Site Reliability Engineer, Cohere Health
$100-110k
+ Bonus
More information about location
Clinical intelligence company
Be an early applicant
Clinical intelligence company
501-1000 employees
Be an early applicant
$100-110k
+ Bonus
More information about location
501-1000 employees
Company mission
To make the healthcare journey better for everyone.
Role
Who you are
- 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
What the job involves
- 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
- 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
Application process
- Connect with Talent Acquisition for a Preliminary Phone Screening
- Meet your Hiring Manager!
- Design Interview(s)
- Cross Functional Interview
Our take
Every year, billions of dollars are wasted in healthcare through overtreatment, failure of care coordination and administrative complexity. Cohere Health blames this on outdated processes, time-consuming manual systems and slow decision-making - which the company aims to combat with its clinical intelligence platform.
The platform automates processes to avoid care delays and friction between parties. It also provides analytics to help identify the most suitable physicians and care paths for the patient much faster and more easily. While there are other automation solutions for healthcare, Cohere stand outs by improving the whole patient journey, rather than just automating an administrative transaction.
Through partnerships with organizations like Humana and the American Academy of Orthopaedic Surgeons, Cohere Health serves millions of members and thousands of physicians. It has grown to be recognized as a top player in the space, as it continues to expand its offering and stands to benefit from the rising interest in clinical intelligence.
Steph
Company Specialist at Welcome to the Jungle
Insights
35% employee growth in 12 months
Company
Funding (last 2 of 5 rounds)
May 2025
$90m
SERIES C
Feb 2024
$50m
LATE VC
Total funding: $196m
Company benefits
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Life & Disability Insurance
- Flexible Time Off & Holidays
- 401(K) Retirement Plan with Employer Match Program
- Wellness Coach App
- Parental Leave
- Learning & Development Opportunities
Company HQ
West End, Boston, MA
Leadership
Siva Namasivayam
(CEO)Worked as a Software Engineer for Intel before working at Fidelity and spending 4 years as a Gartner Director of Consulting. They were CEO of SCIO Health Analytics before co-founding Cohere Health.
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