Note: The job is a remote job and is open to candidates in USA. Cohere Health is a company focused on optimizing healthcare technology solutions. They are seeking a Senior Software Engineer to build and operate critical healthcare technology that supports prior authorization for health plans, working across the full stack to deliver essential systems for healthcare practitioners.
Responsibilities
- Own epic-level efforts end-to-end — from technical design and milestone decomposition through implementation, testing, and production deployment
- Design, build, and maintain services and applications across the full stack: backend (Java, Groovy/Grails), frontend (React, TypeScript), data (MongoDB), and event-driven messaging (Kafka)
- Proactively identify systemic technical risks including performance bottlenecks, reliability gaps, data consistency issues, and accumulated technical debt — proposing and executing solutions
- Evaluate technical approaches through design docs, pilots, and experiments — documenting decisions, tradeoffs, and outcomes to inform team direction
- Mentor engineers through code reviews, design discussions, and pairing — fostering a culture of ownership, learning, and technical excellence
- Lead technical design discussions, bringing data-driven analysis and written tradeoffs to resolve ambiguity and align cross-functional stakeholders
- Ensure launch readiness for your epics — comprehensive testing, rollout strategy, monitoring, and rollback plans — coordinating across teams when dependencies exist
- Collaborate with cross-functional teams (product, design, clinical, platform) to deliver high-quality experiences while balancing quality, delivery timelines, and operational constraints
Skills
- 5+ years of professional software engineering experience with increasing scope and ownership
- Strong backend development experience using Java or Groovy, including designing and operating production-grade services
- Experience building modern web applications with React, JavaScript, and TypeScript
- Hands-on experience with NoSQL data stores (e.g., MongoDB), including schema design and query optimization
- Demonstrated ability to own and deliver epic-sized efforts — decomposing work into milestones, leading execution, and shipping with design-doc quality
- Experience building systems that integrate with external partners or upstream data sources, including APIs and event- or message-driven workflows (Kafka or similar)
- Proficiency with modern development practices including version control (Git), automated testing, and CI/CD pipelines
- Strong collaboration skills and ability to work effectively across team boundaries with product, design, and engineering partners
- Proven ability to mentor other engineers and elevate team quality through reviews and technical guidance
- Bachelor's degree in computer science, software engineering, or equivalent practical experience
- Experience in healthcare or life sciences industry, plus
- Familiarity with healthcare interoperability standards (FHIR, HL7), plus
- Experience with multi-tenant systems handling client-specific configurations at scale, plus
- Experience with API decomposition or monolith-to-services migration patterns, plus
- Hands-on experience with test frameworks such as Cypress, Playwright, JUnit, or Jest, plus
- Familiarity with cloud platforms (AWS) and distributed systems at scale, plus
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
Company Overview
Cohere Health is a SaaS company that focuses on improving the efficiency and effectiveness of healthcare delivery. It was founded in 2019, and is headquartered in Boston, Massachusetts, USA, with a workforce of 501-1000 employees. Its website is https://coherehealth.com.Company H1B Sponsorship
Cohere Health has a track record of offering H1B sponsorships, with 4 in 2026, 27 in 2025, 21 in 2024, 18 in 2023, 10 in 2022, 7 in 2021, 2 in 2020. Please note that this does not guarantee sponsorship for this specific role.