Anna Autism Care

Role Description The Senior Salesforce Administrator owns and evolves ANNA's Salesforce ecosystem, which is built on Lumary (a Salesforce OEM) and supports clinical service delivery, referrals, business development, and operational workflows across our markets. This is not a basic “clicks-and-tickets” admin position — you are the technical owner of deep configuration, automation, data architecture, security, and system reliability in a regulated, HIPAA-sensitive environment. Based in the Philippines and working contracted hours anchored to US Eastern Time, you will partner closely with operations, clinical leadership, and product/engineering to ensure Salesforce is scalable, compliant, and aligned with real-world healthcare workflows. This role reports directly to our Co-Founder & CEO. Success is measured by: - Platform stability and performance - Smooth and low-risk Lumary releases - High and auditable data quality - Reporting the whole organization trusts and uses - Stakeholders treating you as the system owner — not just a support resource Qualifications - 4+ years of hands-on Salesforce Administration experience in complex orgs - Demonstrated ability to work US Eastern Time hours (approx. 9 PM – 6 AM Manila time, including DST shifts) - Deep expertise in Salesforce Flow (advanced), permission models & security architecture, data modeling and schema design, and change management across sandboxes - Experience working with Salesforce managed packages, ideally OEM products - Salesforce Administrator Certification required; Advanced Admin or Platform App Builder strongly preferred - Strong debugging and root-cause analysis skills - Experience supporting Salesforce integrations (REST APIs, middleware, or vendor-managed integrations) - Demonstrated AI fluency — comfort using Claude or similar tools daily for debugging, documentation, and workflow design - Excellent written documentation and communication skills; ability to operate independently and make sound technical decisions Requirements - Own day-to-day administration of Salesforce (Enterprise) with Lumary-managed packages and OEM constraints - Configure and maintain complex objects, record types, page layouts, dynamic forms, flows, validation rules, and permissions within Lumary's data model - Understand and work within Lumary package limitations, upgrade paths, and dependency constraints without breaking managed components - Act as the technical owner for Lumary releases, sandbox testing, regression testing, and production deployments - Design, build, and maintain advanced Salesforce Flows (record-triggered, screen flows, scheduled flows) - Replace legacy workflow/process builder logic with optimized Flow-based automation - Implement robust error handling, logging, and guardrails to prevent data corruption - Partner with developers when Apex is required, but independently handle 90%+ of automation via configuration - Own Salesforce data model health: relationships, indexing strategy, field usage, and scalability - Design and maintain data validation frameworks to ensure clinical, billing, and operational data accuracy - Manage data imports, exports, and transformations using tools such as Data Loader and Workbench, accounting for PHI sensitivity - Lead deduplication strategies and data quality monitoring - Implement and maintain role hierarchies, permission sets, permission set groups, sharing rules, and field-level security - Ensure Salesforce configuration aligns with HIPAA-compliant workflows (least privilege, auditability, access traceability) - Partner with leadership to support audits, internal controls, and compliance reviews - Manage login security, MFA enforcement, session settings, and connected app access - Support and monitor integrations between Salesforce/Lumary and external systems (e.g., EHR, billing, scheduling, reporting tools) - Troubleshoot integration failures using logs, debug tools, and data inspection - Coordinate with vendors and internal engineers on API-based workflows and data syncs - Build and maintain advanced reports and dashboards for operational, clinical, and leadership use - Ensure reporting accuracy given Lumary's managed objects and relationships - Partner with stakeholders to translate business questions into reliable Salesforce analytics - Act as a technical advisor to operations, clinical teams, and leadership - Translate complex requirements into scalable Salesforce solutions - Create clear documentation for system behavior, data definitions, and admin processes - Provide tier-2/3 support for escalated Salesforce issues - Partner with internal technology teams on AI-driven capabilities — surfacing Salesforce/Lumary data to agentic workflows and identifying where AI reduces admin toil Benefits - Hourly Rate: $12 – $15 USD per hour (based on experience and certifications) - Guaranteed Retainer: 80 hours per month minimum, billed monthly whether fully utilized or not - Overage: Additional hours billed at the same rate; pre-approval required above 100 hours/month - Engagement Type: Independent contractor — remote, with core availability during US Eastern hours Company Description ANNA (Allied Network for Neurodevelopmental Advancement) is a mission-driven organization that provides ABA services to young autistic children (under the age of 6) and their families using a neurodiversity-affirming, Naturalistic Developmental Behavioral Intervention (NDBI) approach. At ANNA, we are working to transform autism care by combining rigorous clinical training, compassionate family-centered practice, and neurodiversity-affirming approaches. As our Senior Salesforce Administrator, you'll own the platform that connects referrals, clinical delivery, and business operations — the system our teams rely on every day to get children into care faster.

Role Description The Business Operations Specialist is a generalist operator role at the center of ANNA's business operations. Based in the Philippines and working full-time US Eastern Time hours, you'll take ownership of the cross-functional operational work that keeps a fast-growing, multi-state healthcare organization running. - Vendor and contractor management - Financial operations support - Clinic operations coordination - Market launch support - Data and reporting - A rotating portfolio of special projects This role reports directly to our Co-Founder & CEO and partners closely with US-based Operations, Finance, People, and Clinical leadership teams. Qualifications - 3+ years in business operations, operations, consulting, finance operations, or a similar generalist role - Demonstrated ability to work full-time US Eastern Time hours (approx. 9 PM – 6 AM Manila time, including DST shifts) - Hands-on experience with modern business systems (e.g., Ramp/Bill.com, Rippling or similar HRIS, QuickBooks exposure a plus) - Demonstrated AI fluency — must be able to show actual work product (Claude Projects, automations, prompt engineering, agent workflows, or similar) - Excellent written English and async communication skills - Strong organizational judgment — able to prioritize, own, and finish work without close supervision Requirements - Experience supporting US-based healthcare, multi-site, or services organizations - Experience supporting new site openings, M&A integration, or market expansion - Experience in a startup or high-growth environment - Exposure to financial operations (AP, reconciliation, expense management) - Experience building dashboards or operational reporting Benefits - Base Salary: $24,000 – $32,000 USD annually (paid in PHP at competitive Philippines market rates) - Generous PTO and paid US holidays - HMO / health insurance allowance - Laptop and second monitor provided - Annual professional development stipend, including AI tool subscriptions Company Description ANNA (Allied Network for Neurodevelopmental Advancement) is a mission-driven organization that provides ABA services to young autistic children (under the age of 6) and their families using a neurodiversity-affirming, Naturalistic Developmental Behavioral Intervention (NDBI) approach. - We operate center-based clinics across Massachusetts and Missouri - We are growing quickly

Role Description The Authorization & Eligibility Specialist is responsible for obtaining prior authorizations and verifying insurance coverage to support families in understanding and accessing their current benefits. This position plays a critical role in ensuring timely access to care by minimizing delays in service initiation and helps streamline the intake process, prevent disruptions in care, and support efficient reimbursement across the revenue cycle. Reporting to the Director of Revenue Cycle Management, this individual will work closely with clinical and billing teams to coordinate authorization and eligibility workflows, ensure accurate and timely information exchange, and support a seamless client onboarding experience. Key Responsibilities - Benefits & Eligibility - Verify client insurance eligibility and active coverage prior to start of services - Review and document benefit details including copays, deductibles, coinsurance, visit limits, and exclusions - Confirm in-network/out-of-network status - Identify services requiring prior authorization based on payer guidelines and benefit plans - Communicate benefit coverage and potential financial responsibility with families - Maintain accurate and up-to-date documentation of eligibility verification in the practice management system - Monitor eligibility monthly and flag coverage lapses, plan changes, and retro activation that may delay care or impact reimbursement - Authorizations - Submit initial and ongoing prior authorization requests to insurance payers - Ensure all required clinical documentation is complete and aligned with payer requirements - Track authorization status and follow up with payers to prevent delays in service start or continuation - Manage authorization approvals, denials, and modifications (including units, dates, and service codes) - Coordinate with clinical teams to align authorized services with treatment plans - Maintain detailed records of authorization activity, including reference numbers and approval details Qualifications - Required: - Minimum of 1-2 years in insurance verification and prior authorizations. - Working knowledge of health insurance payers (Commercial, Medicaid, Managed Care) - Experience verifying benefits and submitting authorizations through payer portals - Strong attention to detail with a high level of accuracy in documentation - Effective communication skills, with the ability to collaborate across clinical and operations teams - Preferred: - Experience with behavioral health and/or Applied Behavior Analysis (ABA) Therapy - Familiarity with managed care organizations (MCOs) and state-specific Medicaid plans (e.g., MassHealth or similar) - Prior experience working in a multi-site or high-growth healthcare organization - Knowledge of medical necessity criteria and payer-specific authorization guidelines Benefits - ANNA is an equal opportunity employer. - We’re committed to creating a diverse, inclusive, and supportive workplace. - If you’re passionate about our mission but don’t meet every qualification listed, we still encourage you to apply. Your unique perspective might be exactly what we need.