[Remote] Senior Software Engineer, Client Implementations

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.ResponsibilitiesOwn epic-level efforts end-to-end — from technical design and milestone decomposition through implementation, testing, and production deploymentDesign, 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 solutionsEvaluate technical approaches through design docs, pilots, and experiments — documenting decisions, tradeoffs, and outcomes to inform team directionMentor engineers through code reviews, design discussions, and pairing — fostering a culture of ownership, learning, and technical excellenceLead technical design discussions, bringing data-driven analysis and written tradeoffs to resolve ambiguity and align cross-functional stakeholdersEnsure launch readiness for your epics — comprehensive testing, rollout strategy, monitoring, and rollback plans — coordinating across teams when dependencies existCollaborate with cross-functional teams (product, design, clinical, platform) to deliver high-quality experiences while balancing quality, delivery timelines, and operational constraintsSkills5+ years of professional software engineering experience with increasing scope and ownershipStrong backend development experience using Java or Groovy, including designing and operating production-grade servicesExperience building modern web applications with React, JavaScript, and TypeScriptHands-on experience with NoSQL data stores (e.g., MongoDB), including schema design and query optimizationDemonstrated ability to own and deliver epic-sized efforts — decomposing work into milestones, leading execution, and shipping with design-doc qualityExperience 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 pipelinesStrong collaboration skills and ability to work effectively across team boundaries with product, design, and engineering partnersProven ability to mentor other engineers and elevate team quality through reviews and technical guidanceBachelor's degree in computer science, software engineering, or equivalent practical experienceExperience in healthcare or life sciences industry, plusFamiliarity with healthcare interoperability standards (FHIR, HL7), plusExperience with multi-tenant systems handling client-specific configurations at scale, plusExperience with API decomposition or monolith-to-services migration patterns, plusHands-on experience with test frameworks such as Cypress, Playwright, JUnit, or Jest, plusFamiliarity with cloud platforms (AWS) and distributed systems at scale, plusBenefitsFully remote opportunity with about 5% travelMedical, dental, vision, life, disability insurance, and Employee Assistance Program401K retirement plan with company match; flexible spending and health savings accountFlex Time Off + company holidaysUp to 14 weeks of paid parental leavePet insuranceCompany OverviewCohere 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 SponsorshipCohere 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.