Cohere Health builds AI-powered prior authorization and payment integrity tools for health plans, automating clinical reviews to cut administrative waste and speed up patient care. Their platform processes thousands of requests daily, directly impacting healthcare efficiency and access. The work bridges software engineering with clinical workflows, requiring tight integration with legacy systems and regulatory compliance.

Engineering teams operate with high autonomy, using data-driven decision-making to prioritize features that reduce friction for providers and payers. The culture emphasizes rapid iteration, with engineers often embedded in cross-functional squads that include clinicians and product managers. Pair programming and blameless postmortems are common, but documentation can lag behind fast-moving projects.

The company attracts pragmatic problem-solvers who thrive in ambiguous, regulated environments. Those who succeed here are comfortable with incremental progress over flashy breakthroughs and value measurable impact over theoretical innovation. Expect a mix of idealism about healthcare reform and the grind of enterprise software development.