Cohere Health

Opportunity Overview: We're looking for a Senior Data Integration Analyst to join our Payment Integrity team. In this role, you'll design and validate data mapping solutions, ensure data quality across products and systems, investigate complex data issues, and support data integration and transformation efforts that power our payment integrity solutions. As a senior member of the team, you'll serve as a subject matter expert, mentoring other analysts, promoting best practices, and partnering with business and technical stakeholders to deliver accurate, scalable data solutions. This is an opportunity to combine your healthcare and data expertise to build innovative solutions that improve accuracy, efficiency, and financial outcomes for our clients. 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: - Design, implement, and validate data mapping, transformation, and integration solutions across multiple systems and data sources. - Investigate and resolve complex data quality, mapping, and integration issues while ensuring data accuracy and integrity through testing and validation. - Partner with business and technical stakeholders to translate requirements into scalable data solutions. - Create and maintain mapping specifications, technical documentation, and other resources that support data governance and operational excellence. - Identify opportunities to improve data quality, automate processes, and drive operational efficiency. - Serve as a subject matter expert by mentoring analysts, developing training materials, and promoting best practices across the team. What you’ll need: - Bachelor's degree in a related field or equivalent professional experience. - 5+ years of experience in data mapping, data analysis, and data integration. - 3+ years of experience working with medical claims data required. - Experience with one or more programming languages, such as SQL, Python, PySpark, or Spark SQL. - Experience working with AWS and complex, multi-source data environments. - Strong understanding of database design, data relationships, transformation logic, and data quality principles. - Proven ability to troubleshoot complex data issues and deliver accurate, scalable solutions. - Strong analytical, communication, and collaboration skills, with the ability to work independently in a fast-paced environment. 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 $105,000 to $120,000 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 Screening - Meet your Hiring Manager! - Technical Discussion - 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

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 are seeking a Lead Engineer to join our Engineering department. In this role, you will work on a fast-paced, collaborative, agile team to build and enhance a growing software platform. You’ll have technical responsibility for end-to-end feature releases and platform enhancements delivered by the team. This is an opportunity to define the customer-configurability capabilities of the Cohere platform.. What you’ll do: - Actively support the technical design process, bringing your expertise and analysis to help make data-driven decisions - Contribute heavily to feature design, development, testing, and delivery of our cloud platform and web applications - Support all parts of our platform from the database to the frontend - Continuously discover, understand, and implement new technologies & services to maximize development efficiency - Contribute to a culture committed to testing, quality, and attention to detail by supporting best practices such as writing and maintaining comprehensive test coverage - Actively participate in ensuring Cohere maintains a disciplined approach to healthcare security - Foster a community of mentorship for junior engineers on your team What you’ll need: - Bachelor's degree in computer science, software engineering, or equivalent experience - Minimum of 8 - 10 years of experience in software development lifecycle - Experience building applications using React and TypeScript or another modern web framework - Fluency in Java - Experience designing and implementing scalable data services and APIs - Hands-on in-depth experience building and maintaining services using MongoDB, Elasticsearch, DataDog or Kafka, at least one - Experience architecting and deploying software to modern cloud infrastructure using AWS and Terraform or CloudFormation - You have experience working on software development teams, building and deploying full stack web applications - You are passionate about building quality products and want to own product development end-to-end, with excellent design and development standards - You can collaborate closely with teammates in product and design to build applications providing healthcare practitioners with the highest quality user experience - You have experience with common software development practices such as version control, unit testing, and CI/CD - You are a team player and are interested in working at a fast-paced startup environment - Prior experience in healthcare and life sciences is a plus, but is not required - Experience leveraging test frameworks such as Cypress, Jest, Mocha, JUnit, or Cucumber is a plus - Experience leveraging Groovy and Micronaut 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 $155,000 to $175,000 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 Screening - Meet your Hiring Manager! - Design Interview(s) - 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

Opportunity Overview: Reporting to the Chief Digital & Technology Officer, the Vice President of AI Engineering & Agent Platforms will lead the teams responsible for AI platform engineering, agent platforms, agent runtime systems, skills and prompt lifecycle management and framework, AI infrastructure, MLOps/LLMOps, and forward deployed AI engineering. This role partners closely with the Chief Data & AI Officer, who owns Cohere's AI strategy, model development, evaluation frameworks, prompt design and governance, skills requirements and behavior, knowledge management frameworks, and data science functions. The VP of AI Engineering & Agent Platforms is responsible for operationalizing, scaling, deploying, and running those capabilities across Cohere's products and customer environments. This leader will build the platforms, engineering systems, and deployment capabilities that enable Cohere to rapidly deliver AI-powered solutions while maintaining the reliability, security, and compliance required in healthcare. What You'll Do:Build and Scale Our AI PlatformLead the engineering organization responsible for the foundational platforms and services that power Cohere's AI ecosystem. Responsibilities include: - AI infrastructure and runtime platforms - Agent orchestration, workflow, and execution services - Document processing and knowledge ingestion pipelines - MLOps and LLMOps capabilities - AI observability, monitoring, and reliability - Partnership with core teams to build AI native Developer platforms and engineering productivity tools - Build and evolve Cohere's enterprise agent platform, enabling teams to rapidly develop, evaluate, deploy, govern, and operate AI agents at scale. Lead Agent EngineeringBuild the frameworks, services, and reusable capabilities that enable teams to rapidly develop, test, deploy, and operate secure, observable, and production-ready AI-powered solutions. Areas of focus include: - Agent architectures, orchestration, and runtime frameworks - Multi-agent systems and workflow automation - Skills management and reusable action frameworks - Evaluation, testing, and agent observability infrastructure - Human-in-the-loop and supervised AI workflows - Enterprise integrations and action surfaces - Partnership in skills design with data science Design and scale the engineering systems used to build, manage, deploy, and govern reusable agent skills across healthcare workflows. Lead Prompt and Skills Lifecycle OperationsEstablish the platforms and operational capabilities required to manage AI behavior at scale. Responsibilities include: - Prompt lifecycle management - Prompt deployment and versioning - Prompt testing infrastructure - Skills deployment and governance - Agent configuration management - AI release management and rollback capabilities Scale a Forward Deployed AI Engineering OrganizationLead a team of customer-facing engineers responsible for deploying and operationalizing Cohere's AI solutions within customer environments. This organization partners closely with customers to: - Implement AI-powered workflows - Integrate with enterprise systems - Accelerate adoption and value realization - Establish repeatable deployment patterns that enable scale - Support complex customer implementations and transformations Drive Operational ExcellenceEstablish engineering best practices, platform standards, and operational processes that allow Cohere to scale AI safely and efficiently across customers, products, and healthcare workflows. Partner closely with Product, Clinical Operations, Customer Success, Security, and the Chief Data & AI Officer's organization to ensure AI capabilities move efficiently from concept to production. What you’ll need:Must-Haves - 15+ years of software engineering experience, including significant leadership responsibility - Experience leading large-scale platform, infrastructure, or AI engineering organizations - Proven track record building and operating cloud-native, data-rich products and platforms - Experience deploying AI-powered applications into production environments - Experience with AWS or other modern cloud-native technologies - Healthcare or other highly regulated industry experience - Deep understanding of distributed systems, platform engineering, and modern software architecture - Experience building and leading high-performing engineering teams Nice-to-Haves - Experience with generative AI, agentic systems, and AI platform development - Experience building agent platforms, skills frameworks, or AI developer platforms - Experience with MLOps, LLMOps, AI infrastructure, and developer tooling - Experience working directly with enterprise customers on complex technical implementations - Track record developing data-rich applications leveraging structured and unstructured data - Experience leading customer-facing engineering or forward deployed engineering organizations Leadership CharacteristicsThe ideal candidate is: - A platform builder who thinks in systems, scale, and reusable capabilities - Passionate about turning innovation into reliable, production-ready products - Customer-focused and outcome-oriented - Comfortable leading through rapid growth and organizational change - Equally effective in technical architecture reviews and executive discussions - Excited about helping define the future of agentic AI in healthcare 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. Pay & Perks: 💻 Fully remote opportunity with about 15% 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 $280,000 to $340,000 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 Screening - Meet your Hiring Manager! - 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

Opportunity Overview: We're looking for a Senior Manager, AI who can lead and grow a high-performing engineering team with a strong product mindset. You'll own outcomes end-to-end - from the cohesive data layer and semantic foundations to the intelligent platform and agents serving health insurance plans covering over 15 million people. You'll partner closely with Product, Data Science, and Clinical Operations to build and scale capabilities that directly impact patient access and operational efficiency. 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: - Team Leadership: Lead, manage, and grow a distributed engineering team, fostering technical excellence, accountability, and a culture of mentorship and continuous improvement. - Platform Strategy: Own the technical strategy and roadmap for Cohere's AI platforms, applications, and agents, partnering with Enterprise Architecture to deliver scalable, reliable, and observable systems. - AI & Data Architecture: Design data, retrieval, and semantic architectures that provide AI agents with accurate, contextual information across complex healthcare data sources. - ML Platform Engineering: Drive architecture for model serving, inference optimization, and production AI systems while establishing MLOps best practices for deployment, monitoring, experimentation, and performance. - Cross-Functional Leadership: Partner with product, ML, data science, and architecture teams to translate business needs into scalable technical solutions. - Engineering Excellence: Drive agile delivery, define engineering quality and reliability metrics, and champion operational excellence, security, and HIPAA-compliant platform design. What you’ll need: - 10+ years of software engineering experience, including 3+ years leading and developing high-performing engineering teams. - Experience building and scaling production AI-powered applications and platforms, with expertise in machine learning infrastructure, model deployment, and operational excellence. - Strong experience designing scalable data architectures and distributed systems that support intelligent applications. - Strong software engineering fundamentals with experience building cloud-native applications using modern programming languages and infrastructure tooling. - Proven ability to define technical strategy, establish engineering best practices, and influence technical direction across multiple teams. - Excellent cross-functional leadership skills with experience partnering closely with Product, Data Science, Clinical, and Architecture teams. Healthcare experience is a plus. - Bachelor's degree in Computer Science, Software Engineering, or a related field, or equivalent practical 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 $220,000 to $245,000 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 Screening - Meet your Hiring Manager! - System Design Exercise - Technical 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. #LI-Remote #BI-Remote

Title: Medical Director Utilization Management Location: United States Job Description: Opportunity Overview: We are looking for physicians who have expertise in Internal Medicine including medical and surgical clinical areas to deliver on Cohere’s program by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. Reporting to the Managing Medical Director for Cohere Health, this is a critical role in a company that is rapidly scaling to impact millions of patients. 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. 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: - Support the clinical content team in reviewing the company’s clinical decision guidelines and evidence based literature - Provide expert input on content for influencing physicians in medical care to improve the quality of patient outcomes - Provide timely medical reviews that meet Cohere’s stringent quality and timeliness parameters - Provide clinical determinations based on evidence-based criteria while utilizing clinical acumen and knowledge of evidence based literature and medical society guidelines - 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 medical necessity decisions during case review - 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: - Completed US-based residency program and fellowship in Internal Medicine - Board certification as an MD or DO with a current unrestricted state license to practice medicine - reviewers must maintain necessary credentials to retain the position - 5+ years of clinical practice beyond residency/fellowship in Internal Medicine - Excels in a matrix organization - Comfortable with technology - willing and able to learn new software tools - Understanding of managed care regulatory structure and processes - Detail-oriented, flexible, and able to work autonomously with little supervision - 1+ years of managed care utilization review experience desirable - Membership in national and/or regional specialty societies preferred - Licensure in AZ, GA, MS, NC, ND, OK, OR, or TX is highly desirable - you should be willing to obtain additional state licenses with Cohere's support Pay & Perks: 💻 Fully remote opportunity with about 10% 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 $240,000 to $250,000 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 Screening - Meet your Hiring Manager! - 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

Role Description As a growing organization, we have built a team of talented and experienced people who are passionate about helping providers and patients. This position offers the ability to make a substantial impact on the company with rapid growth opportunities. You will be part of a growing payment integrity team. - Conduct exploratory data analysis (EDA), descriptive statistics, and predictive modeling to identify trends, patterns, and key insights in healthcare claims data. - Collaborate with data scientists, analysts, and healthcare professionals to understand project requirements, deliver analytical reports, and support decision-making. - Create clear and compelling data visualizations to communicate findings to stakeholders. - Assist in preparing high quality technical reports, presentations, and documentation to summarize the results of analyses. Qualifications - 5+ years professional healthcare data analytics experience at a company where health outcomes were critical to the mission, preferably a healthcare analytics company or payment integrity organization. - Experience with Amazon AWS cloud platform and QuickSight. - Experience with programming languages (Python, PySpark and/or Spark SQL). - Strong understanding of Claims and EMR data. - Bachelor’s degree in health informatics, public health, biostatistics, economics, or other related field. - Excellent communicator with an ability to effectively engage in a technical conversation oriented to maximize business value. - Comfortable working in the weeds, but also able to understand the big picture. - Able to communicate in person and in writing without relying on generative AI. Requirements - Familiarity with healthcare payment integrity, claims processing, and compliance frameworks. - Exposure to tools like Quicksight, Power BI, or similar for communicating insights effectively. 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. - The salary range for this position is $110,000 to $120,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. Interview Process - Connect with Talent Acquisition for a Preliminary Phone Screening. - Meet your Hiring Manager. - Behavioral Interview(s). - *Subject to change. Company Description 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. - 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. - Joining this mission means being part of a forward-thinking organization that values curiosity, collaboration, and impact. - Cohere Health’s innovations continue to receive industry-wide recognition, including being named to the 2025 Inc. 5000 list and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. - We believe that diverse, inclusive teams make the most impactful work.

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 Software Engineer ll to join our Data Platform team and contribute to building scalable, reliable, and governed data pipelines that power analytics, operations, and clinical intelligence across Cohere Health. This role is ideal for someone who enjoys working collaboratively across engineering and analytics teams and takes pride in delivering clean, well-documented, and production-ready data solutions. As a Software Engineer ll, you’ll play a key role in our end-to-end data lifecycle—from ingestion to transformation to integration—enabling a high-trust data environment that supports real-time and batch workflows across domains. You’ll work with modern data tools and patterns, contribute to engineering standards, and help ensure platform performance, reliability, and scalability. What you’ll do: - Design, build, and maintain scalable data pipelines for ingesting, transforming, and curating data from internal and external sources - Implement and enforce schema validation, data quality checks, and job monitoring to ensure trustworthy data outputs - Collaborate with analytics engineers, architects, and product partners to define technical requirements and deliver data products that meet business needs - Write clean, 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 - Participate in on-call rotations to support critical platform jobs and minimize operational disruptions - Contribute to a culture of engineering excellence through code reviews, documentation, and knowledge sharing What you’ll need: - 2-3 years of experience in data engineering or software development with a strong focus on data infrastructure - Bachelor’s degree in Computer Science, Engineering, or a related discipline—or equivalent practical experience - Proficiency in Python and SQL, with experience applying software engineering principles to data workflows - Track record of building and maintaining production grade systems using APIs - Experience working with cloud-native data tools such as Airflow, dbt, AWS (EMR, Athena, S3), and modern table formats (e.g., Iceberg, Parquet) - Ability to collaborate effectively across technical and non-technical teams in a fast-paced, agile environment, plus - Excellent problem-solving skills and a growth-oriented mindset, plus - Healthcare data experience (e.g., claims, clinical, EHR), plus - Familiarity with streaming pipeline (eg: Kafka), plus - Familiarity with CI/CD pipelines, testing frameworks, and observability practices for data systems, 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 $110,000 to $120,000 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 Screening - Meet your Hiring Manager! - Live Design - Project Overview with Team - Cross-Functional *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

Role Description We are seeking a versatile and highly skilled Lead Claims Auditor to join our dynamic Payment Integrity team. This critical role involves conducting comprehensive professional and facility coding reviews—encompassing both outpatient/professional and inpatient claims—to ensure the accuracy of code assignment, DRG/reimbursement, and to maximize overpayment identification. - Conduct comprehensive coding reviews to ensure accuracy in code assignment and reimbursement. - Conduct comprehensive outpatient and professional coding reviews to ensure accuracy in code assignment and reimbursement. - Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. - Conduct ambulatory surgery center, emergency room, observation and infusion coding reviews. - Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations. - Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits. - Meet or exceed company quality and productivity standards, including strong uphold rates for appeals. - Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge. - Adhere to HIPAA and company policies and procedures to ensure data security and regulatory compliance. - Maintain and apply superior knowledge of changes and updates to coding guidelines, reimbursement trends, and health payment policy language. Qualifications - 8-12 years of experience overall. - Expert-level coding knowledge with an in-depth understanding of ICD-10-CM/PCS coding guidelines. - Deep understanding of outpatient claims coding and auditing. - Self-motivated and able to work independently in a remote environment while maintaining high performance. - Expertise in outpatient and professional coding audits to ensure accurate code assignment and compliant reimbursement. - Exceptional time management, problem-solving, and analytical skills. - Passion for auditing and a commitment to teamwork, collaboration, and continuous learning. - Possess the CCS (Certified Coding Specialist) or CPC (Certified Professional Coder) credentials. - Superior knowledge of HCPCS, CPT, ICD-10-CM/PCS coding, and US healthcare payment methodologies for Commercial, Marketplace, Medicare, and Medicaid. - Experience with coding ambulatory surgery clinic claims and hospital observation claims to include injection and infusion claims. - Experience auditing high-cost drug and/or Durable Medical Equipment claims. - Completion of a bachelor's degree. - Excellent written and verbal English communication skills, strong analytical skills, and attention to detail. Requirements - Experience using CMS NCDs/LCDs and clinical criteria guidelines (nice-to-have). - RHIA or RHIT credential (nice-to-have). - Experience working in a start-up or high-growth company environment, demonstrating agility and adaptability (nice-to-have). - Familiarity with working with a diverse, global team of talent (nice-to-have). - Excellent computer skills and familiarity with a Mac (nice-to-have). - Ability to commute/relocate to Nacharam, Hyderabad, Telangana (Preferred). Interview Process - Connect with Talent Acquisition. - Meet with the Hiring Manager. - Behavioral Interview(s). - Case Study. - Interview with Senior Leadership.

Role Description Cohere’s Service Operations team is responsible for ensuring that our healthcare partners are supported throughout their lifecycle of using the platform. The RN Supervisor, Clinical Operations position is a crucial role in our organization. In this role, you are responsible for coaching, mentoring, evaluating and developing the RN Reviewer team. The RN Supervisor will use established operational tools to ensure all RN staff are meeting or exceeding performance metrics and quality standards established by the leadership team. As an RN Supervisor, you will work closely with the leadership team at Cohere and report to the Director/Manager of Clinical Operations. You will be responsible for providing daily operational guidance to the RN Reviewers to allow them to meet or exceed operational objectives and metrics. You will leverage both your creative skills and communication skills to promote a high performing clinical team. The RN Supervisor will be highly organized in order to plan daily operational activities and provide oversight of the RN Reviewer team. You will use your professionalism, personality, and communication skills to inspire the team to meet or exceed all performance standards. At a growing organization, this is a position that offers the ability to make a substantive mark on the company and its partners with exponential growth opportunities. What you’ll do: - Oversee the RN Reviewer team including one RN Team Lead - Establish a plan for the day and communicate to all staff daily - Manage the daily timeliness report and ensure all cases meet expected turnaround times - Monitor the nurse productivity reports daily and provide feedback to the nurses, managing performance to ensure consistency - Lead weekly team meetings - Capture process efficiency ideas from the team and work with the appropriate stakeholders to recommend and lead changes needed to improve nurse efficiency - Meet individually with all direct reports on bi-weekly cadence to develop solid work relationships with each team member and to share any performance feedback, positive and constructive - Working with the RN Reviewer Leads, track hourly nurse productivity, keeping the Director/Manager informed on productivity results as needed - Train and Develop new RNs who join the team - Oversee daily newsletter publication - May be asked to help with other projects as needed Qualifications - Registered Nurse with an active and unencumbered license to practice - 2-3 years of supervisory/management experience - Knowledge of NCQA/CMS requirements - Experience using MCG, CMS NCDs/LCDs, clinical criteria guidelines - Prior Authorization or Utilization Management experience - Excellent computer skills and familiarity with a Mac - Experience supervising and training in a remote work environment - The ability to work 10am-7pm or 11am-8pm EST 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 - 🏝️ Up to 184 hours (23 days) of PTO per year + 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 and Behavioral Interview - *Subject to change

Role Description The Workforce Management Analyst is a key member of the Business Planning & Workforce Management team, responsible for optimizing workforce performance across service and clinical operations. Leveraging workforce management tools, forecasting, and data analysis, this role supports short-term planning, staffing decisions, resource allocation, and operational agility to ensure consistent service delivery. This role manages intraday operations across Intake and Clinical RN teams, monitoring volume, productivity, staffing, scheduling, and queue performance. You will deliver performance reporting, identify key drivers and trends, uncover opportunities for process improvement and automation, and provide actionable insights to support operational and strategic decision-making in a fast-paced, high-growth environment. What you’ll do: - Monitor staffing levels and notify leadership of variances to ensure optimal service levels - Forecast staffing needs based on activity and volume - Partner with leaders to track and plan for meetings, trainings, and other non-production hours - Lead daily meetings with call center management to review trends and performance impacts - Recommend and manage overtime or voluntary time off when needed - Track and analyze function and agent-level performance using multiple data sources - Report on historical data and trends to identify risks and opportunities - Support process improvements and assist in creating process flows - Prepare clear, high-quality presentations for leadership Qualifications - 2–3 years of experience with workforce management platforms (e.g., NICE IEX, Verint, Genesys WFM) supporting forecasting, scheduling, intraday management, and workforce optimization - Experience with call center and back-office operations required - Healthcare or utilization management experience is a plus - Advanced proficiency in Microsoft Excel and/or Google Sheets, including custom modeling, reporting, and data visualization required - Salesforce experience is a plus - Experience analyzing productivity and operational performance metrics to identify trends, risks, opportunities, and actionable insights - Strong understanding of forecasting and workforce planning concepts, including staffing and resource recommendations - Excellent communication and presentation skills with the ability to collaborate across cross-functional teams - Highly organized, analytical, and adaptable, with the ability to thrive in a fast-paced, high-growth environment - Bachelor's degree in Business, Mathematics, Computer Science, or a related field preferred Requirements - 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 Benefits The salary range for this position is $55,000 to $75,000 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: AK, CA, CO, HI, NY, or WA. Interview Process - Connect with Talent Acquisition for a Preliminary Phone Screening - Take Home Exercise - Meet your Hiring Manager! - Team Interview - Leadership Interview