Apply on company website Boston, Morocco Hybrid Full-time USD 100,000 – 110,000 / year

Cohere Health is hiring a Site Reliability Engineer ll

Responsibilities

  • Maintain the continuous uptime, scalability, and security of our AWS-hosted MERN applications and backend data architectures.
  • Manage, optimize, and troubleshoot event-driven architectures running on AWS Lambda, focusing on cold-start mitigation, memory allocation, and execution timeouts.
  • 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.
  • Participate in a collaborative on-call rotation to rapidly triage, debug, and mitigate live application outages and data flow bottlenecks.
  • Maintain strict HIPAA, SOC2, and HITRUST compliance profiles across all runtime environments, storage systems, and data pipelines handling Protected Health Information (PHI).
  • Engineer automated workflows to eliminate repetitive tasks like manual data seeding, infrastructure provisioning, and routine PySpark pipeline recovery steps.
  • Build specialized dashboards and alerts to monitor Node.js event loops, PySpark job execution stages, driver/worker memory leaks, and data pipeline throughput anomalies.
  • Lead blameless post-mortems for operational and data processing failures, translating system crashes into permanent structural fixes.

Requirements

  • 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.

Nice to Have

  • Direct experience securing data-at-rest and data-in-transit containing sensitive patient records
  • At least 1-2 years focused on live cloud operations and distributed data workflow 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

Benefits

  • 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

Work Arrangement

Hybrid — Boston, MA

Additional Information

  • Travel: about 5% travel required, primarily to Boston, MA for new hire onboarding and occasional in-person team meetings and company events.
Job Details
Location Boston, Morocco
Work mode Hybrid
Employment Full-time
Salary USD 100,000 – 110,000 / year
Category DevOps & SRE
Posted 6 hours ago
Application On company website
About company
Cohere Health logo

Cohere Health's mission is to simplify healthcare by enabling patients, physicians, and health plans to efficiently collaborate on getting the right care at the right time, place, and value.

The company offers Cohere Unify™, a clinical intelligence platform that connects workflows across utilization management, payment integrity, appeals, care management, quality, and claims operations. By combining domain-specific AI, human expertise, and automation, the platform helps health plans improve efficiency, clinical quality, and financial performance while reducing administrative burden.

Cohere Unify enables real-time prior authorizations, intelligent payment integrity audits, streamlined appeals reviews, proactive care gap closure, and coordinated care management—all within a single connected system that ensures insights in one area inform decisions in another.

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