Sr. Forward Deployed Engineer

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.

What you’ll do:

• 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

• 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

2.82.8 out of 5 stars Boston, MA Remote $135,000 - $155,000 a year, Pulled from the full job description

• Pet insurance
• Paid parental leave
• Parental leave
• 401(k)
• Health insurance
• 401(k) matching
• Vision insurance, 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 $135,000 to $155,000 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.

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 with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members.

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, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes.

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.