Senior Director, Architecture - Cohere Health

Cohere Health is a fast-growing clinical intelligence company that’s improving lives at scale by promoting the best patient-specific care options, using cutting-edge AI combined with deep clinical expertise. In only four years our solutions have been adopted by health plans covering over 15 million lives, while our revenues and company size have quadrupled.  That growth combined with capital raises totaling $106M positions us extremely well for continued success. Our awards include: 2023 and 2024 BuiltIn Best Place to Work; Top 5 LinkedIn™ Startup; TripleTree iAward; multiple KLAS Research Points of Light awards, along with recognition on Fierce Healthcares Fierce 15 and CB Insights Digital Health 150 lists.

Opportunity Overview: 

The Sr. Director of Architecture at Cohere Health will be instrumental in defining and implementing the technology architecture that supports our product vision and strategy to modernize and improve healthcare operations, with a specific focus on data and AI applied to healthcare data, workflows and prior authorization processes to enable real time decisioning. Reporting to the Chief Digital & Technology Officer (CDTO), this senior leadership role will oversee the architectural direction of our platform, ensuring it is scalable, secure, and aligned with industry standards. The Sr. Director will lead a team of platform & data architects and will collaborate closely through the product model with engineering, product management, design and data teams, and drive innovation to keep Cohere Health at the forefront of healthcare technology.  To this, the successful candidate will bring experience and knowledge with many of the technologies across multiple domains (i.e. AWS cloud infrastructure, devops, observability, AI/ML, integration, data) to ensure strong technical foundation, resiliency, scalability, security, and compliance of our technology platforms.

What you will do:

• Strategic Leadership: Develop and maintain Cohere Healths technology architecture strategy, ensuring it aligns with business objectives and supports our mission to improve prior authorization, utilization management and healthcare processes.

• Architectural Vision: Lead the design and evolution of the company’s technology architecture, including application, data, Machine learning, integration, and cloud infrastructure architectures with a particular focus on composability, real-time decisioning, multi-tenancy and healthcare-specific requirements /regulatory compliance.

• Healthcare Expertise: Apply in-depth knowledge of healthcare systems, particularly in EMR, prior authorization and utilization management, as well as industry standards such as HL7, FHIR, X12, HiTRUST and HIPAA, to architect modern solutions that enhance operational efficiency and comply with regulatory requirements.

• Innovation & Emerging Technologies: Stay ahead of industry trends and emerging technologies, assessing their potential impact on Cohere Health and integrating relevant innovations into the architecture roadmap to maintain a competitive edge.

• Team Leadership: Build, mentor, and lead a high-performing team of architects, data architects fostering a culture of collaboration, innovation, and continuous improvement that aligns with Cohere Healths values and goals.

• Cross-Functional Collaboration: Through the product model, partner closely with engineering, product management, data science, and other teams to ensure architectural alignment and support for Cohere Healths product strategy and technology initiatives.

• Governance & Standards: Establish and enforce architectural standards, best practices, and governance processes to ensure consistency, security, and scalability across all technology solutions.

• Risk Management: Identify potential risks related to architecture and technology decisions, proposing and implementing mitigation strategies to ensure the reliability and security of Cohere Healths systems.

• Vendor & Partner Management: Collaborate with external vendors, partners, and consultants to ensure their solutions align with Cohere Healths architectural standards and business objectives, particularly in the areas of prior authorization and healthcare data management.

Your background & requirements:

• Bachelor’s degree in Computer Science, Information Technology, or a related field (Master’s degree preferred).

• 12+ years of experience in technology architecture or engineering, with at least 5 years in an architecture leadership role within a healthcare, life sciences or technology-driven environment

• Working knowledge of Enterprise Architecture frameworks / methodologies such as TOGAF, Zachmann, and Amazon Well Architected Frameworks.

• Extensive experience with some or all of - AWS, real-time & event driven architectures, Generative AI, composability, microservices architecture, API management, and data management technologies.

• Excellent leadership, communication, and interpersonal skills, with the ability to influence and collaborate across all levels of the organization.

• Experience with Agile and DevOps practices, fostering a culture of continuous improvement and collaboration.

• Ability to manage multiple priorities in a fast-paced, dynamic environment.

Preferred Qualifications:

• Proven track record of developing and implementing scalable, secure, and innovative technology architectures in complex healthcare organizations.

• Understanding of healthcare industry standards, regulations, and technologies, including prior authorization processes, EHR/EMR systems, CMS interoperability standards, and data security requirements.

• Strong knowledge of healthcare standards such as HL7, FHIR, X12, and HIPAA, with experience in integrating these standards into architecture and system design.

Why Join Cohere Health?

• Be part of a mission-driven organization focused on transforming healthcare operations and improving patient outcomes.

• Opportunity to lead and shape the future of healthcare technology at a rapidly growing company.

• Collaborative, innovative, and supportive work environment.

• Competitive compensation and benefits package.