C

Cohere Health

Builds software for healthcare authorizations

Intake Quality Assurance Specialist

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeHyderabad, Telangana, IndiaNo salary listed

About the Job

Requirements

  • 5 to 7 years of experience in US healthcare payer processes.
  • Experience in US healthcare operations, medical billing, claims, or prior authorization.
  • Experience in healthcare BPO/KPO, payer/provider operations, or contact center environments.
  • Knowledge of HIPAA regulations and patient privacy practices.
  • Bachelor’s degree or equivalent experience is preferred.
  • At least 3 years of experience in a quality assurance role.
  • Ability to collect, manage, and analyze data.
  • Ability to analyze problems and solve them.
  • Ability to plan and organize work.
  • Ability to interact effectively with stakeholders.
  • Comfort working in a Mac-based environment.
  • Fair understanding of information security practices.
  • Ability to align with organizational policies and procedures and stay updated with ISMS roles assigned by department or process heads.

Responsibilities

  • Translate QA findings into clear insights and recommendations for operational leaders and cross-functional partners.
  • Develop and deploy structured coaching sessions based on audit findings to improve accuracy, decision-making, and skill development.
  • Create and ensure the accuracy of standard operating procedures, job aids, workflow guides, and new product readiness materials.
  • Facilitate onboarding and ongoing upskilling sessions using adult learning principles and subject-matter-expert feedback.
  • Lead the QA and training side of project implementations by operationalizing workflow changes, quality expectations, and training updates into the business.
  • Partner with Product, Clinical, Client Services, and Operations to validate workflow changes and identify potential quality or compliance risks.
  • Support change management by communicating process updates and aligning QA expectations across impacted teams.
  • Serve as a subject matter expert and advisor to frontline leaders on quality trends, training needs, and operational readiness.
  • Manage multiple concurrent priorities with independence, ownership, and accountability for deliverables, exercising discretion and independent judgment.
  • Work in operational queues as needed during high-volume periods to maintain service levels and continuity of operations.
  • Perform other duties as assigned.

Desired Qualifications

  • Proficiency with Google Workspace, including Sheets, Docs, and Forms, and ability to build pivot tables and create charts or dashboards.
  • Experience identifying performance trends and root causes through data.
  • Experience using quality management systems and conducting structured QA audits.
  • Experience facilitating coaching sessions and giving constructive feedback.
  • Understanding of adult learning theory and training.
  • Reliable commuting to Hyderabad, Telangana, or willingness to relocate before starting work is preferred.

About the Company

Cohere Health

Builds software for healthcare authorizations

Cohere Health builds clinical software and provides review services for health insurers. Its Cohere Unify platform helps teams handle prior authorization, appeals, care management, and payment integrity by organizing medical records and applying plan policies to requests and claims. AI tools extract clinical evidence and prepare recommendations, while nurses and physicians review cases that require clinical judgment. The company sells technology and delegated review services to health plans, which can use its software within their own teams or outsource selected workflows. Cohere Health was founded in 2019 and is headquartered in Boston, Massachusetts.

Company size
501-1,000
Company stage
Series C
Total funding
$196M
Headquarters
Boston, MA
Founded
2019

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