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 leadership decisions and resource planning
- Collaborate with cross-functional partners (Operations, Product, Clinical, Client Services) to ensure training, quality, and workflow expectations are aligned and fully operationalized
- Identify, evaluate, and recommend automation opportunities within training, auditing, and operational workflows to reduce manual work, increase accuracy, and produce measurable cost and FTE savings
- Drive continuous improvement initiatives by re-engineering training processes, optimizing content delivery, and ensuring alignment with regulatory and accreditation requirements
- Exercise independent judgment in prioritizing initiatives, managing multiple projects, and influencing adoption of quality and training best practices across the organization
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.
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+ years developing and delivering training curriculum in a healthcare environment
- Understanding of Adult Learning Theory and Training
- Ability to lead training sessions virtually
- Attention to detail
- Communication skills - verbal and written
- Data collection, management and analysis
Nice-to-haves
- Ability to conduct effective coaching sessions
- Problem analysis and problem solving
- Planning and organizing
- Effective interaction with stakeholders
- Teamwork
- Mac usage
Ability to commute/relocate:
- Hyderabad(Nacharam), 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.