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
Salary not disclosed
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Role overview
Job description
Opportunity Overview: The Sr. Director, GIC India Clinical Operations is a foundational leadership role responsible for establishing, scaling, and managing the clinical RN review function within Cohere Health's Global Innovation Center (GIC) in Hyderabad, India. This leader will build a high-performing team of US NCLEX-certified Registered Nurses (NCLEX-RNs) who perform prospective, concurrent, and retrospective clinical reviews for prior authorization cases on behalf of Cohere Health's US payer clients. The Sr. Director will be accountable for the end-to-end clinical operations delivery from the India GIC, ensuring that RN reviewers assess medical records and clinical documentation for appropriateness and medical necessity in strict alignment with clinical guidelines (including MCG Care Guidelines), Cohere Health internal criteria, National and Local Coverage Determinations (NCD/LCD), a
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Skills & requirements
Qualification
Education Bachelor's degree in Nursing (BSN) — Required Active, US Registered Nurse license (NCLEX-RN) — Required Clinical & Professional Experience Minimum 12–15 years of progressive experience in clinical operations, utilization management, and/or healthcare operations, with at least 5 years in a senior leadership role Knowledge and experience in utilization review / utilization management, including prospective (prior authorization), concurrent, and retrospective review Proven experience setting up and managing clinical operations in a GCC/GIC/BPO/offshore environment, preferably serving US healthcare payer clients Demonstrated expertise in US healthcare delivery systems, payer operations, and the prior authorization lifecycle across Commercial, Medicare, and Medicaid lines of business Hands-on experience with clinical criteria sets including MCG Care Guidelines, InterQual, and/or equivalent evidence-based criteria Experience managing NCLEX-certified RN teams in India or other offshore locations Knowledge of clinical algorithms, care pathways, and utilization management across the care continuum (acute care, post-acute care, ambulatory, outpatient) Experience with CMS regulatory
Department · Nurse Operations
Hiring company
Cohere Health
AI-powered prior authorization and payment integrity solutions that streamline utilization management, reduce costs, and improve care access for health plans.
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