Senior Forward Deployed Engineer

Responsibilities

• Own end-to-end technical integration design and execution for enterprise customers, from initial scoping through production deployment, serving as the primary technical authority throughout
• Lead technical discovery, scoping, and proof-of-concept work during pre-sales cycles, creating technical proposals and estimates to validate feasibility for prospective customers
• Design system architectures that bridge customer IT environments with Cohere's platform, making key architectural decisions that balance customer constraints with platform capabilities
• Work hands-on with AI/ML-enabled healthcare features-including clinical decision support, automated review, and intelligent routing-ensuring they meet regulatory requirements and clinical safety standards
• Produce high-quality technical artifacts including integration designs, architecture diagrams, data mappings, API implementation guides, and operational runbooks
• Build reusable integration patterns and templates that scale across customers, and continuously identify opportunities to improve platform capabilities based on implementation learnings
• Collaborate cross-functionally with Engineering, Product, Solutions Architecture, and Customer Success teams to drive successful go-live outcomes and mentor junior team members

Requirements

• 6-10+ years of software engineering experience with a strong backend/systems focus
• Healthcare industry experience, particularly on the payer side (health plans, managed care organizations), including familiarity with healthcare workflows, data standards, and regulatory requirements
• Deep expertise in data architecture and integration patterns: data modeling, transformation logic, schema design, and enterprise integration patterns (middleware, message queues, event-driven architectures)
• Hands-on experience with AWS cloud platforms (Lambda, ECS, RDS, S3, API Gateway, EventBridge)
• Strong API integration and authentication experience: RESTful APIs, webhooks, OAuth2/OIDC, SAML 2.0, JWT, mTLS, and API key management
• Production coding skills in modern languages (Python, Node.js, Java, Go, or similar)
• Experience working directly with enterprise customers in technical implementation roles (not just internal teams)
• Comfort with ambiguity and high agency: ability to define problems, propose solutions, and execute independently
• Direct experience with payer-side technology: prior authorization platforms, utilization management systems, or claims processing is a plus
• Familiarity with healthcare data standards: FHIR, X12 (837, 278, 275), HL7v2, or similar specifications is a plus
• AI/ML integration experience: working with LLMs, embedding AI capabilities into production systems, or ML model deployment is a plus
• Infrastructure-as-code experience with Terraform, CloudFormation, or similar tools is a plus
• Experience in regulated environments (HIPAA, SOC2, HITRUST) is a plus
• Database expertise: SQL and NoSQL (PostgreSQL, MongoDB, DynamoDB), query optimization, and data modeling is a plus
• Identity and access management (IAM) experience: SSO implementations, federated identity, RBAC, and multi-tenancy security patterns is a plus
• 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
• Interview Process*:
• Connect with Talent Acquisition for a Preliminary Phone Screening
• Meet your Hiring Manager!
• Behavioral Interview(s)
• Case Study
• *Subject to change
• About Cohere Health:
• Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works

Benefits

Additional Information

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 integration work with enterprise customers and partners-from pre-sales through production deployment-bridging complex healthcare systems with Cohere's AI-first platform. You'll partner closely with Engineering, Product, Solutions Architecture, and Customer Success teams to design and execute sophisticated integrations that improve access to care for millions of members.

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