• Regularly work with the team on reviewing potentially suspicious behavior on a daily basis to support the company in protecting good users and preventing financial losses • Work quickly and thoroughly to meet interdepartmental Service Level Agreements (SLAs) while ensuring high quality work product • Conduct in-depth transaction-level reviews • Discover and identify trends to present opportunities for stronger results and mitigation • Communicate with customers in response to inquiries related to trust and risk • Provide inbound email and chat-based customer service for users who need immediate assistance • Thoughtfully investigate Trust & Risk cases with medium complexity and high sensitivity while maintaining customer satisfaction • Work with other departments to research and resolve open questions • Efficiently work through a backlog of open issues and monitor performance of key operations • Represent the company with integrity and professionalism • Review key metrics and utilize data to make informed decisions

Process and Clinical Quality Analyst Brazil (São Paulo - Hybrid) Your well-being, our mission. Join a company that makes the world healthier. MEET US We are revolutionizing corporate well-being. Our platform connects employees around the world with the best partners in exercise, mindfulness, therapy, nutrition, and sleep routines – all in one subscription. Based in New York and with teams in Europe, North America and South America, our mission is to make every company a wellness company. We believe that work should be rewarding, inspiring and balanced. Here, you'll find a team that values well-being, collaboration, and diverse perspectives, in a place where passion and creativity push boundaries to create real impact. Your contributions will help build a healthier world, for you and millions of people globally. THE OPPORTUNITY We are hiring a Process and Clinical Quality Analyst to join our Clinical Governance team - Wellz in São Paulo! Wellz by Wellhub is our corporate mental health platform, which delivers measurable, science-based results for companies and their employees. By combining technology with human expertise, Wellz offers personalized journeys that include online therapy, group sessions, interactive content, and 24/7 chat support with experts. Through data-driven insights and strategic dashboards, we also empower HR leaders to monitor wellbeing, increase engagement, and demonstrate ROI, making quality mental health support accessible and scalable. At Wellz, the Clinical Team is the one who guarantees our scientific rigor. The Governance and Clinical Performance area ensures that all business fronts unite human welcoming with the scale of technology, always following the best mental health practices. As the operational engine of this team, you will centralize flow management in Pipefy, structure our knowledge base, and be the daily bridge between our health experts and partner teams (such as CS, Sales, Marketing, and Product). Your main objective will be to create standards, avoid risks in the operation and make everything run smoothly. This position is perfect for those who are super analytical, organized, and focused on solving bottlenecks to help expand access to mental health. YOUR IMPACT - Manage and optimize workflows in CRM (Pipefy), leveraging automations and AI tools to boost the scalability of our clinical operations. - Establish and keep the Knowledge Hub updated to ensure that partner teams (Sales, MKT, CS) have quick access to standardized and validated answers. - Collaborate closely with business teams (CS, Sales, Marketing, and Product), acting as the first technical point of contact, triaging requests, and filtering out what requires deep clinical judgment. - Ensure clinical rigor in content by conducting structural reviews of communication flows and engagement campaigns, aligning tone of voice with our clinical guidelines. - Drive data analysis and insight generation, with a focus on continuous optimization of workflows and team strategy. - Support logistical and operational needs, acting during critical incidents and corporate campaigns, organizing distribution flows and next steps to ensure traceability and speed. - Live the mission: Inspire and empower others by prioritizing your own well-being and that of your colleagues. Create a supportive environment where everyone feels comfortable taking care of themselves and finding a work-life balance. WHO ARE YOU - Higher education in Psychology, Nursing, Social Sciences, Public Health, Biomedicine or health areas. - Someone with an operational and analytical profile: super organized, with a clinical eye to map processes, focused on efficiency and who loves to solve bottlenecks and eliminate rework. - Great communication and articulation: ease of moving between different teams (CS, Sales, Marketing and Product), working as an intelligent filter and aligning expectations. - Hands-on experience running CRM and structuring workflows (experience with Pipefy is a super plus). - Curiosidade e adaptabilidade: vontade de aprender, forte senso de dono e total conforto para trabalhar em ambientes dinâmicos que mudam rápido. - Excelente comunicação escrita e capacidade de síntese (essencial para montar as bases de conhecimento, revisar campanhas e criar manuais/playbooks). - Conexão com a nossa causa: brilho nos olhos para democratizar o acesso à saúde mental, sem abrir mão da qualidade e do rigor científico. - Inglês intermediário ou avançado para atuar em ambiente global. WELLHUB: Plano Gold+ gratuito, com acesso a milhares de academias e estúdios, programas fitness digitais e recursos online para meditação, nutrição, suporte de saúde mental, rotina de sono e mais. Você também pode adicionar até 3 familiares ao seu plano, garantindo que quem mais importa para você tenha acesso a bem-estar. PROFESSIONAL DEVELOPMENT: Get access to global learning platforms, participate in interactive sessions, build your custom development roadmap, and explore our internal opportunities. Here, we focus on continuous learning and feedback to support your journey towards success – both personal and professional. CULTURE: You'll join a team of dedicated people who come together to break boundaries, support each other, and create lasting impact on corporate wellbeing. We win together by cultivating trusting relationships through transparent communication and a culture where every perspective matters. Understand more about our values and culture. To learn a little more about life at Wellhub: Follow our pages on Instagram @lifeatwellhub and LinkedIn! Diversity, Equity, Inclusion & Belonging @ Wellhub We seek to create a collaborative, welcoming and inclusive environment, where everyone feels that they belong. Wellhub is an employer committed to promoting equitable opportunity. All qualified persons who apply shall be considered equally, without discrimination on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status, or any other basis covered by appropriate law. Our commitment to inclusion also extends to how we recognize and compensate our employees. We are proud to be a Syndio Fair Pay Certified company, a certificate that reflects our continued dedication to fair and equitable compensation practices across our global team. Read more here. Questions about how we process your personal data? Please see our Job Applicant Privacy Notice.

Role Description Participates in any or all aspects of the claim submission to third party carriers, incorporating industry best practices to ensure all state and federal billing guidelines and regulations are satisfied. Conducts root cause analysis of claim edits to determine corrective action to facilitate timely submission of claims and enhance the clean claim rate. - Analyzes claim edits and conducts root cause analysis to resolve the edit, identifying opportunities for workflow process improvement and claim logic implementation to enhance the clean claim rate. - Monitors claim rejections from insurance carriers, taking the corrective action necessary to resubmit the claim, escalating rejection trends to department leadership for the creation or modification of claim edits, claim rules, or for escalation to the provider rep. - Maintains working knowledge of all regulatory claim form requirements, coding rules, LVHN protocols, as well as being proficient in all payer specific billing requirements. - Participates in claim rebill projects to address updates to items such as payer contract modifications, CDM updates, correction to charge errors, and coding version changes. - Maintains a positive and productive relationship with other LVHN Revenue Cycle Departments, instituting best practices to reinforce workflow standardization and optimize productivity. - Processes late or corrected charges according to billing guidelines for payers, submitting late replacement claims, corrected claims, or processing late charge write-offs. - Compiles documentation necessary for submission of paper claims: claim attachments, investigation of payer address, claim number; resolves eligibility situations, when necessary. Qualifications - High School Diploma/GED - 2 years of professional or facility billing and/or collections for all major third party payers or work experience in healthcare related field. - Knowledge of third party reimbursement. - Knowledge of insurance contracts and regulations. - Must maintain high-level knowledge of claim submission requirements. - Strong analytical, mathematical, and organizational skills. - Experience working with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook). - Successful completion of DOE and Revenue Cycle Education within 3 months of hire. Requirements - Associate’s Degree Healthcare Administration, Finance or Business or CPAT - Certified Patient Accounting Technician - State of Pennsylvania (Preferred) Physical Demands - Lift and carry 25 lbs. - Frequent sitting/standing. - Frequent keyboard use. - Patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR. Work Schedule - Day Shift - Monday-Friday 7a-3:30p, 8a-4:30p Location - 1200 S Cedar Crest Blvd - Primary Location: REMOTE IN PENNSYLVANIA

Role Description The Senior Technical Advisor – Disaster Risk Financing (DRF) provides high-level technical leadership on disaster risk financing instruments, focusing on macro and meso-level climate insurance, risk layering, catastrophe bond structuring, and climate hazard model development. The role includes: - A. Technical Advisory Services on Disaster Risk Financing Instruments - Coordinate the technical design, structuring, and refinement of sovereign and meso-level risk transfer instruments, including macro drought insurance products, risk layering mechanisms, and trigger-based contingency financing tools. - Coordinate the design, testing, and refinement of new or expanded DRF instruments, including: - Expansion and optimization of the catastrophe insurance layer in Africa. - Meso-level insurance products in collaboration with the Inclusive Risk Financing Team. - New macro drought insurance instruments for high-risk contexts (e.g., Afghanistan). - Provide technical recommendations on the development of first-of-its-kind financing instruments, including a catastrophe bond for drought. - Advise WFP and partners on the development and evaluation of data analytics and risk modeling. - Coordinate the policy placement process for WFP / PRGR. - Initiate and oversee technical research and studies that advance modeling, index design, and DRF operationalization. - B. Strategic Advisory Support to Country Offices and Governments - Support technical engagement with Country Offices (COs) and Government Technical Working Groups. - Provide technical advice on the benefits, limitations, and design implications of different risk transfer products. - Guide countries through risk financing strategy development. - Provide technical training for COs, government counterparts, and internal focal points on DRF, risk transfer, and index methodologies. - C. Market and Partner Engagement - Represent WFP in technical negotiations with product developers, insurers, reinsurers, brokers, modeling firms, and catastrophe bond structurers. - Seek and manage advisory services from third parties on particular products. - Provide WFP’s technical contributions in relevant DRF global fora. Deliverables at the end of the contract include: - High quality risk transfer instruments designed or refined. - Technical briefing notes and model assessments for each country’s DRF instrument(s). - Refined and expanded Africa catastrophe insurance layer and documentation of the expansion approach. - At least one new risk transfer product developed (or advanced to design stage) for a specific region/country. - Strengthened technical capacities of COs and partner government teams. Qualifications - Education: Advanced University degree in risk modelling, engineering, economics, environmental sciences, climate science, agricultural sciences, geosciences, financial engineering, or related field. - Experience: - At least 11 years of progressively responsible experience in disaster risk financing, macro/meso level insurance, catastrophe modelling, climate risk management or related technical fields. - Demonstrated experience in structuring risk transfer instruments, including sovereign insurance or catastrophe bonds. - Proven experience working with technical service providers, modelling firms, financial institutions, brokers, reinsurers/insurers. - Knowledge & Skills: - Strong expertise in climate hazard modelling, index design, and financial structuring of DRF instruments. - Ability to lead high level technical discussions and advise senior partners. - Strong coordination and communication skills across diverse stakeholders. - Excellent analytical writing and technical reporting skills. - Languages: Fluency in English (Level C). Intermediate proficiency (Level B) in another UN language is desirable; French is an asset. Benefits - WFP is a 2020 Nobel Peace Prize Laureate. - WFP offers a highly inclusive, diverse, and multicultural working environment. - WFP invests in the personal & professional development of its employees through a range of training, accreditation, coaching, mentorship, and other programs. - A career path in WFP provides an exciting opportunity to work across various country, regional, and global offices. - We offer an attractive compensation package.