Site Reliability Engineer ll

Opportunity Overview: 

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.

We are seeking an operational-focused Site Reliability Engineer (SRE) to maximize the availability performance and resilience of our production healthcare systems. In this role you will bridge the gap between AWS cloud infrastructure MERN stack applications and large-scale data workflows. You will spend roughly 60% of your time on live incident remediation data pipeline operations and Node.js/Python infrastructure tuning and 40% on engineering automated solutions to eliminate operational toil.

What you’ll do:

• Production Operations: Maintain the continuous uptime scalability and security of our AWS-hosted MERN applications and backend data architectures.
• Serverless Execution: Manage optimize and troubleshoot event-driven architectures running on AWS Lambda focusing on cold-start mitigation memory allocation and execution timeouts.
• Data Pipeline Execution: Monitor scheduled PySpark data workflows execute standard operating procedures (SOPs) for large-scale data ingestion and rapidly triage rerun or patch failed data processing jobs.
• Incident Management: Participate in a collaborative on-call rotation to rapidly triage debug and mitigate live application outages and data flow bottlenecks.
• Healthcare Compliance: Maintain strict HIPAA SOC2 and HITRUST compliance profiles across all runtime environments storage systems and data pipelines handling Protected Health Information (PHI).
• Toil Elimination: Engineer automated workflows to eliminate repetitive tasks like manual data seeding infrastructure provisioning and routine PySpark pipeline recovery steps.
• Observability Engineering: Build specialized dashboards and alerts to monitor Node.js event loops PySpark job execution stages driver/worker memory leaks and data pipeline throughput anomalies.
• Post-Mortem Culture: Lead blameless post-mortems for operational and data processing failures translating system crashes into permanent structural fixes.

What you’ll need:

• SaaS Platform Experience: Minimum of 3+ years of hands-on experience operating multi-tenant cloud-hosted or cloud-native SaaS platforms at scale.
• AWS Cloud Engineering: Deep expertise operating AWS core services specifically AWS Lambda Amazon ECS/EKS Amazon EMR or AWS Glue (for Spark) EC2 VPC networking IAM permissions and CloudWatch.
• Automation & Data Languages: Professional competency in writing debugging and maintaining automation scripts and data tools using Python (including PySpark APIs) and Node.js.
• Data Operations: Experience managing and troubleshooting distributed data orchestration pipelines ETL tools message queues (e.g. AWS SQS/SNS RabbitMQ) or stream processing frameworks.
• MERN Stack Operations: Deep understanding of the operational lifecycle of JavaScript/TypeScript applications including memory management asynchronous runtimes and Node.js clustering.
• Database Administration: Practical experience managing sharding indexing and optimizing production-grade MySQL DB & Athena (RDS or self-hosted).
• Infrastructure as Code: Proven ability to deploy and maintain immutable infrastructure utilizing Terraform or OpenTofu.
• Healthcare Experience: Minimum 1 year working within HIPAA-regulated environments. Direct experience securing data-at-rest and data-in-transit containing sensitive patient records is preferred.
• Education & Experience: Minimum of 4 years of software/systems experience with at least 1-2 years focused on live cloud operations and distributed data workflow management is preferred.
• Crisis Management: Calm under pressure with a methodical approach to identifying and isolating PySpark driver OOM (Out of Memory) errors or data corruption during high-stress outages. Attention to detail and effective communications skills will be critical in working with clients and internal stakeholders is preferred.

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  

The salary range for this position is $100000 to $110000 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. 

This role is not eligible for hire in: CA

Interview Process*:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Design Interview(s)
4. 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.

#LI-Remote

#BI-Remote

What We Do

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 expanded our AI-native platform with a comprehensive Payment Integrity Suite that spans data mining clinical and coding validation authorization and claims reconciliation and end-to-end payment integrity services across pre- and post-pay workflows. By connecting clinical and payment insights our transparent AI-powered solutions help health plans proactively improve payment accuracy reduce waste and vendor dependency strengthen provider relationships and build smarter more efficient payment integrity programs.Cohere Health’s innovations continue to receive industry-wide recognition. We’ve been recognized on TIME’s World Top HealthTech Companies 2025 list the 2025 Inc. 5000 list in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025) and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024.

Why Work With Us

Cohere Health brings together a community of healthcare and technology team members passionate about changing the challenging parts of healthcare. If you enjoy solving challenging problems and learning about healthcare then Cohere Health is a great career choice.

Gallery