Senior Financial Analyst - Operations & Commercial

Opportunity Overview:

This is a hands-on, detail-oriented role embedded within our Clinical Operations and Commercial organizations. The right candidate brings sharp analytical instincts, a bias for action, and the ability to deliver reliable financial support at a pace that keeps up with a fast-moving commercial business.

What you’ll do:

• Review and, where needed, build capacity models for Clinical Operations staff — ensuring headcount aligns with patient volume, operational targets, and cost objectives
• Update and maintain gross margin workbooks on a monthly basis, incorporating actuals with precision and producing variance commentary that drives decision-making
• Own headcount management reporting across Clinical Ops and Commercial teams, providing leadership with timely, accurate views of staffing costs vs. plan
• Analyze the cost impact of process and product improvements, translating operational changes into clear financial outcomes and recommendations
• Support budget and forecast preparation for both functions — partnering with Operations and Commercial leaders to build credible, data-backed plans
• Utilize Adaptive Insights (Workday Adaptive Planning) to manage planning cycles, scenario modeling, and financial reporting with efficiency and accuracy
• Apply AI-powered analytics tools to automate routine tasks, surface insights faster, and continuously elevate the quality of financial outputs
• This role rewards people who care deeply about the quality and timeliness of their work and who bring a collaborative, ownership-driven mindset to everything they do.
• Strong attention to detail — gross margin workbooks and capacity models are foundational to how we run the business, and getting them right matters
• Fast turnaround — leadership relies on timely analysis to make decisions; the expectation is responsive, not reactive
• Strong partnership instincts — you work closely with Operations and Commercial leaders and must earn their trust through consistent, high-quality support
• Availability and responsiveness during East Coast US hours (approximately 50% of your working week) to support leadership, month-end close, and planning cycles
• Continuous improvement orientation — if a process can be made smarter or faster, you find a way

ISMS roles and responsibilities

• Good knowledge of Information practices.
• Assist the manager in all the information security activities implementation and maintenance process.
• Ensuring the  team and imparted with Competence related to Information security
• Responsible for implementation of security policies and procedures and report any issues to the Information Security Manager.

What you’ll need:

Must-haves

• Bachelor's degree in Finance, Accounting, Economics, or a related field; MBA or CPA/ICAI a plus
• 3–6 years of FP&A, commercial finance, or operations finance experience; healthcare, life sciences, or services industry background preferred
• Advanced Excel and financial modeling skills; hands-on experience with Adaptive Insights / Workday Adaptive Planning strongly preferred
• Comfortable working across both Google Suite (Sheets, Slides, Docs) and Microsoft Office products
• Exposure to AI-assisted analytics or business intelligence tools (Power BI, Tableau, or equivalent) a meaningful advantage
• Demonstrated ability to build and maintain complex financial models (capacity models, gross margin workbooks, headcount trackers)
• Clear and confident communicator — able to present financial findings to non-finance stakeholders in a concise, actionable way
• Highly organized, self-directed, and comfortable managing multiple deliverables across functions and time zones simultaneously

Ability to commute/relocate:

• Nacharam, Hyderabad, Telangana*: Reliably commute or planning to relocate before starting work (Preferred)

Interview Process*:

1. Connect with Talent Acquisition 
2. Meet with the Hiring Manager
3. Behavioral Interview(s)
4. Case Study
5. Interview with Senior Leadership

*Subject to change

About Cohere Health:

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 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.