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Cohere Health

Lead Software Engineer - Architecture

Cohere Health, San Diego, California, United States

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This is a unique opportunity to join a high caliber engineering team that is growing quickly. As Lead Software Engineer, Architecture, you will play a key role in shaping the architectural direction of our healthcare technology platforms. You will be responsible for designing and evolving system architecture across core services, ensuring scalability, performance, and long-term resilience. Your work will balance immediate delivery needs with platform reusability, cloud native best practices, and compliance in a highly regulated environment. What you’ll do: • Architectural Leadership: Define and maintain the architectural blueprint for our platforms, ensuring designs meet the needs of high-volume healthcare integrations and can scale across multiple systems, payors, and third party services. • Scalable Systems Design: Establish architectural patterns and reusable frameworks that reduce technical debt, minimize redundant development, and enable integrations to scale securely and efficiently. • Cross-Functional Collaboration: Partner with product and engineering teams to align technical designs with business goals and ensure long term adaptability. • Security & Compliance: Build architectures that are HIPAA, FHIR, and HL7 compliant, embedding data security, auditability, and privacy into design decisions. • Technical Guidance: Provide architectural reviews, mentor engineers on design trade offs, and champion best practices in performance, resiliency, and cloud native development. What you’ll need: • 8+ years in software engineering with significant experience in architectural design and system level thinking. • Proven expertise in microservices development and AWS cloud infrastructure. Kafka for event streaming is strongly preferred. Experience with Java Spring is a plus. • Experience working with modern data platforms that enable reliable, governed and analytics ready data. • Familiarity with AI/ML Platforms, agentic frameworks, and evaluation methods for integrating AI agents, model pipelines and architectural design. • Understanding of healthcare integration standards (HIPAA, FHIR, HL7) and secure architecture practices. • Track record of leading design reviews, producing clear architectural documentation, and mentoring teams on modern software architecture. • Bachelor’s degree in Computer Science or related field.