Senior Integration Analyst

What you’ll do:

• Serve as a subject-matter expert for healthcare interoperability and payer prior authorization integrations, leading the analysis and definition of data exchanges between the Cohere platform and payer, provider, and third-party systems
• Lead client-facing integration discovery and requirements-gathering sessions, translating complex payer and provider workflows into clear technical specifications
• Design scalable, reusable integration workflows using APIs, HL7 FHIR, HL7 v2, X12 EDI, SFTP, flat files, and other data-exchange methods
• Produce source-to-target mappings, interface specifications, data-flow diagrams, field definitions, validation rules, and error-handling requirements
• Manage integration analysis across up to three concurrent client initiatives, tracking risks, dependencies, decisions, and open issues
• Investigate integration failures and coordinate root-cause analysis across technical teams; review payloads, files, logs, and system behavior to resolve data-quality issues
• Develop test scenarios and support unit, integration, end-to-end, regression, and production-readiness testing
• Partner closely with Product, Engineering, Data, Solution Architecture, Implementation, and Client Success teams to deliver reliable client solutions
• Support clients through implementation, activation, launch, and steady-state operations, serving as a trusted technical partner throughout
• Provide mentorship and guidance to less-experienced analysts, and contribute to improving integration standards, documentation, and delivery processes

What you’ll need:

• 5+ years of experience analyzing, defining, implementing, or supporting healthcare integrations, ideally including prior authorization experience
• Experience leading complex healthcare integration initiatives from discovery through testing and production readiness
• Hands-on experience with REST APIs, JSON, XML, SFTP, and flat-file integration patterns
• Experience with healthcare interoperability standards such as HL7 FHIR and HL7 v2 (X12 EDI a plus, not required)
• Working knowledge of payer workflows such as prior authorization, eligibility, claims, provider data, or utilization management
• Experience creating source-to-target mappings, interface specifications, workflow diagrams, test scenarios, and acceptance criteria
• Technical design experience, specifically around integration solutions
• Strong client-facing communication and facilitation skills, with the ability to explain technical topics to both technical and nontechnical audiences
• Ability to manage multiple client initiatives in a fast-paced environment with evolving requirements
• Experience collaborating cross-functionally with engineering, product, implementation, and data teams

Pay & Perks:

💻 Fully remote opportunity with about 10% 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 $105,000 to $120,000 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:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Team Interview
4. Case Study & Presentation

*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, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.

With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners.

The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.

We can’t wait to learn more about you and meet you at Cohere Health!

Equal Opportunity Statement:

Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal.

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