Sr. Manager, Engineering

Opportunity Overview: We are seeking a Senior Engineering Manager to lead our Review Engineering team — roughly 20+ engineers across three squads in the US and India — building the workflows and capabilities that let clinical operations staff deliver care at scale, efficiently and with high quality. Leading through dedicated technical leads on each squad, you'll own the reliability and technical direction of Review's systems while partnering closely with Product, Design, Security, Clinical Operations, and peer engineering teams on shared platforms. This is an opportunity to shape a growing, business-critical part of Cohere's platform and to grow the next generation of engineering leaders in health technology. 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. What you’ll do: Lead 20+ engineers across multiple agile squads (US and India) through dedicated technical leads Own production reliability for Review-owned systems — incident response, root-cause RCAs, and cross-functional tiger teams for major incidents Set technical vision and provide leadership across design and sprint processes, partnering with Staff Engineers Drive delivery transparency through sprint metrics, catching risk early and informing data-driven interventions Partner with Product, Design, Security, Clinical Ops, and peer engineering teams (including our Hyderabad group) on shared systems and initiatives Own hiring, leveling, and career growth for direct reports and their leads; help attract and retain top talent Build a culture that grows early-career engineers into future health-tech leaders, with a bias toward team autonomy Champion testing, quality, and security practices in a regulated (HIPAA/SOC2) environment What you’ll need: 5+ years managing software engineering teams in a fast-paced, agile environment, including 3+ years leading multiple teams through technical leads or managers Experience leading distributed/multi-site teams across time zones (e.g. US/India), including partnering with groups outside your direct reporting line Hands-on full-stack engineering background Proven ability to own production systems and incident response, ideally in a regulated (healthcare, HIPAA/SOC2) environment Strong grounding in modern development practices (version control, unit testing, CI/CD) Experience designing and scaling distributed/microservices systems for high-throughput, high-growth products A passion for quality products and high-performing, autonomous teams Bachelor's degree in computer science, software engineering, or equivalent experience 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 $185,000 to $225,000 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. Interview Process*: Connect with Talent Acquisition for a Preliminary Phone Screening Meet your Hiring Manager! Live System Design Exercise Project Discussion 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, pr…