Client Support QA Engineer

Opportunity Overview:

We're looking for a Quality Engineer with healthcare experience to own the quality of our FHIR-based APIs and clinical workflows from end to end. You'll plan and execute test strategies that validate how patient data moves through our platform — ensuring every resource, every integration, and every handoff meets the standards that healthcare demands.

This role sits at the intersection of engineering and client experience, working closely with Solution Architects, Implementation, Engineering, and Product to catch issues before they reach the people who rely on our technology to get patients the care they need. If you're someone who thinks in edge cases, cares deeply about data integrity, and wants to shape QA practices on a growing team — this is the role.

This is a remote-first role that may require travel to Boston, MA for new hire onboarding and occasional in-person team meetings and company events.

What you’ll do:

• Plan, author, and execute test plans for FHIR-based APIs — validating schema conformance, resource structure (Patient, Observation, Encounter), and alignment with implementation guides.

• Perform manual and automated testing on RESTful healthcare web services, identifying, documenting, and tracking defects through resolution.

• Develop and maintain QA protocols and procedures that keep pace with evolving healthcare standards and compliance requirements.

• Analyze test results and provide clear, detailed reporting to stakeholders across engineering, product, and implementation teams.

• Participate in test case reviews and provide feedback to developers to improve code quality and catch issues earlier in the development cycle.

• Continuously improve testing processes and methodologies to increase coverage, reduce cycle time, and strengthen reliability.

• Collaborate cross-functionally with Solution Architects, Engineering, Implementation, and Product to ensure quality is built in — not just tested after the fact.

What you’ll need:

• 2+ years of experience in quality engineering within healthcare technology

• Client-facing experience strongly preferred — you should be comfortable communicating quality findings, test results, and status updates to external stakeholders, not just internal teams

• Hands-on experience testing APIs built on interoperability standards used to exchange clinical data — you should know how to validate that resources like patient records, encounters, and observations are structured correctly and conform to the implementation guides the industry runs on. Familiarity with legacy messaging formats is a plus.

• Proficiency with tools used to query, mock, and inspect REST endpoints — we care more about your testing methodology than which specific tool you use

• Solid understanding of the regulatory and compliance landscape in healthcare — you've worked in environments where getting the data wrong isn't just a bug, it's a risk

• Sharp analytical skills and strong attention to detail — you catch what others miss

• Clear communicator who can translate technical findings for non-technical audiences and work effectively across teams

• QA certification, experience working with offshore teams, or a relevant degree are all a plus

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

🏝️ Flex Time Off + company holidays

👶 Up to 14 weeks of paid parental leave

🐶 Pet insurance

The salary range for this position is $95,000 to $110,000 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. This role is not eligible for hire in CA.

Interview Process*:

• Connect with Talent Acquisition for a Preliminary Phone Screening

• Meet your Hiring Manager!

• Peer Interview

• Case Study

*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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