Sr. Manager, Engineering
Required skills
- Review Engineering
- clinical operations
- production reliability
- incident response
- root-cause RCAs
- tiger teams
- technical vision
- sprint processes
- Staff Engineers
- delivery transparency
Nice to have
- health technology
- AI
- clinical intelligence platform
- agentic AI
- payer-provider decision-making
- prior authorization
Role summary
Cohere Health is seeking a remote Senior Engineering Manager to lead their Review Engineering team, comprising over 20 engineers across US and India. This role focuses on building workflows for clinical operations, ensuring system reliability, and setting technical direction. The manager will oversee hiring, career growth, and foster a culture of autonomy and quality, particularly within a regulated healthcare environment (HIPAA/SOC2). The position requires a strong background in software engineering management, distributed systems, and production reliability, with a preference for full-stack experience. The role involves leading multiple agile squads through technical leads and partnering with various cross-functional teams.
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:
What you’ll need:
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 Screening
- Meet 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.
#LI-Remote
#BI-Remote
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