Opportunity Overview

We are seeking a Senior Business Intelligence Engineer to join our Intelligence team. In this role, you will design, build, and optimize scalable data models and analytical assets that power reporting and self-service analytics across the organization. You will play a key role in strengthening our BI ecosystem by partnering closely with data platforms, and product teams to deliver high-quality, governed, and performant datasets and dashboards, while upholding best practices and standards..

This is an ideal opportunity for an experienced BI engineer who thrives in a hands-on technical role, can independently support complex initiatives, and is passionate about building clean, reliable, and scalable data foundations. This position offers the chance to have a substantial influence on the company, with the potential for rapid career advancement in a highly visible environment.

What You’ll Do

• Collaborate with business stakeholders to understand reporting needs and translate them into functional requirements.
• Design, develop, and maintain BI reports, dashboards, and data visualizations using BI tools (e.g., Tableau, Power BI, etc.).
• Build and optimize Tableau dashboards and KPI frameworks with a focus on performance, usability, governance, and row-level security.
• Ensure data consistency and quality in reports by working closely with the data management team.
• Apply best practices in dbt modeling, testing, version control, and release management to ensure high-quality, maintainable pipelines.
• Perform data analysis and ad-hoc queries to support business decision-making.
• Stay current with industry best practices and emerging BI technologies.

What You’ll Need

Must-haves

• 6+ years of professional experience in business intelligence, analytics engineering, or data engineering, preferably in healthcare or another data-rich, regulated domain.
• Self-starter, able to work independently, able to succeed in a fast-paced, high intensity start-up environment
• Excellent english communication skills, with proven ability to create & deliver the results of analyses to non-technical audiences
• Advanced proficiency in SQL and strong hands-on experience with analytics engineering frameworks such as dbt.
• Strong experience with Tableau (Cloud and Desktop), including dashboard development, row-level security, performance optimization, and basic administration.
• Experience working with workflow orchestration tools such as Airflow.
• Experience working in AWS-based data platforms.

Nice-to-haves

• Experience with dbt or with similar tools
• Experience with Python.
• Exposure to additional BI platforms such as Power BI, Sisense, or open-source BI tools.
• Experience supporting dashboard embedding and integration into web applications.
• Background in healthcare payer analytics, utilization management, or clinical workflows.
• Previous experience working in a global model

Interview Process*:

• Connect with Talent Acquisition for a Preliminary Phone Screening
• Technical test
• Meet your Hiring Manager
• Technical Round
• Case Study
• Final Interview
• Subject to change

About ZignaAI, a Cohere Health Company

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 ZignaAI, a Cohere Health company!

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.