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Cohere Health, Inc. logo

Machine Learning Engineer ll

Job Overview

Location

Remote

Job Type

Full-time

Category

Software Engineering

Date Posted

December 12, 2025

Full Job Description

đź“‹ Description

  • • Own the end-to-end lifecycle of production-grade ML models that surface clinically-relevant insights from millions of structured and unstructured healthcare records, directly influencing prior-authorization decisions and patient care pathways.
  • • Architect, train, and fine-tune transformer-based NLP models to extract entities (diagnoses, procedures, medications, lab values) from physician notes, radiology reports, and EHR free-text with >95 % precision/recall on HIPAA-compliant data.
  • • Design scalable feature pipelines that blend claims, HL7 FHIR feeds, and narrative text into real-time feature stores (Redis, DynamoDB) consumed by downstream ranking and risk-prediction services.
  • • Implement robust model-serving infrastructure on Kubernetes (EKS) with canary releases, A/B gates, and automated rollback policies to guarantee 99.9 % uptime for API endpoints processing 5 k+ requests/minute.
  • • Build continuous-training loops using Airflow and SageMaker Pipelines that retrain models weekly on fresh labeled data, monitor drift via statistical and embedding-based detectors, and trigger human-in-the-loop review when thresholds are breached.
  • • Collaborate cross-functionally with clinical informaticists, product managers, and regulatory teams to translate complex medical policy rules into probabilistic constraints and fairness objectives embedded in model loss functions.
  • • Create interpretability dashboards (SHAP, LIME, attention heat-maps) that allow medical directors to audit model reasoning and satisfy NCQA, CMS, and state-level compliance audits without exposing PHI.
  • • Optimize GPU utilization and inference latency by experimenting with mixed-precision training, ONNX export, TensorRT compilation, and dynamic batching, cutting cloud spend by 30 % while maintaining sub-100 ms P95 latency.
  • • Establish data-quality SLAs and anomaly-detection monitors that alert on schema drift, missing concepts, or unexpected demographic skews, ensuring equitable performance across age, race, and payer groups.
  • • Mentor junior ML engineers through code reviews, design docs, and weekly learning sessions on topics like federated learning, differential privacy, and causal inference in healthcare.
  • • Contribute to the open-source community by publishing anonymized datasets, releasing model cards, and presenting at conferences such as MLHC, NeurIPS Health Workshop, or ACM CHIL.
  • • Drive experimentation culture by maintaining a centralized MLflow registry with reproducible notebooks, hyper-parameter search tracking, and automated model performance reports that feed directly into sprint planning.
  • • Partner with security engineers to implement PHI tokenization, field-level encryption, and SOC-2-compliant logging so every model artifact and dataset meets HIPAA, HITRUST, and GDPR standards.
  • • Influence product roadmap by translating clinical KPIs (denial overturn rate, care-gap closure, prior-auth turnaround time) into measurable ML objectives and quarterly OKRs.
  • • Champion ethical AI practices by embedding bias-mitigation techniques (re-weighting, adversarial debiasing) and fairness dashboards into every release cycle, ensuring equitable outcomes for underserved populations.

Skills & Technologies

Remote

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Cohere Health, Inc. logo
Cohere Health, Inc.
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About Cohere Health, Inc.

Cohere Health provides cloud-based software that automates prior authorization and care management workflows for health plans and providers. Its platform integrates clinical guidelines, payer rules, and EHR data to streamline approval processes, reduce administrative burden, and improve patient access to medically necessary care while lowering costs across the healthcare continuum.

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