Lead Claims Auditor (QC)

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 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 Sr Business Intelligence Engineer to join our Intelligence team. In this role, you will drive the development and optimization of our analytical infrastructure, enabling efficient, scalable, and consistent reporting and analytics across the organization. You will play a critical role in shaping the foundation of our BI ecosystem—working at the intersection of engineering, data modeling, and stakeholder enablement. This is an ideal opportunity for an experienced BI engineer who can execute cross-functional projects, design performant data models, and contribute to the execution of a unified data strategy across platforms. You will also provide guidance and mentorship to junior team members and contribute to the evolution of Cohere’s modern data stack and governance practices. What you’ll do: Lead the execution and refinement of our business intelligence and analytics architecture, ensuring consistency, performance, and scalability across dashboards and self-service tools. Design and implement robust semantic and dimensional data models supporting operational, clinical, and strategic analytics use cases. Collaborate closely with data platform, analytics, and product teams to define shared data definitions, build source-of-truth datasets, and align transformations with stakeholder needs. Improve data pipeline efficiency and maintainability by establishing and enforcing best practices in dbt modeling, testing, and documentation. Support release management, quality testing, version control, and promotion of analytics assets across environments. Enable data providers and analysts to deliver high-impact dashboards and KPI frameworks using Tableau, with an emphasis on performance, usability, and governance. Serve as the primary Tableau Cloud SME for the organization, including user management, security, performance tuning, and environment configuration. Lead integration of Tableau dashboards into front-end web applications using the Ta

Opportunity Overview: As a Staff Data Scientist at Cohere Health, you will serve as a technical leader across high-priority initiatives, shaping how data science is applied to some of the most complex challenges in healthcare. You’ll drive the design of advanced analytical and modeling solutions, influence strategic direction, and partner deeply across Product, Clinical, and Engineering to deliver scalable, high-impact outcomes. This role goes beyond execution. You’ll define approaches, set standards, and guide others in solving ambiguous, high-leverage problems. You’ll play a critical role in advancing the maturity of data science at Cohere while contributing directly to improving clinical and operational decision-making. What you’ll do: Lead the design and execution of complex, high-impact data science initiatives across multiple domains Define analytical frameworks and modeling approaches for ambiguous, strategic problem spaces Partner with senior stakeholders to shape problem definition, prioritize opportunities, and influence decision-making Develop and deploy advanced models and scalable analytical solutions that drive measurable outcomes Establish best practices for experimentation, model development, and analytical rigor across the team Mentor and guide other data scientists, providing technical leadership and elevating team capabilities Drive cross-functional alignment to ensure solutions are practical, scalable, and integrated into workflows ISMS roles and responsibilities: Good knowledge of Information security Oversee specific business processes within the ISMS. Responsible to manage the ISMS documentation, conduct risk assessments, and implement risk treatment plans. Risk Owners are responsible for identifying, assessing, and managing risks within their areas of responsibility. They are also responsible for implementing risk treatment plans. Conduct the BCP and other test related to information security continuity along with CISO Responsible for monitor

Opportunity Overview: As Quality Specialist will implement quality measurements, scoring, and performance improvement data designed to improve operational efficiency while exceeding industry standards for quality performance. You will apply subject-matter expertise to guide and support the training and quality needs of Intake Operations. This includes building the success of the company through training and development. With a solid foundation in quality analysis, feedback, instructing/coaching; 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 QA tasks. Cohere culture is one of partnership and ownership. What you’ll do: 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 accuracy of SOPs, job aids, workflow guides, and new product readiness materials. Facilitate onboarding and ongoing upskilling sessions using adult learning principles and SME feedback. Lead QA/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, exercise discretion and independent judgment. Step into operational queues to maintain service levels and ensure continuity of operations, as needed during high-volume periods. Other duties as assig

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