Jobs at Cohere Health

Lead payer sales strategy and a small team across the Western U.S., build enterprise payer relationships, drive revenue growth, ensure regulatory compliance, leverage data and sales tools, represent the company at industry events, and travel ~30% of the time.

Lead and supervise RN Reviewers to meet operational metrics and quality standards. Coach, mentor, train, and audit nursing staff; interview new hires; oversee quality improvement plans; coordinate clinicians, address escalations, and collaborate with leadership to improve processes and performance in a remote, fast-paced environment.

The Staff Machine Learning Engineer will lead ML initiatives, develop ML systems, collaborate with cross-functional teams, and mentor junior engineers to optimize healthcare intake workflows using advanced machine learning techniques.

Draft, refine, and maintain medical policy documents using current scientific evidence and CMS guidelines. Manage review processes, mentor writers, maintain policy repository, track project progress, and communicate updates to clinical leadership and stakeholders.

Lead executive relationships with large health plan clients, own strategic account plans, identify and close expansion opportunities, drive cross-functional collaboration, advocate client priorities internally, and ensure successful delivery and exceptional client outcomes.

Lead end-to-end implementations for payer and provider customers, manage cross-functional teams, partner with sales and product to scope launches, track project schedules and risks, build repeatable playbooks, and nurture customer relationships to ensure successful deployments and expansion.

Partner with stakeholders to gather and document data requirements, translate needs into user stories and technical specs, perform SQL-based data analysis, source-to-target mapping, and validation, support data quality, lineage, and monitoring, serve as primary requirements contact, contribute to Agile ceremonies, assist change management and rollout, and maintain operational and client documentation.

Lead technical design, build, and operate scalable, secure healthcare integration systems. Drive architecture, event-driven distributed systems, APIs, observability, IaC, CI/CD, incident response, cross-functional delivery, and mentor engineering teams.

As a Claims Auditor, you will conduct MS-DRG and APR-DRG coding reviews, ensuring the accuracy of claims to maximize overpayment identification while adhering to coding guidelines and compliance regulations.

Lead full‑stack engineering efforts to design, build, and operate production healthcare systems. Own epic-level features, mentor engineers, design for reliability and scalability, integrate with partners, and ensure launch readiness across backend (Java/Groovy), frontend (React/TypeScript), data (MongoDB), and event-driven pipelines (Kafka).

The Medical Director will lead clinical program design and strategy, collaborating with teams to improve clinical offerings and client relationships in the healthcare sector.

As a Staff Software Engineer, you will enhance platform engineering by improving deployment strategies and developer experiences, establishing reliable systems and mentorship across teams.

The Associate Medical Director oversees clinical reviews for orthopedic services, ensuring evidence-based guidelines are applied and communication is effective. Responsibilities include peer discussions for clinical clarity, documentation, and supporting operational improvements, requiring extensive experience in orthopedic surgery and managed care.

This role involves reviewing clinical information, providing medical determinations in Cardiovascular Medicine, and ensuring high-quality patient outcomes through evidence-based guidelines. The Medical Director collaborates with teams to enhance clinical practices and manages operational improvements.

The Medical Director, Clinical Strategy leads clinical program design and strategy, collaborating cross-functionally to meet client needs and support growth initiatives.

Build and maintain scalable, governed data pipelines from ingestion through transformation and integration. Implement schema validation, data quality checks, job monitoring, and production-grade APIs. Work with Python, SQL, Airflow, dbt, AWS (EMR, Athena, S3), Iceberg/Parquet, and contribute to CI/CD, observability, and on-call support while collaborating with analytics and product teams.

Lead end-to-end technical integrations with enterprise healthcare customers from pre-sales through production. Scope and deliver architecture, POCs, API integrations, data mappings, and runbooks. Ensure AI/ML features meet regulatory and clinical safety standards, build reusable integration patterns, collaborate cross-functionally, and mentor junior engineers to drive successful go-lives.

Own end-to-end delivery of Cohere's inpatient platform for health plan clients, from contract signature through implementation, optimization, and operations. Coordinate Product, Engineering, Clinical Operations, Analytics, and Client Experience; translate client needs into product requirements; monitor performance, manage risk, drive operating cadence, and ensure measurable client value realization.

Supervise and develop a remote RN Reviewer team, manage daily productivity and timeliness reports, lead meetings, train new RNs, capture process improvements, and provide performance coaching to meet clinical operations metrics.

Lead clinical strategy and program design for diagnostic imaging, serve as the clinical subject-matter expert for client engagements, drive go-to-market and partnership activities, monitor program performance, and support growth through client-facing work and cross-functional collaboration.