Intake Quality Assurance Specialist

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 assigned

Required Qualifications:

Must-haves

• 5 to 7 years of experience in US Healthcare Payer Processes
• Experience in US healthcare operations, medical billing, claims, or prior authorization.
• Experience in healthcare BPO/KPO, payer/provider operations, or contact center environments.
• Knowledge of HIPAA regulations and patient privacy practices.
• Bachelor’s degree or equivalent experience preferred.
• 3+ Yrs in Quality assurance role.

Attention to detail

• Communication skills - verbal and written
• Data collection, management and analysis
• Problem analysis and problem solving
• Planning and organizing
• Effective interaction with stakeholders
• Teamwork
• Comfort working in a Mac-based environment
• Nice-to-haves
• Proficiency with Google Workspace (Sheets, Docs, Forms); ability to build pivot tables and create charts or dashboards
• Experience identifying performance trends and root causes through data
• Experience using quality management systems and conducting structured QA audits
• Experience facilitating coaching sessions and giving constructive feedback
• Understanding of Adult Learning Theory and Training
• ISMS roles and responsibilities
• Fair understanding of Information Security practices.
• Align to the organization policies and procedures.
• Ensure to get updated with ISMS roles as assigned by the department/process heads.
• Ability to commute/relocate:
• Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (Preferred)
• Interview Process*:

Connect with Talent Acquisition

Meet with the Hiring Manager

Behavioral Interview(s)

Case Study

Interview with Senior Leadership *Subject to change

About Cohere Health:

Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.

With the acquisition of ZignaAI, we expanded our AI-native platform with a comprehensive Payment Integrity Suite that spans data mining, clinical and coding validation, authorization and claims reconciliation, and end-to-end payment integrity services across pre- and post-pay workflows. By connecting clinical and payment insights, our transparent, AI-powered solutions help health plans proactively improve payment accuracy, reduce waste and vendor dependency, strengthen provider relationships, and build smarter, more efficient payment integrity programs.

• Cohere Health’s innovations continue to receive industry-wide recognition. We’ve been recognized on TIME’s World Top HealthTech Companies 2025 list, the 2025 Inc. 5000 list, in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024.
• 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.