C

Cohere Health

Builds software for healthcare authorizations

Staff Software Engineer - Integration

Full-Time
No salary listed
Expert
Bachelor's
Hyderabad, Telangana, India
In PersonRelocation to Hyderabad is preferred before starting.
Software EngineeringBackend Engineering

About the job

Requirements
  • A bachelor's degree in Computer Science, Information Technology, or Computer Engineering, or equivalent experience.
  • At least 11 years of experience in software development, designing, building, and supporting scalable enterprise applications and distributed systems.
  • Hands-on experience with Java, Groovy, and Spring Boot for building enterprise-grade integration services and application programming interfaces.
  • Experience designing and implementing Representational State Transfer APIs and integrations with external systems, third-party platforms, and partner applications.
  • Expertise with authentication and authorization frameworks, secure application programming interface design, and access control mechanisms.
  • Experience with data modeling and storage design across relational and non-relational database technologies.
  • Experience with event-driven architecture patterns and asynchronous messaging using Apache Kafka, Amazon Web Services Simple Queue Service, and Amazon Simple Notification Service.
  • Experience with cloud infrastructure on Amazon Web Services, Infrastructure as Code using Terraform, and containerization with Docker.
  • Experience with continuous integration and continuous delivery pipeline design, deployment automation, and DevOps practices.
  • Experience with observability, monitoring, and alerting tools for production system visibility and performance analysis.
  • Working knowledge of healthcare interoperability standards including Health Level Seven Fast Healthcare Interoperability Resources, X12 Electronic Data Interchange, and Health Level Seven Version 2.
  • Familiarity with clinical ontologies such as SNOMED Clinical Terms, Logical Observation Identifiers Names and Codes, and International Classification of Diseases, 10th Revision.
  • Ability to navigate ambiguity, influence stakeholders, and drive technical decisions across teams.
  • Good knowledge of information practices.
  • Ability to assist the manager with implementation and maintenance of information security activities.
  • Ability to ensure the team is imparted with competence related to information security.
  • Ability to implement security policies and procedures and report issues to the Information Security Manager.
Responsibilities
  • Design, develop, and scale highly available healthcare integration systems supporting prior authorization workflows across providers, payers, and delegated entities.
  • Provide technical leadership across architecture, system design, platform scalability, reliability, and operational excellence.
  • Design and build scalable, resilient, and high-performing systems supporting critical business workflows and enterprise integrations.
  • Lead the development and maintenance of secure integrations with internal and external platforms, partners, and third-party systems.
  • Drive cloud infrastructure, deployment automation, and software delivery practices that enable reliable and efficient releases.
  • Design and support event-driven and distributed architectures enabling scalable and fault-tolerant processing.
  • Establish monitoring, observability, and incident response practices to ensure system reliability, performance, and availability.
  • Champion automated testing, quality assurance, and engineering best practices throughout the software development lifecycle.
  • Lead the resolution of complex production issues and drive continuous improvement in platform stability and operational efficiency.
  • Partner with product, operations, data, security, and business stakeholders to deliver solutions aligned with organizational goals.
  • Lead technical planning, design reviews, backlog refinement, and delivery execution within an agile development environment.
  • Ensure solutions adhere to security, privacy, regulatory, and compliance requirements while following industry best practices.
  • Mentor engineers and foster technical excellence.
Desired Qualifications
  • Experience in healthcare technology, health plan operations, or prior authorization systems.
  • Deep experience applying Fast Healthcare Interoperability Resources resources, X12 transaction sets, and Health Level Seven messaging in production integration workflows.
  • Advanced knowledge of clinical terminologies including SNOMED Clinical Terms, Logical Observation Identifiers Names and Codes, and International Classification of Diseases, 10th Revision, for data mapping and clinical decision support.
  • Cloud architecture certifications, such as Amazon Web Services Solutions Architect.
  • Demonstrated success leading distributed engineering teams.

About the company

C

Cohere Health

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cbWebsite

Cohere Health builds clinical software and provides review services for health insurers. Its Cohere Unify platform helps teams handle prior authorization, appeals, care management, and payment integrity by organizing medical records and applying plan policies to requests and claims. AI tools extract clinical evidence and prepare recommendations, while nurses and physicians review cases that require clinical judgment. The company sells technology and delegated review services to health plans, which can use its software within their own teams or outsource selected workflows. Cohere Health was founded in 2019 and is headquartered in Boston, Massachusetts.

Company Size

501-1,000

Company Stage

Series C

Total Funding

$196M

Headquarters

Boston, Massachusetts

Founded

2019

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Simplify Jobs

Simplify's Take

What believers are saying

  • New product addresses claims leakage: Cohere Health launched AI claims mining software Cohere Surface in April 2026.
  • One payer showed savings: Cohere Health reported $13.4 million annualized inpatient savings in a September 2026 case study.
  • US family benefits support parents: Cohere Health advertises up to 14 weeks of paid parental leave for eligible staff.

What critics are saying

  • Medicare payments depend on performance: CMS adjusts Cohere Health's WISeR compensation using averted spending and provider experience measures.
  • Medicare deadlines carry consequences: CMS requires 72 hour turnarounds from Cohere Health's Texas WISeR reviews, backed by corrective action.
  • Remote nursing work includes weekends: Cohere Health's current US RN Reviewer opening lists weekend coverage and a 40 hour week.

What makes Cohere Health unique

  • Clinical models are specialized: Cohere Health reports over 350 clinician developed models trained on prior authorization decisions.
  • Payers choose operating models: Cohere Health supports delegated reviews followed by technology enabled transitions to internal teams.
  • Authorization data uses healthcare standards: Cohere Health supports HL7 Da Vinci coverage, documentation, and authorization APIs through Cohere Connect.

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Benefits

  • Health Insurance
  • 401(k) Company Match
  • Performance Bonus
  • Remote Work Options

Growth & Insights and Company News

Headcount

6 month growth

-2%

1 year growth

-3%

2 year growth

0%
Cohere Health
Sep 17th, 2026
Cohere Health named to TIME's World's Top HealthTech Companies 2026 list for second consecutive year.

Cohere Health named to TIME's World's Top HealthTech Companies 2026 list for second consecutive year. Published: September 17, 2026 BOSTON (September 17, 2026) - Cohere Health(R), the leading clinical intelligence and operations platform for health plans, has been named to TIME's World's Top HealthTech Companies 2026 list for the second consecutive year, recognized in the AI & Data Analytics category with an Outstanding ranking. The recognition reflects the growing need for platforms like Cohere Unify(TM), which helps health plans connect their clinical, administrative, and financial operations to improve decision speed, accuracy, and transparency across the enterprise. The World's Top HealthTech Companies 2026 ranking recognizes leading innovators advancing healthcare globally through technology. Companies were evaluated using three primary data sources: Financial Performance Metrics, Reputation Analysis, and Online Engagement. Out of thousands of HealthTech companies reviewed, the top 500 were recognized for their outstanding performance across these critical areas. "Being recognized again by TIME and Statista reflects Cohere Health's innovative approach to helping health plans and their provider networks move beyond siloed data and clinical decisions to more connected operations," said Siva Namasivayam, CEO and co-founder of Cohere Health. "Today, many health plans still struggle to connect the information and decisions that shape financial, administrative, and clinical outcomes. We help bring that decision-making together so critical context isn't lost between functions-helping patients, providers, and plans experience the speed, cost, and quality of care we all need." This approach is reflected in the company's Unify platform and ongoing technology advancements. In 2026, Cohere Health extended its proven capabilities beyond utilization management and payment accuracy into appeals, care management, claims operations, and quality-bringing its portfolio of composable solutions, AI agents, and copilots to a broader set of enterprise health plan functions. TIME's recognition adds to broader third-party validation of Cohere Health's approach. The company recently ranked No. 390 on the 2026 Inc. 5000-placing in the top 8% and marking its second consecutive year on the list-and earned its fifth consecutive inclusion in the Gartner(R) Hype Cycle(TM) for U.S. Healthcare Payers in the Intelligent Prior Authorization category, which received a "Transformational" Benefit Rating. Together, these milestones reinforce the market's demand for more connected health plan operations-and Cohere Health's momentum in helping lead that shift. About Cohere Health. Cohere Health's clinical intelligence and operations 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 9x ROI and 94% provider satisfaction. Cohere Health is recognized on TIME's World's Top HealthTech Companies list, on the Inc. 5000 list, and by numerous industry analysts. Stay ahead with expert insights on transforming utilization management and payment integrity - delivered straight to your inbox.

Cohere Health
Aug 18th, 2026
Cohere Health recognized in 2026 gartner(r) Hype cycle(tm) for U.S. Healthcare Payers for fifth consecutive year.

Cohere Health recognized in 2026 gartner(r) Hype cycle(tm) for U.S. Healthcare Payers for fifth consecutive year. Published: August 18, 2026 BOSTON (August 18, 2026) - Cohere Health(R), the leading clinical intelligence and operations platform for health plans, today announced it has been recognized for a fifth consecutive year in the Gartner Hype Cycle for U.S. Healthcare Payers, 2026 (June 2026) in the Intelligent Prior Authorization (iPA) category, with Gartner citing iPA's impact to "increase administrative efficiency for both payers and providers while providing a frictionless experience for consumers." Gartner gave iPA a "Transformational" Benefit Rating, which is described as "rapidly maturing," signaling the opportunity for iPA to serve as a strategic operational differentiator for payers. That view of the market underscores why Cohere Health's approach matters now-the industry continues to shift toward iPA that is faster, more precise, and clinically defensible, exactly what the company's AI systems are built to support. The recognition arrives against a backdrop of market pressure. An analysis of the Gartner report suggests that pivotal factors influencing iPA include regulatory demands like CMS-0057-F, provider burden, and the growing role of GenAI and agentic AI in payer operations. It also highlights persistent obstacles: fragmented systems, limited clinical data integration, and technology silos between operations. These realities raise the stakes for how payers adopt AI, making clinical rigor and connectivity as important as speed alone. Cohere Health's pioneering approach to iPA is grounded in clinician-trained, domain-specific AI, built with responsible AI frameworks and transparent, auditable decision logic. Clinical AI drives faster, more accurate decisions for appropriate care-enhancing human judgment and helping clinicians practice at the top of their licenses. Critically, AI is never used to deny care; any request that cannot be approved in real time is reviewed by a physician, keeping human oversight central to every decision. Cohere Health helps health plans approve 85% of prior authorization requests in real time, lower utilization management administrative costs by 47%, and increase payment integrity team efficiency by up to 87%-saving millions of dollars and millions of minutes across health plan operations. "To us, this acknowledgment of iPA as 'Transformational' by Gartner reflects the measurable value payers are seeing from this technology today," said Siva Namasivayam, co-founder and CEO of Cohere Health. "Growing regulatory and industry demands, provider friction, and admin costs are driving plans to modernize prior authorization to improve efficiency without compromising quality, transparency, or trust. That's what we've built and continue to innovate around: clinically trained AI that strengthens precision and consistency while keeping clinicians in control." The clinical intelligence that drives Cohere Health's iPA solutions does not stop at prior authorization. Over the last year, the company extended its platform's AI capabilities across payer operations-including payment integrity, claims operations, appeals, and quality-so teams can act on shared clinical context and insights across the enterprise rather than restarting without continuity at every handoff. Gartner, Hype Cycle for U.S. Healthcare Payers, 2026, By Connie Salgy, Austynn Eubank, Robert Potts, Faith Adams, 4 June 2026 About the Gartner Hype Cycle Gartner and Hype Cycle are trademarks of Gartner, Inc., and/or its affiliates. Gartner does not endorse any company, vendor, product or service depicted in its publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner publications consist of the opinions of Gartner's business and technology insights organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this publication, including any warranties of merchantability or fitness for a particular purpose. About Cohere Health Cohere Health's clinical intelligence and operations 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 9x ROI and 94% provider satisfaction. Cohere Health is recognized on TIME's World's Top HealthTech Companies 2025 list, on the 2025 Inc. 5000 list, and by numerous industry analysts. Stay ahead with expert insights on transforming utilization management and payment integrity - delivered straight to your inbox.

Cohere Health
Aug 11th, 2026
Cohere Health ranks 390 on the 2026 Inc. 5000 list of fastest-growing private companies, marking second consecutive year.

Cohere Health ranks 390 on the 2026 Inc. 5000 list of fastest-growing private companies, marking second consecutive year. Published: August 11, 2026 Growth reflects health plans' accelerating shift toward enterprise clinical intelligence and agentic AI-powered operations. BOSTON (August 11, 2026) - Cohere Health(R), the leading clinical intelligence and operations platform for health plans, today announced it has been ranked 390 on the 2026 Inc. 5000 list of America's fastest-growing private companies, placing in the top 8%. This marks the second consecutive year that Cohere Health has appeared on the prestigious list, reflecting accelerated demand for a new healthcare operating model-one built on clinically trained AI and shared intelligence that connect decisions across care and payment operations, rather than isolated AI point solutions. The current challenges health plans face-reducing costs, streamlining operations, responsibly scaling AI-demand more than fragmented data and workflow automation can deliver at scale. Too often, invaluable clinical context is lost as work moves between disconnected functions. Cohere Health pioneered a fundamentally different approach. Built as a connected clinical intelligence layer, the Cohere Unify(TM) platform preserves clinical, administrative, and payment context across health plan operations, so every decision informs the next. Rather than automating tasks in isolation, the platform brings shared insights and continuity across workflows-helping health plans redesign complex operations through clinically trained AI and expert human oversight. That approach is translating into continued commercial momentum. This year, Cohere Health has already added five new health plan clients, including three Blue Cross Blue Shield plans-growing its client base to 17 health plans nationwide. The company also strengthened existing client relationships through expanded platform adoption. Building on proven AI capabilities that transformed utilization management and payment integrity, Cohere Health's clients are also adopting agentic AI to support new use cases-appeals, care management, claims operations, and quality-bringing shared clinical intelligence to health plan workflows. Today, health plans using Cohere Unify are able to reduce utilization management administrative costs by 47%, increase payment integrity auditor efficiency by up to 87% with 9x ROI, deliver 94% provider user satisfaction, and improve Stars HEDIS measures performance by an average of 15% per measure. "Our growth reflects a broader shift in what health plans expect from AI," said Siva Namasivayam, co-founder and CEO of Cohere Health. "Health plans don't want or need another isolated AI tool. They need clinically grounded intelligence that connects decisions across care and payment, strengthens human expertise, and delivers measurable outcomes at enterprise scale. This continued recognition by Inc. reinforces our vision for a healthcare system where the speed of care and payment can finally match the speed of technology." The 2026 Inc. 5000 companies are ranked according to percentage revenue growth from 2022 to 2025. To qualify, companies must have been founded and generating revenue by March 31, 2022. They must be U.S.-based, privately held, for-profit, and independent, not subsidiaries or divisions of other companies, as of Dec. 31, 2025, Inc. will celebrate the honorees at the 2026 Inc. 5000 Conference & Gala, which will take place Oct. 14-16 in Dallas. For the complete list, company profiles, and a searchable database by industry and location, visit: www.inc.com/inc5000. About Cohere Health Cohere Health's clinical intelligence and operations 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 9x ROI and 94% provider satisfaction. Cohere Health is recognized on TIME's World's Top HealthTech Companies 2025 list, on the 2025 Inc. 5000 list, and by numerous industry analysts. About Inc. Inc. is the leading media brand and playbook for entrepreneurs and business leaders shaping its future. Through its journalism, Inc. aims to inform, educate, and elevate the profile of its community: the risk-takers, the innovators, and the ultra-driven go-getters who are creating the future of business. Inc. is published by Mansueto Ventures LLC, along with fellow leading business publication Fast Company. For more information, visit www.inc.com. Stay ahead with expert insights on transforming utilization management and payment integrity - delivered straight to your inbox.

For Press Release
Jun 15th, 2026
Cohere Health India Global Innovation center recognized at ET Edge GCC Summit 2026.

Cohere Health India Global Innovation center recognized at ET Edge GCC Summit 2026. Pune/Bengaluru, India, June 15, 2026 - Cohere Health(R), the leading clinical intelligence and operations platform for health plans, has been named an "Impactful GCC" at the ET Edge GCC Summit 2026. The award recognizes Cohere Health India's Global Innovation Centre (GIC) for its contributions to innovation, operational excellence, talent development, and measurable business impact across the company's global operations. The ET Edge GCC Summit convenes industry leaders, policymakers, and GCC pioneers to celebrate organizations advancing significant transformation through their India operations. For Cohere Health, receiving this award emphasizes the growing role of its GIC in advancing the company's mission to optimize the speed, cost, and quality of care with shared clinical intelligence and connected operations. "This recognition reflects the dedication, innovation, and collaborative spirit of our teams, whose efforts continue to drive meaningful outcomes for our customers and the healthcare ecosystem," said Himanshu Gandhi, site general manager for Cohere Health India. "Central to our success is the close partnership with our global teams, how we work and deliver results at scale." Cohere Health expanded its global innovation strategy with the launch of its Hyderabad GIC in early 2026, strengthening the company's ability to support technology, product development, clinical intelligence, business operations and, ultimately, improved care delivery and health outcomes. India's GCC ecosystem is increasingly shaping how global healthcare organizations build capacity, fuel innovation, and scale operations. As Cohere Health expands its presence in India, the company remains committed to investing in local talent, deepening its clinical and technical expertise, and delivering value to the patients, providers, and health plans they serve. About Cohere Health Cohere Health's clinical intelligence and operations 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 clinical and operational workflows across the care continuum-including policy, prior authorization, and payment accuracy-the company improves collaboration and reduces administrative burden, resulting in up to 9x ROI and 94% provider satisfaction. Cohere Health is recognized on TIME's World's Top HealthTech Companies 2025 list. Headquartered in Boston, Massachusetts, the company was co-founded in 2019 by Siva Namasivayam, who continues to serve as CEO. Company :-Kaizzen User :- Anjitha Eldho Email :[email protected]

Health Technology Net
Jun 8th, 2026
Cohere Health Chief Medical Officer Dr. Brian Covino named to Modern Healthcare's 50 Most Influential Clinical Executives.

Cohere Health Chief Medical Officer Dr. Brian Covino named to Modern Healthcare's 50 Most Influential Clinical Executives. BOSTON, June 8, 2026 /PRNewswire/ - Cohere Health(R), the leading clinical intelligence and operations platform for health plans, today announced that Dr. Brian Covino, Chief Medical Officer, has been named to Modern Healthcare's 2026 50 Most Influential Clinical Executives list. The annual awards program honors clinical leaders across the healthcare industry who use their medical backgrounds and executive positions to improve operations, clinical outcomes, and care delivery. Dr. Covino brings more than 25 years of experience as an orthopedic surgeon and value-based care leader to his oversight of Cohere Health's clinical strategy. His work centers on the development of responsible, clinical-led AI that streamlines healthcare decision-making and improves patients' access to appropriate care while keeping physicians in control. Cohere Health's clinical team has grown to more than 250 clinicians, including 70 specialty physicians. Partnering with the company's technology teams, these clinicians train AI systems to automate routine decisions while ensuring complex cases are always reviewed by a physician. This clinician-led approach enables health plans to approve 85% of prior authorization requests in real time and decrease administrative utilization management costs by 47%. Further, payment integrity teams achieve 87% greater efficiency, and in-workflow AI-assisted care suggestions have reduced adverse health outcomes by 43%. Discover more Doctors' Offices Medical Facilities & Services "Being recognized as one of the most influential clinical executives is an honor, but it truly reflects the work of the entire Cohere Health clinical team," said Dr. Covino. "As a surgeon, I saw how inefficiency affects the speed, cost, and quality of care. At Cohere Health, our clinicians are instrumental in advancing AI that is grounded in clinical evidence, human expertise, and trust-to support, not replace, physicians in delivering timely, appropriate care." Cohere Health's enterprise clinical intelligence platform streamlines payer-provider decision-making across the care continuum-including policy, prior authorization, payment accuracy, and more-to help health plans make faster, more consistent decisions. For more information on Modern Healthcare's 2026 50 Most Influential Clinical Executives and to view the full list, visit ModernHealthcare.com/50Most. 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, appeals, and more-the company improves collaboration and reduces burden, resulting in 9x ROI and 94% provider satisfaction. Cohere Health is recognized on TIME's World's Top HealthTech Companies 2025 list, on the 2025 Inc. 5000 list, and by numerous industry analysts. Discover more Health Insurance Medical Facilities & Services