Cohere Health is a clinical intelligence company that provides intelligent prior authorization as a springboard to better quality outcomes by aligning physicians and health plans on evidence-based care paths for the patient's entire care journey. Cohere's intelligent prior authorization solutions reduce administrative expenses while improving patient outcomes. The company is a winner of the TripleTree iAward and has been named to both Fierce Healthcare's Fierce 15 and CB Insights' Digital Health 150 lists. Cohere's investors include Flare Capital Partners, Define Ventures, Deerfield, Polaris Partners, and Longitude Capital.
Cohere Health is a clinical intelligence company that provides intelligent prior authorization as a springboard to better quality outcomes by aligning physicians and health plans on evidence-based care paths for the patient's entire care journey. Cohere's intelligent prior authorization solutions reduce administrative expenses while improving patient outcomes. The company is a winner of the TripleTree iAward and has been named to both Fierce Healthcare's Fierce 15 and CB Insights' Digital Health 150 lists. Cohere's investors include Flare Capital Partners, Define Ventures, Deerfield, Polaris Partners, and Longitude Capital.
What they do: Clinical intelligence platform that streamlines prior authorization and payer-provider collaboration using AI
Customers / scale: Works with 660,000+ providers and processes millions of prior authorization requests annually
Recent funding: Raised $90M Series C (May 2025); company-reported total funding $200M
Founded / HQ: Founded 2019; headquartered in Boston, MA
Company Overview
Problem Domain
Prior authorization, utilization management, payment integrity, and payer-provider clinical decision support
Founded
2019
Industry
Healthcare software
Funding Track Record
Series C- May 14, 2025
90000000
Company-reported round that brought total funding to $200M
Investor Signal
“Temasek led Series C; repeat participation from Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners”
Opportunity Overview
We are seeking an experienced and visionary Architecture Director to join our team. This role is ideal for a technical leader who excels in designing and scaling platform level architectures in healthcare and regulated environments. As a senior member of the architecture team, you will guide the evolution of our cloud-native, AI enabled platforms to support long term scalability, interoperability, and innovation.
What You’ll Do
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Platform & Systems Architecture : Define the strategic architectural roadmap for core platform services, enabling product teams to build with scalability, reliability, and performance in mind.
Technical Leadership : Provide senior level architectural direction, code level guidance, and deep reviews for platform components. Mentor engineering leads on architectural trade offs and promotes technical excellence through documentation, design reviews, and knowledge sharing.
Security & Compliance : Embed regulatory compliance (HIPAA, FHIR, HL7) and security principles into platform design. Lead threat modeling and support platform wide audit, logging, and privacy initiatives.
Collaboration & Influence : Work closely with other architects and product leaders to align offshore platform development with global product strategy.
Required Qualifications
10+ years of progressive experience in software engineering and architecture, including senior level platform design in cloud-native environments.
Proven track record designing distributed, event-driven systems with technologies like Kafka, microservices, and REST/GraphQL APIs.
Deep expertise in AWS cloud architecture, with hands-on experience deploying containerized apps (ECS, Fargate, EKS) and IaC (Terraform/CDK).
Excellent communication skills and the ability to work cross functionally across geographies and time zones.
Ability To Commute/relocate
Nacharam, Hyderabad, Telangana*: Reliably commute or planning to relocate before starting work (Preferred)
Interview Process*:
Connect with the Hiring Manager for a Preliminary Phone Screening
Behavioral Interview(s)
Case Study
Interview with Senior Leadership
Subject to change
About ZignaAI, a Cohere Health Company
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 ZignaAI, a Cohere Health company!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.
