Intake Quality Assurance Specialist

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.