Lead Business Intelligence Engineer

Opportunity Overview:

We are seeking a Lead Business Intelligence Engineer to join our Business Intelligence team. In this role, you will drive the development and optimization of our data architecture and analytical infrastructure, enabling efficient, scalable, and consistent reporting and analytics across the organization. You will play a critical role in shaping the foundation of our BI ecosystem—working at the intersection of engineering, data modeling, and stakeholder enablement.

This is an ideal opportunity for an experienced BI engineer who can lead cross-functional projects, design performant data models, and contribute to the execution of a unified data strategy across platforms. You will also provide guidance and mentorship to junior team members and contribute to the evolution of Cohere’s modern data stack and governance practices.

What you’ll do:

• Lead the execution and refinement of our business intelligence data architecture, supporting consistency, performance, and scalability across dashboards and self-service tools.
• Design and implement robust semantic and dimensional data models that support a wide range of business needs, from operations to clinical performance to strategic initiatives.
• Collaborate with data platform, analytics, and product teams to define clear data definitions, build source-of-truth tables, and align data transformations with stakeholder requirements.
• Improve data pipeline efficiency and maintainability by helping establish best practices around dbt
• Support with release management, quality testing and version control 
• Support data providers to optimize the delivery of high-impact dashboards and KPI frameworks using Tableau 
• Serve as primary Tableau Cloud SME for the company; support integration of Tableau dashboards with our front-end application
• Identify and remediate performance bottlenecks in existing queries and dashboards; ensure efficient access to high-volume datasets.
• Drive the adoption of scalable, governed data marts that enable self-service analytics while maintaining data integrity and security.
• Mentor junior engineers and analysts on technical topics, data modeling patterns, and efficient development practices.
• Contribute to the development of shared documentation, standards, and processes to ensure long-term sustainability and stakeholder trust in our data assets.

What you’ll need:

• 6+ years of professional experience in business intelligence, data engineering, or analytics, preferably in healthcare or another data-rich, regulated domain.
• Strong SQL skills and hands-on experience with modern BI tooling and engineering frameworks (e.g., dbt or similar).
• Experience building and managing curated datasets using claims, member, provider, eligibility, and other healthcare data domains.
• Proficiency in Tableau (e.g; Tableau Cloud/Desktop/Prep, API, visualization, row level security, etc) 
• Proven experience designing and implementing scalable data models that support enterprise reporting and ad hoc analysis.
• Deep understanding of dimensional modeling, normalization/denormalization tradeoffs, and performance tuning for analytical workloads.
• Familiarity with workflow orchestration tools such as Airflow
• Experience working in AWS 
• Excellent communication and stakeholder management skills—able to translate technical concepts into clear business value.

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 

🏝️ Up to 184 hours (23 days) of PTO per year + company holidays

👶 Up to 14 weeks of paid parental leave 

🐶 Pet insurance  

The salary range for this position is $110,000 to $150,000 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. Behavioral Interview(s)
4. Case Study

*Subject to change

About Cohere Health:

Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members.

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, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes.

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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