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• Develop and implement comprehensive infection control policies and procedures.
• Conduct remote risk assessments of healthcare facilities' sanitation practices.
• Analyze surveillance data to identify and track HAIs.
• Recommend and guide the implementation of evidence-based infection prevention strategies.
• Provide remote training and education to healthcare staff on infection control protocols.
• Stay updated on regulatory requirements and industry best practices.
• Advise on the selection and appropriate use of cleaning and disinfection agents.
• Collaborate with healthcare teams to promote a culture of safety.
• Review and interpret scientific literature related to infection prevention.
• Develop action plans to address identified infection control gaps.

• Master's degree in Public Health, Infection Control, Microbiology, or a related healthcare field.
• Minimum of 5 years of experience in healthcare infection prevention and control.
• Current Certification in Infection Control (CIC) is highly desirable.
• In-depth knowledge of epidemiology, microbiology, and healthcare sanitation.
• Strong analytical and data interpretation skills.
• Excellent remote communication, training, and presentation abilities.
• Ability to work independently and manage multiple projects in a remote environment.
• Familiarity with healthcare regulations and accreditation standards.
• Proven ability to develop and implement effective infection control programs.

• Develop, implement, and evaluate comprehensive infection prevention and control programs for healthcare facilities.
• Conduct virtual risk assessments and identify potential sources of infection transmission.
• Develop evidence-based protocols for cleaning, disinfection, sterilization, and waste management.
• Provide expert guidance and training to healthcare staff on infection control principles and practices.
• Monitor adherence to infection control policies and standards through virtual methods and data review.
• Advise on the selection and proper use of personal protective equipment (PPE) and antimicrobial agents.
• Investigate outbreaks of infectious diseases and implement control measures.
• Stay abreast of the latest research, guidelines, and best practices in infection control and public health.
• Collaborate with public health agencies and other stakeholders to promote community health and safety.

• Master's degree in Public Health, Microbiology, Nursing, Epidemiology, or a related field.
• Minimum of 5-7 years of progressive experience in infection prevention and control, preferably in a hospital or healthcare setting.
• In-depth knowledge of infectious diseases, epidemiology, and public health principles.
• Experience with developing and delivering training programs, preferably remotely.
• Strong understanding of sanitation, hygiene, and waste management best practices.
• Excellent analytical, problem-solving, and critical thinking skills.
• Exceptional communication, presentation, and interpersonal skills for virtual engagement.
• Ability to work independently, manage complex projects, and meet deadlines in a remote environment.

Job Title:
Healthcare Analyst (Remote)

Type:
Full-Time |
Location:
Remote (Philippines)

Compensation:
$1,800 USD/month

Position Summary
We are seeking a detail-oriented and analytical Healthcare Analyst to join our team remotely. This role focuses on supporting clinical and coding operations through accurate data analysis, specifically involving Hierarchical Condition Categories (HCC), Risk Adjustment Factor (RAF) scoring, and healthcare claims review. The ideal candidate has a solid background in U.S. healthcare data, understands medical coding and risk adjustment models, and can deliver insights that support improved patient outcomes and operational performance.

Key Responsibilities

• Analyze clinical data to identify opportunities for accurate HCC coding and RAF optimization
• Review patient records, claims data, and provider documentation to ensure risk-adjusted coding accuracy
• Collaborate with coding and clinical teams to support audit processes and data integrity
• Generate reports and dashboards that support care management, risk adjustment, and quality improvement initiatives
• Track performance metrics and highlight trends or anomalies in healthcare data sets
• Support compliance with CMS risk adjustment guidelines and payer-specific requirements
• Maintain documentation and data validation procedures to ensure consistent analysis

Requirements

• Minimum of 2 years' experience in U.S. healthcare analytics, medical coding, or risk adjustment
• Strong knowledge of HCC coding, RAF scoring, and ICD-10 coding standards
• Experience working with healthcare data sets such as claims, EMR, encounter data
• Proficient in using tools like Excel, Google Sheets, and data visualization platforms (e.g., Tableau, Power BI)
• Familiarity with CMS guidelines and risk adjustment methodologies
• Excellent analytical, organizational, and communication skills
• Ability to work independently in a remote environment with minimal supervision

Preferred Qualifications

• Background in Nursing, Health Information Management, Public Health, or related fields
• Certification in medical coding (e.g., CPC, CRC) is a plus
• Experience working with U.S. health plans, ACOs, or Medicare Advantage organizations

Join our team and make a measurable impact in improving patient care and data-driven clinical outcomes—while enjoying the flexibility of remote work.

This is Worldline
Worldline helps businesses of all shapes and sizes to accelerate their growth journey - quickly, simply, and securely. We are the innovators at the heart of the payments technology industry, shaping how the world pays and gets paid. Our technology powers the growth of millions of businesses across 5 continents. And just as we help our customers accelerate their business, we are committed to helping our people accelerate their careers. Together, we shape the evolution.

The Opportunity
Join our In-Person Payments team as a Product Manager, where you'll play a crucial role in building the core of our payment processing solutions. As part of the largest European acceptance platform, we're proud to lead the market in providing seamless payment experiences across the continent. We're seeking an experienced Product Manager to introduce new payment features and methods, with a particular focus on our Enterprise Gateway for EU markets.

Day-to-Day Responsibilities

• Define and execute strategic initiatives to advance Worldline's In-Person Payments product across EU markets.
• Collaborate closely with engineering, operations, and commercial teams to enhance existing solutions and develop innovative payment features
• Scope and prioritize product features ranging from incremental improvements to large-scale infrastructure changes
• Manage stakeholder relationships including external partners and merchants to drive product success
• Ensure effective tracking and execution of product initiatives while maintaining alignment across teams

Who Are We Looking For
We look for big thinkers. People who can drive positive change, step up and show what's next – people with passion, can-do attitude and a hunger to learn and grow.

In Practice This Means

• 5+ years of product management experience in innovative technology companies, with proven track record of building products at scale
• Strong technical aptitude with ability to quickly grasp complex technical subjects and work closely with engineering teams, designers, and external partners
• Exceptional communication skills - able to simplify technical details for non-technical audiences and confidently advocate ideas across all organizational levels
• Analytical mindset with proven ability to turn data insights into actionable product decisions that drive business outcomes
• Deep business acumen in identifying customer pain points and effectively communicating insights to influence key commercial decisions
• Domain expertise in payments ecosystem including EMV, APIs, web applications, hardware

Perks & Benefits

• Hybrid working arrangement (40% remote, 60% in-office)
• Permanent contract offering job security and career growth opportunities.

Shape the evolution
We are pushing towards the next frontiers of payments technology, and we look for big thinkers to join our journey. People with passion, can-do attitude and a hunger to learn and grow. Here you'll work with ambitious colleagues from around the world, take on unique challenges as a team, and make a real impact on the society. And with our empowering culture, strong technology and extensive training opportunities, we help you accelerate your career. Wherever you decide to go. Join our global team of over 18,000 innovators across 40+ countries, and shape a tomorrow that is yours to own.

Learn More About Life At Worldline At
We are proud to be an Equal Opportunity employer. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as an individual with a disability, or any applicable legally protected characteristics.

What you become a part of:
The successful candidate will act as the key link between the company and healthcare professionals within their assigned region with a goal to create awareness of Shalina Healthcare Products and maximise sales growth.

What to expect:

• Build Pharma Stakeholder Relationships -Foster strong ties with healthcare professionals and pharmacies to enhance collaboration.
• Attend Pharma Industry Meetings and Training-Participate in pharmaceutical-focused meetings and training to stay updated on industry developments and product knowledge.
• Implement Pharma Sales Strategies-Collaborate on strategies to ensure quality pharmaceutical products reach consumers effectively.
• Provide Pharma Product Insights -Assess client needs and provide detailed information on pharmaceutical products to healthcare professionals.
• Monitor Pharma Market Trends -Analyse pharmaceutical market conditions to identify competitive advantages and stay compliant with regulations.

Essential skills:

• Degree/Diploma in any Science course.
• Proven work experience of at least 1 year as a Pharmacy Sales Representative.
• Familiar with the market trends, product lines and latest medical issues.
• Excellent communication, negotiation and sales skills.
• Knowledge of MS Office.
• Highly motivated and target driven with a proven track record in sales.

ER CARE NAVIGATOR
Level: Supervisor
Leadership Responsibility: Individual Contributor
Reporting Line: Head - Provider Services, Customer Care
Position Accountability Statement
The ER Care Navigator, is responsible for ensuring efficient utilization of emergency room (ER) resources

by collaborating with hospital ER staff to assess case urgency, managing LOA issuance and redirection

when appropriate, addressing inquiries and concerns related to ER services, delivering clear explanations

of benefits to members, and supporting steerage and primary care network (PCN) initiatives to enhance

healthcare efficiency and member experience.

Broad Responsibility Highlights
The following broad responsibility statements are representative of the basic expectations about the role

or function. Depending on business needs and exigencies, these responsibility statements may be

modified. Critical to any leadership function is the need to demonstrate flexibility and agility in adapting to

the changing requirements of the business.

• Support members by collaborating with hospital ER staff to assess case urgency, ensuring that

only qualified emergency cases, whether Outpatient or In-patient, are directed to the Emergency

Room. This involves coordinating with healthcare professionals to prioritize critical cases, and

allocating resources for timely and effective care. The focus on prioritizing emergency cases aims

to optimize ER efficiency and improve patient outcomes.

• Provide assistance to members during Emergency Room (ER) visits by efficient/ timely issuance

of Letters of Authorization (LOA) to facilitate access to medical services. Implement redirection

strategies as needed to direct non-emergency cases to alternative healthcare facilities or

services. This includes offering guidance on available healthcare options, and ensuring smooth

transitions to optimize the suitability and efficiency of care delivery.

• Handle various concerns and inquiries related to Emergency Room (ER) availment and

miscellaneous items. Provide assistance and clarification to members on ER services, eligibility,

coverage, and procedures. By effectively addressing these concerns, ensure members are

well-informed and supported, contributing to a positive patient experience and optimal ER

resource utilization.

• Facilitate seamless transitions for patients from the Emergency Room (ER) to the Inpatient Team

by endorsing cases for admission. Collaborate with healthcare professionals to assess patient

needs, compile required documentation, and communicate relevant information to the Inpatient

Team. Ensure timely and appropriate care upon admission, promoting continuity of care and

optimal patient outcomes.

• Provide detailed explanations of benefits and review coverage and non-coverage based on their

benefit provision. Additionally, offer direct assistance to members who are unaccompanied,

addressing any questions or concerns they may have, ensuring they receive the necessary

support and understanding.

• Promotion and Steerage to our Primary Care Networks. Encourage and assist members in

visiting our Primary Care Networks (PCNs), providing full support and guidance. This includes

advocating for PCN benefits and helping members understand available services.

• Act as gatekeeper and screen for unnecessary charges in accordance with our memo. This

involves carefully reviewing charges and expenses to ensure compliance with established

guidelines and protocols. By diligently fulfilling this role, we aim to prevent unnecessary costs and

uphold financial accountability within the organization.

• Enhance cost savings by directing non-emergency cases to more suitable healthcare services or

facilities. This includes evaluating case urgency and guiding individuals towards alternative care

options. Through this approach, we strive to maximize resource utilization, reduce unnecessary

expenses, and promote overall efficiency and financial sustainability within the organization.

Desired Skills And Competencies

• Effective Prioritization and Timely Decision Making: Ability to prioritize tasks efficiently and

make timely decisions to address issues promptly.

• Assertive Negotiation and Influencing Skills: Capability to negotiate effectively and influence

Maxicare business results positively.

• Concise Communication: Skill in conveying information clearly and succinctly to ensure

effective communication.

• Conflict Resolution and Interdisciplinary Collaboration: Proficiency in resolving conflicts and

collaborating with interdisciplinary teams to achieve common goals.

• Efficient and Proactive Customer Service: Capacity to provide proactive and personalized

customer service efficiently, demonstrating empathy and active listening.

• In-Depth Knowledge on Products, Policies, and Procedures: Thorough understanding of

Maxicare products, policies, and procedures, with attention to detail and a willingness to share

knowledge.

• Critical Thinking and Critical Decision-Making: Ability to think critically and make sound

decisions based on thorough analysis and evaluation.

• Adaptability and Independent Decision-Making: Flexibility to adapt to changing circumstances

and make independent decisions as needed.

• Empathetic Communication and Influencing Skills: Ability to communicate empathetically and

influence stakeholders effectively to achieve desired outcomes.

Professional Qualification

• Preferably with at least 5 years experience in a customer service role
• Preferred industry orientation: Healthcare, Insurance, Pharmaceuticals, FMCG, or any service-oriented industry