Sr. Manager, Engineering

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.

• →Lead 20+ engineers across multiple agile squads (US and India) through dedicated technical leads
• →Own production reliability for Review-owned systems — incident response, root-cause RCAs, and cross-functional tiger teams for major incidents
• →Set technical vision and provide leadership across design and sprint processes, partnering with Staff Engineers
• →Drive delivery transparency through sprint metrics, catching risk early and informing data-driven interventions
• →Partner with Product, Design, Security, Clinical Ops, and peer engineering teams (including our Hyderabad group) on shared systems and initiatives
• →Own hiring, leveling, and career growth for direct reports and their leads; help attract and retain top talent
• →Build a culture that grows early-career engineers into future health-tech leaders, with a bias toward team autonomy
• →Champion testing, quality, and security practices in a regulated (HIPAA/SOC2) environment

• 5+ years managing software engineering teams in a fast-paced, agile environment, including 3+ years leading multiple teams through technical leads or managers
• Experience leading distributed/multi-site teams across time zones (e.g. US/India), including partnering with groups outside your direct reporting line
• Hands-on full-stack engineering background
• Proven ability to own production systems and incident response, ideally in a regulated (healthcare, HIPAA/SOC2) environment
• Strong grounding in modern development practices (version control, unit testing, CI/CD)
• Experience designing and scaling distributed/microservices systems for high-throughput, high-growth products
• A passion for quality products and high-performing, autonomous teams
• Bachelor's degree in computer science, software engineering, or equivalent experience

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Live System Design Exercise 
4. Project Discussion 
5. Cross Functional Interview 

*Subject to change

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.

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.

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