What It's Like to Work at Cohere Health's Global Innovation Center

At Cohere Health, geography determines where employees work, not how far they can grow. 

That’s the idea behind “Global Talent, Local Roots, Equal Sky,” a career equity framework championed by Subrahmanyam Mantha, vice president of global operations transformation at Cohere Health.

Based remotely in the United States, Mantha oversees Cohere Health's Global Innovation Center in Hyderabad, India, and connects its operations with the U.S.-based clinical teams. His work focuses on building a scalable global delivery model while maintaining high-quality, compliant clinical operations.

For Mantha, leading a successful global team means more than just optimizing operations. It also means ensuring Hyderabad-based teammates have the same opportunities to innovate and advance their careers as their U.S.-based counterparts. 

Cohere Health’s Global Innovation Center isn’t just a satellite office. According to Mantha, it’s a hub of innovation, collaboration and culture, where every employee can make their mark and drive Cohere Health’s mission forward.

How Cohere Health Connects Its U.S. and Hyderabad Teams

In global workplaces, it can be easy for teams to feel like separate organizations, which is why Cohere Health takes its name seriously. 

According to Mantha, the word cohere, which means “to unify,” underpins every aspect of the Global Innovation Center’s operations. To ensure teams stay aligned with their counterparts in the United States, the center conducts “One Cohere” global syncs, which are weekly meetings during which team members connect with U.S. teams to share updates about ongoing projects. 

“These weekly and monthly global syncs transform cross-border collaboration from a structural necessity into a shared cultural practice,” Mantha said. 

How Cohere Health Supports Career Growth for Hyderabad Employees

Cohere Health leaders intentionally refer to the Hyderabad operation as a Global Innovation Center rather than a Global Capability Center. Mantha said the distinction reflects leadership’s goal of building a team focused on innovation, collaboration and professional advancement, rather than treating Hyderabad employees solely as execution resources.

While Mantha juggles various responsibilities in his day-to-day work, Mantha holds himself accountable for equitable career growth through three commitments: reviewing promotion and attrition data by geography each quarter and addressing disparities, conducting skip-level sessions with Hyderabad-based individual contributors, and ensuring every employee at the GIC understands their available career paths.

Mantha strives to cultivate an empowering environment where everyone on his team can confidently express how they wish to grow at Cohere Health. 

How Cohere Health Measures Global Team Performance and Collaboration

Cohere Health’s Global Innovation Center follows a multi-layered metrics framework in order to measure how its teams are performing. 

The framework is built upon five categories: operational excellence, quality and compliance, people and culture, collaboration, and financial performance. By asking questions like, “Are our people engaged and growing?” and “Are we working as one team?” Mantha and his fellow leaders gauge how teams are engaging with the culture and meeting companywide goals. 

One important success indicator is the global escalation rate, which measures how often issues need to be escalated from Hyderabad to U.S. teams. 

“When escalations from Hyderabad to U.S. teams decline month over month, it’s a strong signal that Hyderabad teams are building confidence and expertise, standard operating procedures and training are working, trust is growing across teams, and the system is moving toward self-sufficiency–the hallmark of a thriving GIC,” Mantha said.

When everyone at Cohere Health’s Global Innovation Center is empowered to thrive, the whole company feels it, Mantha said. That’s why he views equity in career growth as the foundation of a sustainable global operating model.

“When Hyderabad-based team members see peers being promoted, skills being invested in, contributions being recognized and leadership listening, they don’t just stay–they thrive,” Mantha said. “And thriving people build thriving organizations.”

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