Prior Authorization Representative in Hyderabad

Opportunity Overview: Cohere Health is at the forefront of leveraging artificial intelligence (AI) to transform prior authorization, shifting from transaction-based processes to creating elevated care journeys. By integrating AI into healthcare decisioning, we aim to improve efficiency, reduce costs, and ultimately enhance patient care. This is a unique opportunity to join our rapidly growing Clinical Intelligence team, where you’ll work on building impactful healthcare technologies that streamline and optimize the prior authorization process using AI/ML and Advanced Rules Engines. What you’ll do: Contribute to the functional & technical roadmap for the team, working alongside cross-functional teams to deliver high-impact deterministic rules-based and AI-driven healthcare automation solutions. Actively support the technical design process, bringing your expertise and analysis to help make data-driven decisions Continuously discover, understand, and implement new technologies & services to maximize development efficiency Contribute heavily to feature design, development, testing, and delivery of our cloud platform and web applications Support all parts of our platform from the database to the frontend Drive daily engineering release once 2-4 times a month Perform production support duties 1-2 times a year. 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 we looking for: You have experience working on software development teams, building and deploying full stack web applications You are passionate about building quality products and want to own product development end-to-end, with excellent design and development stan

Opportunity Overview: Cohere Health is at the forefront of leveraging artificial intelligence (AI) to transform prior authorization, shifting from transaction-based processes to creating elevated care journeys. By integrating AI into healthcare decisioning, we aim to improve efficiency, reduce costs, and ultimately enhance patient care. This is a unique opportunity to join our rapidly growing Clinical Intelligence team, where you’ll work on building impactful healthcare technologies that streamline and optimize the prior authorization process using AI/ML and Advanced Rules Engines. What you’ll do: Contribute to the functional & technical roadmap for the team, working alongside cross-functional teams to deliver high-impact deterministic rules-based and AI-driven healthcare automation solutions. Actively support the technical design process, bringing your expertise and analysis to help make data-driven decisions Continuously discover, understand, and implement new technologies & services to maximize development efficiency Contribute heavily to feature design, development, testing, and delivery of our cloud platform and web applications Support all parts of our platform from the database to the frontend Drive daily engineering release once 2-4 times a month Perform production support duties 1-2 times a year. 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 we looking for: You have experience working on software development teams, building and deploying full stack web applications You are passionate about building quality products and want to own product development end-to-end, with excellent design and development stan

Opportunity Overview: Cohere Health is at the forefront of leveraging artificial intelligence (AI) to transform prior authorization, shifting from transaction-based processes to creating elevated care journeys. By integrating AI into healthcare decisioning, we aim to improve efficiency, reduce costs, and ultimately enhance patient care. This is a unique opportunity to join our rapidly growing Clinical Intelligence team, where you’ll work on building impactful healthcare technologies that streamline and optimize the prior authorization process using AI/ML and Advanced Rules Engines. What you’ll do: Contribute to the functional & technical roadmap for the team, working alongside cross-functional teams to deliver high-impact deterministic rules-based and AI-driven healthcare automation solutions. Actively support the technical design process, bringing your expertise and analysis to help make data-driven decisions Continuously discover, understand, and implement new technologies & services to maximize development efficiency Contribute heavily to feature design, development, testing, and delivery of our cloud platform and web applications Support all parts of our platform from the database to the frontend Drive daily engineering release once 2-4 times a month Perform production support duties 1-2 times a year. 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 we looking for: You have experience working on software development teams, building and deploying full stack web applications You are passionate about building quality products and want to own product development end-to-end, with excellent design and development stan

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 Lead Software Engineer to join our Integrations team. In this role, you will be designing, developing, and scaling highly available healthcare integration systems supporting prior authorization workflows across providers, payers, and delegated entities. You'll direct a fast-paced, autonomous,agile team of software engineers in the design, development, and operational support of a growing enterprise integration platform. This is an opportunity to drive technical excellence at the intersection of healthcare interoperability and modern distributed systems. What you’ll do: Technical Leadership: Provide technical leadership across architecture, system design, platform scalability, reliability, and operational excellence. Platform Engineering: Design and build scalable, resilient, and high-performing systems that support critical business workflows and enterprise integrations. Integration Solutions: Lead the development and maintenance of secure integrations with internal and external platforms, partners, and third-party systems. Cloud & Automation: Drive cloud infrastructure, deployment automation, and software delivery practices that enable reliable and efficient releases. Distributed Systems: Design and support event-driven and distributed architectures that enable scalable and fault-tolerant processing. Operational Excellence: Establish monitoring, observability, and incident response practices to ensure system reliability, performance, and availability. Quality Engineering: Champion automated testing, quality assurance, and engineering best practices throughout the software development lifecycle. Production Support: Lead the resolution of complex production issues and drive continuous improvement in platform stability and operational efficiency. Cross-Functional Collaboration: Partner with product, operations, data, security, and business stakeholders to deliver solutions aligned with organizational goals. Agile Delive

Opportunity Overview: We are looking for a Senior Clinical Configuration Analyst to play a key role in the technical configuration of platform requirements for Cohere’s Platform-as-a-Service (PaaS) clients. Reporting into our Senior Manager, PaaS Value Delivery, you will be part of a small, fast-paced team working directly with client-facing team members to understand and deliver key clinical configurations that are integral to helping new and existing clients meet their prior authorization automation goals. Ultimately, the work you do will have a direct impact on the growth of the company and our ability to assist more patients at a time in their healthcare journey when they need help most. What you’ll do: Ensure thorough understanding of client’s technical requirements to facilitate seamless configuration of platform requirements during new client implementations Test configurability of new product functionality, or enhanced existing functionality, built to accommodate custom client requirements Define test scenarios and success criteria for all new and existing client platform configurations Execute on configuration of platform requirements in accordance with project timelines and client expectations Triage and resolve technical issues, during end-to-end testing or post-implementation, in a timely manner to ensure client satisfaction Serve as a technical SME for client-facing analysts during each stage of the customer lifecycle: providing education and answers to questions around configurability of client platform requirements; occasionally interfacing directly with clients to address issues Collaborate with Product, Development, Design, and Engineering to scope, develop, and implement internal configuration management tools that will help scale configuration work Required Qualifications: Must-haves 3-6 years of professional experience in a Configuration Management role; Bachelor’s degree in Computer Science, Systems Engineering, or related field Problem-Solving

Opportunity Overview: The Intake Specialist role is a key position supporting US healthcare operations by ensuring accurate and timely processing of patient and provider requests. In this role, you will support healthcare providers, internal clinical teams, and operations teams by collecting, reviewing, and processing information required for healthcare services and prior authorization workflows. As an Intake Specialist, you will manage healthcare requests received through multiple channels including phone, email, fax, and online platforms. You will be responsible for gathering required documentation, validating information, updating systems accurately, and ensuring requests are processed within defined turnaround times. This role requires strong communication skills, attention to detail, problem-solving ability, and the ability to work effectively in a fast-paced healthcare operations environment. What you’ll do: Provider/Customer Calling Support (Inbound & Outbound) Handle inbound and outbound calls with US healthcare providers and stakeholders. Process incoming healthcare requests received from US providers through Calls , fax, email, and electronic systems. Review medical documentation for completeness and accuracy. Validate required information needed for prior authorization and clinical review. Enter and update patient, provider, and request details accurately in healthcare systems. Identify missing information and coordinate with appropriate teams/providers for resolution. Maintain high standards of accuracy, quality, and productivity. Follow HIPAA guidelines and maintain confidentiality of patient information. Support process improvements and operational initiatives. Provide professional and timely support while addressing provider questions and requests. Document all interactions accurately in internal systems. Provide first-level resolution whenever possible. Escalate complex issues to appropriate teams. Maintain a customer-focused approach during ever