Cohere Health is a clinical intelligence company that provides intelligent prior authorization as a springboard to better quality outcomes by aligning physicians and health plans on evidence-based care paths for the patient's entire care journey. Cohere's intelligent prior authorization solutions reduce administrative expenses while improving patient outcomes. The company is a winner of the TripleTree iAward and has been named to both Fierce Healthcare's Fierce 15 and CB Insights' Digital Health 150 lists. Cohere's investors include Flare Capital Partners, Define Ventures, Deerfield, Polaris Partners, and Longitude Capital.

Cohere Health

Leverage AI to transform prior authorization from transaction management to care journey management.

Opportunity Overview

We are seeking a Senior Engineering Manager to lead our Review Engineering team — roughly 20+ engineers across three squads in the US and India — building the workflows and capabilities that let clinical operations staff deliver care at scale, efficiently and with high quality. Leading through dedicated technical leads on each squad, you'll own the reliability and technical direction of Review's systems while partnering closely with Product, Design, Security, Clinical Operations, and peer engineering teams on shared platforms. This is an opportunity to shape a growing, business-critical part of Cohere's platform and to grow the next generation of engineering leaders in health technology.

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

Lead 20+ engineers across multiple agile squads (US and India) through dedicated technical leadsOwn production reliability for Review-owned systems — incident response, root-cause RCAs, and cross-functional tiger teams for major incidentsSet technical vision and provide leadership across design and sprint processes, partnering with Staff EngineersDrive delivery transparency through sprint metrics, catching risk early and informing data-driven interventionsPartner with Product, Design, Security, Clinical Ops, and peer engineering teams (including our Hyderabad group) on shared systems and initiativesOwn hiring, leveling, and career growth for direct reports and their leads; help attract and retain top talentBuild a culture that grows early-career engineers into future health-tech leaders, with a bias toward team autonomyChampion testing, quality, and security practices in a regulated (HIPAA/SOC2) environment

What You’ll Need

5+ years managing software engineering teams in a fast-paced, agile environment, including 3+ years leading multiple teams through technical leads or managersExperience leading distributed/multi-site teams across time zones (e.g. US/India), including partnering with groups outside your direct reporting lineHands-on full-stack engineering backgroundProven ability to own production systems and incident response, ideally in a regulated (healthcare, HIPAA/SOC2) environmentStrong grounding in modern development practices (version control, unit testing, CI/CD)Experience designing and scaling distributed/microservices systems for high-throughput, high-growth productsA passion for quality products and high-performing, autonomous teamsBachelor's degree in computer science, software engineering, 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*:

Connect with Talent Acquisition for a Preliminary Phone ScreeningMeet your Hiring Manager!Live System Design Exercise Project Discussion 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.

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Sr. Manager, Engineering

What the job involves