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Staff Software Engineer, Integrations

United States

Company Overview:

Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient’s healthcare experience, both in and out of the doctors office.  Founded in August, 2019, we are obsessed with eliminating wasteful friction patients and doctors experience in areas that have nothing to do with health and treatment, particularly for diagnoses that require expensive procedures or medications.  To that end, we build software that is expressly designed to ensure the appropriate plan of care is understood and expeditiously approved, so that patients and doctors can focus on health, rather than payment or administrative hassles.

Opportunity Overview:

This is a unique opportunity to join a high-caliber software engineering team that is growing quickly. You will play a key role in building impactful healthcare technology on a modern technology stack, with a focus on integrations platforms that support seamless interoperability across healthcare systems. Your work will focus on enhancing the platform's scalability, reusability, and performance, while ensuring that Cohere’s integrations are efficient and cost-effective by reducing manual effort required from the Integration Ops team.

Last but not least: People 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. 

What You Will Do:

  • Platform Ownership: Lead the development and enhancement of Cohere’s integrations platform, ensuring that it is highly reusable, scalable, and optimized for performance.
  • Improved Reusability & Scalability: Design and implement platform components and reusable integration patterns that minimize custom development efforts, reduce the time spent on repetitive tasks, and ensure that integrations scale across multiple healthcare systems, payors, and third-party services.
  • Cost-to-Serve Optimization: Drive improvements in the platform that reduce engineering time and manual intervention from Integration Ops by implementing self-service, low-code/no-code integration capabilities and automation. Focus on empowering Integration Ops to handle more tasks independently.
  • Technical Leadership: Provide technical leadership across the development lifecycle, ensuring platform components are designed to meet the demands of high-volume healthcare integrations and are easy to maintain and extend.
  • Cross-Functional Collaboration: Work closely with Integration Ops, product teams, and solutions architects to understand integration needs and ensure the platform meets current and future business requirements.
  • Platform Enhancements: Continuously improve the platform’s performance and reliability by optimizing integration workflows, reducing technical debt, and leveraging the latest technologies to ensure seamless integration with external systems such as EMRs, payors, and other healthcare data services.
  • Security & Compliance: Ensure all platform components and integrations comply with healthcare security and privacy regulations (e.g., HIPAA, FHIR) and adhere to industry best practices for data security.
  • 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.
  • Mentorship: Mentor junior engineers, share best practices for building robust, scalable platforms, and lead by example in terms of platform development and design principles.

What We Are Looking For:

  • Experience:  Minimum of 9 years in the software development lifecycle, with significant experience building and maintaining scalable PaaS-based integrations platforms. Experience with open-source integration platforms (e.g., Apache Camel, Node-RED, MuleSoft Community Edition) OR  Managed PaaS solutions (e.g., MuleSoft Anypoint, AWS Step Functions, Dell Boomi, Google Apigee) for building scalable, reusable, and cost-effective integration systems
  • Platform Expertise: Deep experience in designing and building integration platforms that handle high-volume data streams, such as those used in healthcare for interacting with EHRs, payors, or partner systems. Familiarity with patterns such as event-driven architecture (using tools like Kafka), API gateways, and microservices is crucial.
  • Cost Optimization Focus: Experience in implementing features and automation that reduce the burden on integration teams (e.g., through self-service portals or low-code tools) to ensure more efficient and cost-effective operations.
  • Tech Stack: Expertise in Java (Spring) for backend development, Kafka for event streaming, AWS for cloud infrastructure, and CI/CD pipelines for automated deployments. Experience with Terraform and other Infrastructure as Code (IaC) tools for scalability is a plus.
  • Cross-Team Collaboration: Strong communicator who can collaborate effectively with cross-functional teams (product, operations, architecture) to ensure platform components meet the needs of the business and drive efficiency.
  • Security & Compliance: Knowledge of healthcare industry standards (HIPAA, FHIR, HL7) and the ability to ensure that integrations comply with these regulations while being optimized for performance and scalability.
  • Development Practices: A commitment to high-quality code, with experience in version control, unit testing, CI/CD practices, and performance monitoring. Knowledge of monitoring tools like AWS CloudWatch is a plus.
  • Problem-Solving: Ability to proactively identify and resolve platform issues, ensuring high availability, minimal downtime, and a streamlined integration experience for users.

Preferred Skills & Experience:

  • Experience with healthcare integration technologies such as FHIR, HL7, and X12 is highly desirable.
  • Experience with open-source integration platforms (e.g., Apache Camel, Node-RED, MuleSoft Community Edition) or Managed PaaS solutions (e.g., MuleSoft Anypoint, AWS Step Functions, Dell Boomi, Google Apigee) for building scalable, reusable, and cost-effective integration systems.
  • Experience with building self-service integration tools for operational teams (such as Integration Ops) to offload work and reduce manual intervention. Strong understanding of configuration-based integration solutions
  • Familiarity with event-driven architectures and message queue systems to ensure high throughput and low latency in integrations.

Education:

  • Bachelor’s degree in Computer Science, Software Engineering, or a related field; or equivalent experience.

Why Cohere Health?

  • Be part of a rapidly growing company that is transforming healthcare with innovative technology.
  • Lead the development of a scalable, reusable integrations platform that will have a direct impact on reducing costs, improving efficiency, and increasing the reach of Cohere’s products and services.
  • Work in a collaborative, inclusive, and empowering environment with opportunities for professional growth and advancement.

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.

The salary range for this position is $170,000 to $185,000 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.

 

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