Data Visualization: Experience developing dashboards and self service business intelligence tools such as Tableau required 
• Collaboration: Experience interfacing with internal and external business stakeholders on the development and read out of client and program specific KPIs
• Project Execution: Experience owning complex projects, coordinating with multidisciplinary teams, setting goals, and meeting deadlines for multiple ongoing projects
• Problem-Solving and Critical Thinking: Ability to identify issues within healthcare data, devise solutions, and think critically to develop scalable solutions to problems
• Communication Skills: Strong verbal and written communication skills required
• Education: Bachelor’s degree in a healthcare or quantitative discipline such as Epidemiology, Economics, Statistics, Data Science, Health Informatics, Public Health or related field required, Master’s degree preferred

Pay & Perks:

💻 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 

🏝️ Flexible Time Off + Company Holidays

👶 Up to 14 weeks of paid parental leave 

🐶 Pet insurance  

The salary range for this position is $90,000 to $112,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.

Interview Process*:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Case Study and Presentation 
4. Team Interview
5. Leadership Interview

*Subject to change

About Cohere Health:

Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members.

With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes.

The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.

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.

#LI-Remote

#BI-Remote

Job Description

Opportunity Overview: 

We are looking for a licensed Speech-Language Pathologist (SLP) who has expertise in speech, language, cognitive-communication, voice, fluency, feeding, and swallowing to deliver on Cohere’s therapy programs by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines.

Reporting to a Managing Medical Director, and part of the review team that includes non-clinical intake specialists and nurses. This is a fast-paced environment that favors people who are able to learn quickly, be hands-on, handle ambiguity, and communicate effectively with people of different backgrounds and perspectives.

What you’ll do:

• Provide timely medical reviews that meet Cohere’s stringent quality parameters
• Provide clinical determinations based on evidence-based criteria while utilizing clinical acumen
• Clearly and accurately document all communication and decision-making in Cohere workflow tools, ensuring a member and provider can easily reference and understand your decision
• Use correct templates for documenting decisions during case review
• Meet the appropriate turn-around times for clinical reviews
• Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research
• Demonstrate the highest level of professionalism, accountability, and service in your interactions with Cohere teammates and providers
• Support projects specific to building the team's clinical expertise and efficiency, as delegated
• Support the team on operational improvements and member/provider experience involving clinical review tasks, as delegated

What you’ll need:

• Master’s degree in Speech-Language Pathology or Communication Sciences and Disorders from an accredited program.
• Active, unrestricted Speech-Language Pathologist license in the state of practice
• 5 or more years of direct clinical patient care experience.
• Familiarity with facilities rendering care in PT, OT, SLP.
• 1+ years of managed care utilization review experience preferred

Pay & Perks:

💻 Fully remote opportunity with about x% 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  

The salary range for this position is $95,000 – $105,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.

Interview Process*:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Behavioral Interview(s)

*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’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners. 

The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.

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.

#LI-Remote

#BI-Remote

Job Description

Opportunity Overview: 

We are looking for a licensed Occupational Therapist (OT) who has expertise in occupational therapy to deliver on Cohere’s therapy programs by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines.

Reporting to a Managing Medical Director, and part of the review team that includes non-clinical intake specialists and nurses. This is a fast-paced environment that favors people who are able to learn quickly, be hands-on, handle ambiguity, and communicate effectively with people of different backgrounds and perspectives.

What you’ll do:

• Provide timely medical reviews that meet Cohere’s stringent quality parameters
• Provide clinical determinations based on evidence-based criteria while utilizing clinical acumen
• Clearly and accurately document all communication and decision-making in Cohere workflow tools, ensuring a member and provider can easily reference and understand your decision
• Use correct templates for documenting decisions during case review
• Meet the appropriate turn-around times for clinical reviews
• Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research
• Demonstrate the highest level of professionalism, accountability, and service in your interactions with Cohere teammates and providers
• Support projects specific to building the team's clinical expertise and efficiency, as delegated
• Support the team on operational improvements and member/provider experience involving clinical review tasks, as delegated

What you’ll need:

• Master’s degree in Occupational Therapy from an accredited program
• Active, unrestricted Occupational Therapist license in the state of practice
• 5 or more years of direct clinical patient care experience
• Familiarity with facilities rendering care in PT, OT, SLP

• 1+ years of managed care utilization review experience, preferably in an utilization management organization within a Medicare, Commercial or Medicaid payor organization preferred

Pay & Perks:

💻 Fully remote opportunity with about x% 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  

The salary range for this position is $95,000 to $105,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment. 

Interview Process*:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Behavioral Interview(s)

*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’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners. 

The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.

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.

#LI-Remote

#BI-Remote

Job Description

Opportunity Overview: 

We are looking for a Doctor of Physical Therapy (DPT)  who has expertise in Physical Therapy to deliver on Cohere’s musculoskeletal and orthopedic programs by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. 

Reporting to the Medical Director MSK Spine and Ortho for Cohere Health, and part of the review team that includes non-clinical intake specialists and nurses. This is a fast-paced environment that favors people who are able to learn quickly, be hands-on, handle ambiguity, and communicate effectively with people of different backgrounds and perspectives.

What you’ll do:

• Provide timely medical reviews that meet Cohere’s stringent quality parameters
• Provide clinical determinations based on evidence-based criteria while utilizing clinical acumen
• Clearly and accurately document all communication and decision-making in Cohere workflow tools, ensuring a member and provider can easily reference and understand your decision
• Use correct templates for documenting decisions during case review
• Meet the appropriate turn-around times for clinical reviews
• Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research
• Demonstrate the highest level of professionalism, accountability, and service in your interactions with Cohere teammates and providers
• Support projects specific to building the team's clinical expertise and efficiency, as delegated
• Support the team on operational improvements and member/provider experience involving clinical review tasks, as delegated

What you’ll need:

• Doctor of Physical Therapy (DPT) from a CAPTE-accredited physical therapy program
• Active, unrestricted Physical Therapist license in the state of practice (or eligibility for licensure)
• 5 or more years of direct clinical patient care experience
• Familiarity with facilities rendering care in PT, OT, SLP
• 1+ years of managed care utilization review experience, preferably in an utilization management organization within a Medicare, Commercial or Medicaid payor organization preferred
• Membership in national and/or regional specialty societies preferred

Pay & Perks:

💻 Fully remote opportunity with about x% 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  

The salary range for this position is $95,000 to $105,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment. 

Interview Process*:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Behavioral Interview(s)

*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’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners. 

The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.

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.

#LI-Remote

#BI-Remote

Job Description

Opportunity Overview: 

We are seeking a Software Engineer II to join our Engineering team. In this role, you will independently deliver features and improvements to healthcare technology that powers prior authorization for health plans covering 15+ million members. You'll own story-sized work from design through deployment — decomposing problems, coordinating dependencies, and shipping reliable software with minimal oversight. You'll partner with your squad, product, and QA to build systems that healthcare practitioners rely on daily. This is an opportunity to deepen your engineering skills, take ownership of meaningful work, and grow toward technical leadership in a high-impact healthcare environment. 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:

• Own story-level work independently — decomposing stories into tasks, implementing across the full stack (Java/Groovy backend, React/TypeScript frontend, MongoDB, Kafka), and leading release and support for your changes
• Design and ship features with strong quality discipline — writing appropriate tests, producing accurate estimates, and confirming priorities with your team
• Write short design notes for non-trivial work, articulating tradeoffs between approaches before committing to implementation
• Debug and resolve production issues in your owned area, using logs, metrics, and traces to identify root causes and ship fixes
• Identify and ship small platform or process enhancements that improve developer experience, code quality, or operational reliability
• Provide high-signal code reviews that catch issues, suggest improvements, and help teammates grow
• Support onboarding of new team members and mentor interns or new hires on bounded, well-scoped tasks
• Coordinate across tasks and dependencies within your stories — working with PM, QA, and adjacent engineers to resolve blockers and close issues through resolution

What you’ll need:

• 2+ years of professional software engineering experience demonstrating independent delivery and increasing ownership
• Backend development experience using Java or Groovy, including writing and maintaining production services
• Experience building web applications with React, JavaScript, and TypeScript
• Hands-on experience with databases (MongoDB or similar NoSQL stores preferred), including basic schema design and query writing
• Demonstrated ability to independently own story-sized work — decomposing into tasks, implementing, testing, and shipping without daily direction
• Familiarity with event-driven systems or messaging (Kafka, RabbitMQ, or similar) at a working level
• Proficiency with version control (Git), automated testing, and CI/CD pipelines
• Ability to produce accurate effort estimates and communicate status, risks, and blockers proactively
• Strong code review skills — gives and receives feedback constructively
• Bachelor's degree in computer science, software engineering, or equivalent practical experience

Nice-to-haves

• Experience in healthcare or life sciences industry
• Hands-on experience with test frameworks such as Cypress, Playwright, JUnit, or Jest
• Familiarity with cloud platforms (AWS) and basic infrastructure concepts
• Experience supporting production systems (incident response, monitoring)
• Experience writing design documents or technical specs for feature work
• Familiarity with feature flag systems and progressive rollout strategies

Pay & Perks:

💻 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  

The salary range for this position is $107,000 to $130,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.

Interview Process*:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Technical Interviews
4. Cross-Functional 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’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners. 

The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.

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.

#LI-Remote

#BI-Remote

Job Description

Opportunity Overview: 

Client Support Specialist serves as this role  plays a critical role in investigating, triaging and prioritizing issues related to our technology. Your dedication to investigating complex technical issues and delivering exceptional customer service will be instrumental in enhancing the overall experience of our clients and contributing to the success of our organization.

What you’ll do:

• Bug Investigation, triage and resolution: 
• Promptly and thoroughly investigate product bugs using all available resources, within assigned timeframes   
• Diagnose and troubleshoot technical issues reported by clients, looking to gather comprehensive information to share with other stakeholders 
• Determine which bugs you are able to resolve and promptly resolve these
• Document findings and follow processes for clear process flows 
• Partner with product and technical teams for rapid resolution of “mission critical” bugs, corralling key stakeholders and providing timely updates as needed
• Prioritization: 
• Work with stakeholders to understand the impact of bugs to users and the larger    business
• Use judgment to assess relative priorities of various issues
• Document and communicate priorities clearly according to protocol 
• Communication and cross-functional collaboration: 
• Provide timely and clear updates to all involved stakeholders 
• Partner with stakeholders with empathy to understand their needs 
• “Translate” stakeholders’ needs and asks into actionable directives for technical teams 
• Document and communicate clearly about known issues and workarounds 
• Trend monitoring and process improvement: 
• Monitor bugs for trends and larger improvement opportunities 
• Proactively partner to improve our bug management process 

What you’ll need:

• Bachelor's degree in Computer Science, Information Technology, Healthcare Informatics, or a related field (preferred)
• 2+ years proven experience in providing technical support for healthcare technology products or software applications.
• Strong analytical and problem-solving skills with the ability to diagnose and resolve complex technical issues effectively.
• Excellent communication skills, both written and verbal, with the ability to communicate technical concepts to non-technical stakeholders.
• Customer-centric approach with a passion for delivering exceptional customer service and building long-term relationships.
• Ability to thrive in a fast-paced environment, prioritize tasks, and manage multiple support cases simultaneously.
• Familiarity with ticketing and support systems for incident tracking and reporting (e.g., JIRA, Zendesk).
• Understanding of software development and quality assurance processes is advantageous.
• Certifications in relevant healthcare IT or technical support areas will be considered a plus.
• Familiarity with ticketing and support systems for incident tracking and reporting (e.g., JIRA, Zendesk).
• Understanding of software development and quality assurance processes is advantageous.
• Certifications in relevant healthcare IT or technical support areas will be considered a plus.

Pay & Perks:

💻 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  

The salary range for this position is $55,000 to $60,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment. This role is not eligible for hire in: NY, CA, CO, WA.

Interview Process*:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Take Home Assessment
4. Behavioral Interview(s)

*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’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners. 

The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.

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.

#LI-Remote

#BI-Remote

Job Description

Opportunity Overview: 

The Senior Workforce Management Analyst position is a crucial member of the Business Planning and Workforce Management team.  Your primary responsibilities will be on maximizing the utilization and benefit of our Workforce Management (WFM) platform.  Utilizing systems and analytics to optimize Cohere Health service, Clinical Nursing, and Clinical MD operations performance and delivery by aligning staffing levels and resources allocation with our long term strategic goals.

As the Senior Workforce Management Analyst, you will leverage advanced data analytics with the support from our Solutions Performance Analytics, and Business Intelligence teams, your deep understanding and practical experience of Workforce Management principles, contact center metrics, clinical and customer relationship data to provide actionable reporting, and deep data insights to foster a data-driven culture.  Drive measurable process improvements within the Service and Clinical Operations teams and across Cohere Health.  Independently scope out initiatives and projects.  Conduct ROI / Amortization modeling, and tie operational performance to the financial model.

What you’ll do:

• Be the subject matter expert for the enterprise Workforce Management platform, preferably NICE IEX experience.
• Provide Workforce Management platform administrative support through managing user accounts, access rights, work with the team to maximize forecasting accuracy, scheduling efficiency.
• Lead Weekly short-term forecast meetings with close collaboration with the Service Operations leadership team.
• Support team members to create daily staffing and schedule optimization, and meet daily Intraday performance and schedule adherence goals
• Support team members to fully execute Shift bidding / PTO bidding strategies
• Analyze operational and workforce data.  Identify root causes for performance issues.
• Be an active participant and collaborate closely with the Analytics teams
• Mentoring real time analysts and schedulers in their daily tasks, helping them execute to a high level.  
• Partner closely with other WFM analysts create accurate and sustainable reporting for productivity
• Create trend reports for service operations around volume and production.
• Drive daily and weekly efficiencies based on trend

What you’ll need:

• BA/BS Degree in Business Administration, Computer Science, or Mathematics preferred
• 3-5 years of experience supporting and utilizing Workforce Management Systems to drive strategic long term planning and weekly short term planning, schedule efficiency and performance.
• 2-3 years of experience measuring productivity and other performance related metrics
• Strong domain knowledge in understanding of contact center metrics such as Service Level, Average Handled Time, Average Speed of Answer, and workforce management metrics such as occupancy, shrinkage, adherence, and their interconnectedness to business impacts
• Proven experience and expertise in Workforce Management principles and practices such as forecasting, scheduling, real time monitoring, capacity planning.
• Hands on experience building forecasting models
• Ability to calculate required workload and make staffing recommendations
• Excellent interpersonal and communication skills to partner with technical and business stakeholders.
• Experience with both Call Center and Back Office planning and metrics preferred
• Healthcare Experience a plus
• Hands on experience using NICE IEX Enhanced Strategic Planner preferred

Pay & Perks:

💻 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  

The salary range for this position is $65,000 to $74,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment. This role is not eligible for hire in: CA, NY, or WA.

Interview Process*:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Take Home Assessment
3. Meet your Hiring Manager!
4. Behavioral Interview(s)

*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’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners. 

The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.

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.

#LI-Remote

#BI-Remote

Job Description

Opportunity Overview: 

We are seeking a Staff Software Engineer to join our Payment Solutions team. In this role, 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.

What you’ll do:

• Technical Leadership: Provide technical leadership across architecture, system design, and mentor junior engineers for building scalable SaaS products.
• Platform Ownership: Lead the development and enhancement of Cohere’s AI-powered  applications and platforms, ensuring that it is highly configurable, and optimized for performance.
• Data & Retrieval Architecture: Design data and retrieval architectures that give AI agents the right context, across diverse healthcare sources.
• Hands-On Engineering: 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.
• NFR, Security & Compliance:  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 
• Cross-Functional Collaboration: Work closely with ML/DS teams, product teams, and architects to understand requirements and ensure systems meet business needs.
• Agile Development: 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.

What you’ll need:

• 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
• 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
• Bachelor's degree in Computer Science, Software Engineering, or related field, or equivalent experience

Pay & Perks:

💻 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  

The salary range for this position is $185,000 to $225,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment. 

Interview Process*:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Live System Design 
4. Project Discussion 
5. Cross Functional 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’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners. 

The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.

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.

#LI-Remote

#BI-Remote