Lead Infrastructure Engineer Visa Sponsorship Jobs in Massachusetts

Opportunity Overview:

We are looking for an experienced DevOps Team Lead to lead our DevOps engineering team in building, scaling, and securing the infrastructure that powers Cohere Health's platform. In this role you will drive technical direction, mentor engineers, own cross-functional delivery, and partner closely with engineering, security, and data teams to ensure our infrastructure is reliable, secure, and scalable in a regulated healthcare environment.

This is a technical leadership role for someone who is equally comfortable reviewing a Terraform module, running a sprint planning session, and presenting infrastructure strategy to engineering leadership. You will be expected to lead from the front — not just delegate, but contribute directly alongside your team.

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:

• Lead, mentor, and grow a team of DevOps engineers — setting technical direction, running sprint planning, and driving delivery against quarterly goals
• Design, deploy, and maintain highly scalable, secure production infrastructure on AWS using infrastructure-as-code practices
• Own and evolve CI/CD pipelines — establishing consistent deployment standards and security gates across engineering teams
• Lead migrations from legacy infrastructure to modern, managed platforms and decommission outdated systems
• Drive our observability strategy — building out monitoring, logging, alerting, and on-call routing across all services
• Own networking and access management — ensuring secure, well-documented, least-privilege access across all environments
• Embed security into the DevOps lifecycle — vulnerability scanning, code and infrastructure analysis, and remediation workflows with clear SLAs
• Establish a FinOps practice — driving cloud cost optimization, right-sizing workloads, and reporting spend to leadership
• Serve as the primary escalation point for infrastructure incidents and lead postmortems with preventive follow-through
• Ensure infrastructure meets healthcare regulatory and compliance requirements

What you'll need:

• 8+ years working in DevOps, SRE, or infrastructure engineering, with experience mentoring or leading other engineers
• Deep hands-on experience building and managing cloud infrastructure at scale — compute, networking, storage, identity, and access management
• Track record of building and maintaining automated build, test, and deployment pipelines
• Familiarity with security practices and compliance frameworks, including vulnerability scanning, cloud security posture management, and audit logging
• Experience standing up and managing monitoring, logging, and alerting systems to maintain production reliability
• Comfortable writing code in at least one scripting or systems language, and managing infrastructure through code
• Strong communicator who can shift between deep technical work, team leadership, and translating infrastructure decisions for non-technical partners
• Bonus: experience in a regulated industry (especially healthcare), container orchestration, AI-driven automation for infrastructure, or cloud platform certifications

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 $150,000 to $185,000 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:

• Connect with Talent Acquisition for a Preliminary Phone Screening
• Meet your Hiring Manager!
• Feature Design Interview
• Live Design Interview
• Leadership Interview
• 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.