Senior AI Engineer

We are seeking a Senior AI Engineer to join our Engineering team. In this role, you’‘ll design retrieval architectures, build AI-powered agents, and own production deployments that serve health insurance plans covering over 15 million people. You’‘ll partner closely with product, data science, and clinical teams to build the foundation that transforms how clinical intelligence is delivered at scale - from hands-on code to HIPAA-compliant systems that directly improve healthcare outcomes. This is an opportunity to work at the intersection of cutting-edge AI and real-world impact, in a fast-paced, collaborative environment.

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:

• Agent Development: Participate in the development, evaluation, and deployment of Cohere’s AI-powered agents and applications.
• Data & Retrieval Architecture: Design data and retrieval architectures that give AI agents the right context, across diverse healthcare sources.
• Hands-On Engineering: Design, review, and own high-quality agentic code - leading releases, production deployments and on-call support.
• Cross-Functional Collaboration: Work closely with ML/DS teams, product teams, and architects to understand requirements and ensure systems meet business needs.
• Security & Compliance: Ensure all agentic components comply with healthcare security and privacy regulations (e.g., HIPAA) and adhere to industry best practices for security.
• Agile Development: Contribute to sprint planning, execution, and retrospectives, driving efficiency and velocity within the engineering team and collaborating closely with stakeholders to align with product goals and business priorities.

Artificial Intelligence (AI), HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Team Player, Data Science, Healthcare, Artificial Intelligence (AI), Artificial Intelligence (AI) Agents, Architectural Design, Clinical Data, * 5+ years of experience in the software development lifecycle, with demonstrated experience working with popular agent frameworks and language models.

• Expertise in one or more modern languages for development.
• Experience with any cloud platform, CI/CD pipelines, and Infrastructure as Code (IaC) tools.
• Experience with AI architectures, Multi-agent systems, RAG, and Evaluation frameworks.
• Experience shaping engineering standards, frameworks, or libraries used across multiple teams.
• Familiarity with human-in-the-loop system design and AI safety considerations in production is a plus.
• Experience with graph-based or multi-modal data retrieval in the context of AI reasoning is a plus.
• Bachelor’’s degree in Computer Science, Software Engineering, or a related field

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 $170,000 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!
• Feature Design Interview
• System Design Interview
• 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.