Joshua Schaff

Senior Engineering Manager, Forward Deployed Engineering at Cohere Health

Engineering LeadershipHealthcare InteroperabilityDistributed Systems ArchitectureAgentic AI ImplementationCloud Infrastructure (AWS)Platform Engineering

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About

I'm Joshua Schaff, currently serving as the Senior Engineering Manager for Forward Deployed Engineering at Cohere Health. My career has been defined by a transition from data science and software engineering into leadership, where I now manage globally distributed teams focused on healthcare interoperability and platform scaling. I'm a developer at heart who believes in leading by doing, and I'm particularly passionate about using agentic AI and standardized building blocks to solve complex clinical workflows. Based in Charlottesville, Virginia, I'm focused on reducing provider burden through mission-critical technology like FHIR and event-driven architectures. I’m always looking to connect with fellow health-tech innovators, potential engineering talent, or local professionals in the Charlottesville area to share insights on scaling high-impact engineering organizations.

Networking

What I can offer

›Expertise in health-tech scaling and interoperability
›Mentorship for engineering leaders and software engineers
›Insights into building event-driven architectures and platform primitives

Looking for

›expanding my professional network
›exploring mutual opportunities in Charlottesville, VA
›Staff Engineer candidates for Integrations Platform roles

Best fit for

Health-tech professionalsSoftware engineers and architectsLocal professionals in Charlottesville, VAAWS partners

Current Interests

Agentic AI (AWS AgentCore)Healthcare Interoperability (FHIR, CMS-0057-F)Platform EngineeringLocal networking in Charlottesville, VA

Background

Career

Progressed from IT Co-Op and Data Science roles to Senior Software Engineer at Cohere Health, eventually moving into Engineering Management and Platform leadership.

Education

Bachelor of Science, Data Science and Entrepreneurship, University of Michigan (2014 – 2018)

Achievements

›Achieved 20% productivity increase and 73% bug reduction in Q2 at Cohere Health
›Expanded electronic prior authorization to 13 health systems via SMART on FHIR
›Architected Hermes Message Pipeline for multi-tenant scaling
›Contributed to a Coursera specialization with over 91,000 enrollees

Opinions

Leading by doing: Managers should remain hands-on with architecture and code
Efficiency through Primitives: Use standardized building blocks to avoid undifferentiated heavy lifting
AI in healthcare must be grounded in safety, trust, and clinical responsibility