Description
Opportunity Overview:
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.
We are seeking an operational-focused Site Reliability Engineer (SRE) to maximize the availability, performance, and resilience of our production healthcare systems. In this role, you will bridge the gap between AWS cloud infrastructure, MERN stack applications, and large-scale data workflows. You will spend roughly 60% of your time on live incident remediation, data pipeline operations, and Node.js/Python infrastructure tuning, and 40% on engineering automated solutions to eliminate operational toil.
What you’ll do:
- Production Operations: Maintain the continuous uptime, scalability, and security of our AWS-hosted MERN applications and backend data architectures.
- Serverless Execution: Manage, optimize, and troubleshoot event-driven architectures running on AWS Lambda, focusing on cold-start mitigation, memory allocation, and execution timeouts.
- Data Pipeline Execution: Monitor scheduled PySpark data workflows, execute standard operating procedures (SOPs) for large-scale data ingestion, and rapidly triage, rerun, or patch failed data processing jobs.
- Incident Management: Participate in a collaborative on-call rotation to rapidly triage, debug, and mitigate live application outages and data flow bottlenecks.
- Healthcare Compliance: Maintain strict HIPAA, SOC2, and HITRUST compliance profiles across all runtime environments, storage systems, and data pipelines handling Protected Health Information (PHI).
- Toil Elimination: Engineer automated workflows to eliminate repetitive tasks like manual data seeding, infrastructure provisioning, and routine PySpark pipeline recovery steps.
- Observability Engineering: Build specialized dashboards and alerts to monitor Node.js event loops, PySpark job execution stages, driver/worker memory leaks, and data pipeline throughput anomalies.
- Post-Mortem Culture: Lead blameless post-mortems for operational and data processing failures, translating system crashes into permanent structural fixes.
What you’ll need:
- SaaS Platform Experience: Minimum of 3+ years of hands-on experience operating multi-tenant, cloud-hosted, or cloud-native SaaS platforms at scale.
- AWS Cloud Engineering: Deep expertise operating AWS core services, specifically AWS Lambda, Amazon ECS/EKS, Amazon EMR or AWS Glue (for Spark), EC2, VPC networking, IAM permissions, and CloudWatch.
- Automation & Data Languages: Professional competency in writing, debugging, and maintaining automation scripts and data tools using Python (including PySpark APIs) and Node.js.
- Data Operations: Experience managing and troubleshooting distributed data orchestration pipelines, ETL tools, message queues (e.g., AWS SQS/SNS, RabbitMQ), or stream processing frameworks.
- MERN Stack Operations: Deep understanding of the operational lifecycle of JavaScript/TypeScript applications, including memory management, asynchronous runtimes, and Node.js clustering.
- Database Administration: Practical experience managing, sharding, indexing, and optimizing production-grade MySQL DB & Athena (RDS or self-hosted).
- Infrastructure as Code: Proven ability to deploy and maintain immutable infrastructure utilizing Terraform or OpenTofu.
- Healthcare Experience: Minimum 1 year working within HIPAA-regulated environments. Direct experience securing data-at-rest and data-in-transit containing sensitive patient records is preferred.
- Education & Experience: Minimum of 4 years of software/systems experience, with at least 1-2 years focused on live cloud operations and distributed data workflow management is preferred.
- Crisis Management: Calm under pressure with a methodical approach to identifying and isolating PySpark driver OOM (Out of Memory) errors or data corruption during high-stress outages. Attention to detail and effective communications skills will be critical in working with clients and internal stakeholders is preferred.
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 $100,000 to $110,000 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.
This role is not eligible for hire in: CA
Interview Process*:
- Connect with Talent Acquisition for a Preliminary Phone Screening
- Meet your Hiring Manager!
- Design Interview(s)
- 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
Similar jobs
Est. 145,000 USD
Opportunity Overview: 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. We’re seeking a Senior Software Engineer to join…
Est. 118,500 USD
Opportunity Overview: We are seeking a Software Engineer II to join our Engineering team. In this role, you will independently deliver features and improvements to healthcare technology that powers prior authorization fo…
Est. 147,500 USD
Opportunity Overview: We are seeking a Senior Forward-Deployed Engineer to join our Forward Deployed Engineering team at Cohere Health. In this highly technical, customer-facing role, you will own end-to-end technical in…
Est. 57,500 USD
Opportunity Overview: Client Support Specialist serves as this role plays a critical role in investigating, triaging and prioritizing issues related to our technology. Your dedication to investigating complex technical i…
Est. 205,000 USD
Opportunity Overview: We are seeking a Staff Software Engineer to join our Payment Solutions team. In this role, designing, developing, and scaling highly available AI healthcare products supporting payment integrity wor…
Est. 205,000 USD
Opportunity Overview: We’re looking for a Staff Software Engineer - Platform Engineering to help shape the future of how we build, deploy, and operate software at Cohere. In this role, you’ll drive improvements across De…
Est. 101,000 USD
Opportunity Overview: This is an excellent opportunity for an outstanding data analyst to join a Series C digital health company. You will work closely with clinicians, program implementation, operation experts, informat…
Est. 205,000 USD
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 cli…
Est. 88,500 USD
Opportunity Overview: We are seeking a Healthcare Analytics Analyst to join our Analytics team. In this role, you will conduct analyses that drive our strategy, inform product performance, and provide insights critical t…
Est. 167,500 USD
Opportunity Overview: We are seeking a Lead Software Engineer to join our Integrations team, designing, developing, and scaling highly available healthcare integration systems that support prior authorization workflows a…
Est. 122,500 USD
Opportunity Overview: We are looking for a Manager, Forward Deployed Automation Strategy to play a key role in delivering value for our Platform-as-a-Service (PaaS) customers. Reporting into our Senior Manager, PaaS Valu…
Est. 75,000 USD
Opportunity Overview: We are looking for a Clinical Configuration Analyst to play a key role in the technical configuration of platform requirements for Cohere’s Platform-as-a-Service (PaaS) clients. Reporting into our S…
Est. 112,500 USD
Opportunity Overview: We are seeking a Senior Integration Analyst to join our Integration Services team. In this role, you will lead the technical analysis and design of complex healthcare interoperability solutions that…
Est. 122,500 USD
Opportunity Overview: We are looking for a Lead Forward Deployed Automation Strategist to play a key role in delivering value for our Platform-as-a-Service (PaaS) customers. Reporting into our Senior Manager, PaaS Value…
Est. 90,000 USD
Opportunity Overview: Cohere’s Service Operations team is responsible for ensuring that our healthcare partners are supported throughout their lifecycle of using the platform. The RN Supervisor, Clinical Operations posit…
Est. 87,500 USD
Opportunity Overview: We’re seeking a Senior Clinical Informatician to serve as a key bridge between clinical expertise and data science. In this advanced role, you’ll apply deep clinical reasoning and informatics expert…
Est. 80,000 USD
Opportunity Overview: The Data Platform team at Cohere Health is building a scalable data ecosystem that powers analytics, reporting, and business decision-making. As a Business Analyst II, you'll partner with clients, s…
Est. 118,500 USD
Opportunity Overview: The Inpatient Program Strategy & Execution Manager plays a critical role in shaping and delivering Cohere's inpatient platform strategy across our health plan clients. As the business owner for…
Est. 213,000 USD
Opportunity Overview: Cohere achieves its vision by partnering with health plans to transform the way care is delivered through our clinical intelligence platform and AI-powered solutions. As we continue to grow, we're l…
Est. 232,500 USD
Opportunity Overview: As a Staff Machine Learning Engineer, you will play a critical technical leadership role on Cohere Health’s Enterprise ML team, with a primary focus on powering and scaling machine learning capabili…
Est. 112,500 USD
Opportunity Overview: We're looking for a Senior Data Integration Analyst to join our Payment Integrity team. In this role, you'll design and validate data mapping solutions, ensure data quality across products and syste…
Est. 295,000 USD
Opportunity Overview: The Strategic Medical Director will report to the VP, Sr Medical Director, Clinical Strategy and be a fundamental physician driver of new clinical program design, strategy, and innovation – working…
Est. 224,500 USD
Opportunity Overview: Reporting to the Chief Revenue Officer, Cohere is seeking a highly strategic and collaborative Vice President of Payer Sales to lead the organization’s efforts to establish and maintain strong relat…
Est. 69,450 USD
Opportunity Overview: The Senior Workforce Management Analyst position is a crucial member of the Business Planning and Workforce Management team. Your primary responsibilities will be on maximizing the utilization and b…
Est. 235,000 USD
Opportunity Overview: We are looking for physicians who have expertise in PM&R, Family Practice, Pediatrics, or Internal Medicine to deliver on Cohere’s program by determining the medical appropriateness of services…
Est. 265,000 USD
Opportunity Overview: We are looking for physicians who have expertise in Cardiology and Vascular medical topics to deliver on Cohere’s Cardiology program by determining the medical appropriateness of services by reviewi…
Opportunity Overview: This is a unique opportunity to join a high-caliber software engineering team that is experiencing rapid growth. You’ll play a key role in building impactful healthcare technology on a modern techno…
Opportunity Overview: Cohere Health is at the forefront of leveraging artificial intelligence (AI) to transform prior authorization, shifting from transaction-based processes to creating elevated care journeys. By integr…
Est. 84,000 USD
Opportunity Overview: Cohere’s Service Operations team is responsible for ensuring that our healthcare partners are supported throughout their lifecycle of using the platform. The Lead RN Reviewer in Service Operations p…
Est. 64,320 USD
Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical dete…