Auditing in Hyderabad

Opportunity overview The Learning & Development Specialist will work in support of the UM Service Operations Team at Cohere Health who conduct reviews and decision Prior Authorization requests for a patient’s medical insurance. You will implement training processes to improve staff performance and onboard new hire employees to the Cohere Operations teams, You will provide support to all functions within the Training & Quality department. With a solid foundation in Training, you are expected to be flexible and nimble in your role to manage short- and long-term projects as well as dealing with day-to-day tasks. What you’ll do: Facilitate training for the New Hire onboarding and continuous improvement of the Service Operations Staff Work with onshore teams to Develop and maintain Training materials Perform Quality Audit checks as required Coach team members for improvement Provide reporting on performance and key areas of Training Performance to Sr Leadership Lead and facilitate training programs for new-hire onboarding and ongoing development, ensuring Service Operations staff are fully prepared to meet performance, quality, and compliance expectations Design, develop, and continuously refine training materials, job aids, and workflow documentation to support new products, process changes, and organizational initiatives Conduct judgment-based quality audits across operational workflows, applying clinical and operational standards to evaluate accuracy, compliance, and readiness Provide targeted coaching and performance improvement guidance, using audit findings and behavioral insights to elevate competency, accuracy, and decision-making across teams Analyze training and quality data to identify trends, performance gaps, and opportunities, synthesizing insights into clear recommendations for senior leadership Build and deliver regular reporting on training outcomes, competency progression, audit results, and operational readiness, shaping leade

Opportunity Overview: We are seeking a Team leader, Intake to join our Intake Operations. In this role, as Team leader of Intake, you will work closely with the leadership team at Cohere and report to the Sr Director of India Operations. You will be responsible for providing supervision for the lead intake specialist and intake specialist team to meet or exceed operational objectives and metrics. You will leverage both your creative skills and communication skills to promote a high performing intake team. The Team leader of Intake will be highly organized in order to plan daily operational activities and provide oversight of the intake team. You will use your professionalism, personality, and communication skills to inspire the team to meet or exceed all performance standards. At a growing organization, this is a position that offers the ability to make a substantive mark on the company and its partners with exponential growth opportunities. What you’ll do: Gain a deep understanding of Cohere’s product and our health plan partners Provide daily operational direction to the intake staff. This includes interviewing new hires, training, coaching, mentoring, quality auditing, implementation and oversight of quality improvement plans identified based on trends and other process improvements Coordinates and provides day-to-day oversight of the intake staff Manage workload balancing needs of the intake team Assist in addressing case escalations and provider issues HR management to include performance evaluations, 1:1’s with the lead intake specialist and intake staff, payroll Other duties as assigned 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

Opportunity Overview: We are seeking a versatile and highly skilled Lead Claims Auditor to join our dynamic Payment Integrity team. This critical role involves conducting comprehensive professional and facility coding reviews—encompassing both outpatient/professional and inpatient claims—to ensure the accuracy of code assignment, DRG/reimbursement, and to maximize overpayment identification. If you possess a CPC and/or CCS credential, expert knowledge of CPT, HCPCS, and ICD-10-CM/PCS coding guidelines, and a passion for deep analytical auditing, you will be instrumental in supporting our commitment to accurate reimbursement solutions. This opportunity requires a self-motivated individual who thrives on precision, compliance, and continuous learning in a high-growth environment What you’ll do: Conduct comprehensive coding reviews to ensure accuracy in code assignment and reimbursement. Conduct comprehensive outpatient and professional coding reviews to ensure accuracy in code assignment and reimbursement. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Conduct ambulatory surgery center, emergency room, observation and infusion coding reviews. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations. Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits. Meet or exceed company quality and productivity standards, including strong uphold rates for appeals. Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge. Adhere to HIPAA and company policies and procedures to ensure data security and regulatory compliance. Maintain and apply superior knowledge of changes and updates to coding guidelines, reimbursement trends,

Opportunity Overview: We are seeking a versatile and highly skilled Claims Auditor to join our dynamic Payment Integrity team. This critical role involves conducting comprehensive professional and facility coding reviews—encompassing both outpatient/professional and inpatient claims—to ensure the accuracy of code assignment, DRG/reimbursement, and to maximize overpayment identification. If you possess a CPC and/or CCS credential, expert knowledge of CPT, HCPCS, and ICD-10-CM/PCS coding guidelines, and a passion for deep analytical auditing, you will be instrumental in supporting our commitment to accurate reimbursement solutions. This opportunity requires a self-motivated individual who thrives on precision, compliance, and continuous learning in a high-growth environment What you’ll do: Conduct comprehensive coding reviews to ensure accuracy in code assignment and reimbursement. Conduct comprehensive outpatient and professional coding reviews to ensure accuracy in code assignment and reimbursement. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Conduct ambulatory surgery center, emergency room, observation and infusion coding reviews. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations. Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits. Meet or exceed company quality and productivity standards, including strong uphold rates for appeals. Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge. Adhere to HIPAA and company policies and procedures to ensure data security and regulatory compliance. Maintain and apply superior knowledge of changes and updates to coding guidelines, reimbursement trends, and

Opportunity Overview: We are seeking a Technical, Hands-on Manager to lead a team in building AI-driven healthcare enterprise applications . In this role, you will combine strong people leadership with deep technical expertise to guide the development of scalable, data-intensive solutions that drive meaningful business impact. As a leader who is still technically involved , you will mentor and manage data scientists and analysts while having the ability to guide the team through evaluating, selecting, and implementing the right models , paired with an understanding of end to end workflow and ensure the delivery of scalable AI solutions . This position requires excellent communication and collaboration skills as you partner closely with internal stakeholders and cross‑functional engineering, product, and clinical teams . In our fast-paced environment, adaptability is key—your ability to reprioritize quickly and lead your team through evolving business needs will ensure maximum impact What you’ll do: Lead, mentor, and develop a high‑performing team of Data Scientists and ML Engineers, ensuring strong execution and continuous skill advancement. Contribute to event‑driven architecture design and implementation, enabling asynchronous processing and large‑scale system integration. Work seamlessly across functions—partnering with Data Scientists on model tuning, experimentation, and prompt design; collaborating with Product and Software Engineering to embed AI/ML into user-facing applications; engaging with DevOps/Platform Engineering on environment setup, CI/CD, monitoring, and reliability; and working with Data Engineering on pipeline design and ingestion strategies. Provide technical leadership in the effective use of AWS services such as Lambda, EC2, EMR, S3, Athena, Batch, Textract, Comprehend, Bedrock. Drive the implementation of project scope definition, effort estimation, and planning in close coordination with cross-functional teams. Conduct code reviews, pr

Opportunity Overview: We are seeking a Technical, Hands-on Manager to lead a team responsible for building and maintaining high-quality healthcare market datasets and analytics that power internal insights, benchmarking, and external thought leadership . In this role, you will lead a team of data analysts responsible for the development, quality assurance, and ongoing refresh of market data assets. You will combine strong people leadership with technical expertise in analytics and data science to ensure reliable, scalable data pipelines and actionable insights. The ideal candidate is both a strong people manager and a hands-on analytics leader who can guide analysts in rigorous data methodology, translate data outputs into meaningful business insights, and partner closely with commercial strategy, product, clinical, and analytics stakeholders. What you’ll do: Lead and develop a team of data analysts responsible for the creation, validation, and ongoing refresh of healthcare market datasets. Mentor analysts in data methodology, statistical reasoning, and reproducible analytics practices to ensure consistent and rigorous analysis across the team. Establish analytic standards, coding practices, and documentation expectations to ensure all datasets and insights produced by the team are reproducible and scalable. Establish and maintain governance processes for market data including versioning, documentation, auditability, and traceability of data sources and methodologies. Oversee change-detection logic, ensuring the team systematically identifies and documents additions, removals, and shifts in the market dataset. Define and enforce data quality standards across ingestion, transformation, and analysis workflows. Collaborate with Data Engineering and Platform teams to ensure the underlying data infrastructure supports scalable ingestion, transformation, and analytics workflows used by the analyst team. Translate analytic outputs into business insights, benchmarks, and st