ANNA (Allied Network for Neurodevelopmental Advancement)

• Own end-to-end onboarding execution: pre-boarding tasks, day-one welcome experience, equipment provisioning, system access, I-9/eligibility documentation, benefits enrollment hand-off, and 30/60/90 check-ins • Own offboarding execution: separation logistics, system deprovisioning, exit interview scheduling and synthesis, return of equipment, and clean documentation • Maintain Ashby as the source of truth for hiring activity — keep pipelines current, configure templates and approval flows, build and run reports for hiring leaders, and ensure every candidate has a high-quality experience • Coordinate with hiring managers on interview scheduling, panel logistics, candidate communications, and offer letter generation • Maintain accurate, audit-ready employee records, files, and HRIS data; flag and resolve discrepancies before they become problems • Keep policies, handbooks, SOPs, and state addenda current and version-controlled; partner with employment counsel when policy changes are required • Support compliance workstreams including I-9 audits, ACQ accreditation documentation, training records, and required state and federal reporting • Take on operational projects that don't yet have a clear owner — vendor onboarding and license tracking, leadership offsite logistics, ad-hoc research, internal comms support, document and SOP cleanup, and similar 'connective tissue' work that keeps a fast-growing company running • Own calendar management for senior leaders — scheduling, defending focus time, resolving conflicts, anticipating logistical needs before they're asked for • Prep our leaders for their week and their key meetings — pre-reads pulled together, agendas drafted, materials in the right place at the right time • Use Claude daily as your primary thinking, drafting, and execution partner — for emails, policy edits, summaries, data cleanup, candidate comms, meeting notes, and project planning • Draft clear, warm, on-brand internal communications — onboarding announcements, policy updates, all-hands prep, vendor comms, manager FAQs • Maintain ANNA's internal knowledge base so that policies, SOPs, and 'how do we do X' answers are easy to find and trust.

• Own day-to-day finance and accounting and keep our books clean and month-end close on schedule • Process transactions, prepare journal entries, and support reconciliations across all locations • Review and code transactions in Ramp and Rippling before they sync into QuickBooks Online • Process vendor bills, expense reports, and receipts with proper GL, department, and location coding • Apply customer payments and reconcile AR billing uploads • Monitor daily cash position across operating accounts; flag unusual or unclear transactions for escalation • Allocate costs across accounts, departments, and clinic locations • Maintain consistency across the general ledger and supporting subledgers • Identify and surface data discrepancies proactively before they reach close • Prepare standard and recurring journal entries with complete supporting documentation • Perform monthly bank and credit card reconciliations

• Own the month-end close process in QuickBooks: journal entries, account reconciliations, and financial statement preparation on a monthly basis • Manage accounts payable via Ramp, including vendor setup, invoice review, expense categorization, and payment approvals • Manage payroll processing via Rippling, ensuring accurate and timely payroll runs, deductions, and compliance across applicable jurisdictions • Reconcile bank accounts, credit card statements, and intercompany balances monthly • Partner with the Revenue Cycle Management (RCM) team on payment reconciliation, ensuring insurance payments, patient payments, and adjustments are accurately recorded and reconciled against billing system data • Maintain the general ledger and ensure accurate, consistent chart of accounts categorization across all transactions • Coordinate with external accountants on annual tax filings and compliance requirements • Ensure timely and accurate 1099 and other vendor tax documentation • Own the annual budgeting process in partnership with operational leadership and the CEO, building bottoms-up plans by cost center and market • Maintain rolling monthly forecasts, updating assumptions based on actuals and operational trends • Produce a monthly management reporting package — P&L by center, market rollup, and variance commentary — within 5 business days of month close • Build and maintain financial models for new center openings, including ramp assumptions, staffing costs, and breakeven timelines • Track and analyze key operational metrics — BT utilization, BCBA productivity, billing performance, AR aging — in financial context for leadership • Support the CEO on board materials, investor reporting, and periodic strategic planning cycles • Design and model employee compensation and bonus programs, including analyzing cost impact, structure tradeoffs, and payout scenarios • Provide financial modeling and diligence support for occasional M&A or partnership opportunities as they arise • Build scenario models to support major organizational decisions — market expansion, payer contract changes, significant hiring investments, and new service lines • Own ANNA's finance tech stack day-to-day: QuickBooks, Ramp, and Rippling • Document financial processes and maintain organized, audit-ready records • Identify and implement improvements to reporting, reconciliation, and close workflows as the organization scales

• Build and maintain production-grade AI agents that take action across ANNA's clinical and operational workflows — scheduling, intake, RCM, clinical decision support — using LLM reasoning over our shared data ontology. • Design and implement tool use, state management, and failure handling for multi-agent workflows, ensuring reliability and quality in production. • Contribute to ANNA's MCP server suite, exposing core data and product surfaces — Salesforce, scheduling, RCM, HR — to AI agents in a standardized, composable way. • Implement and optimize RAG pipelines using pgvector, including embedding strategies and vector search, to surface relevant clinical history at the point of care. • Build and iterate on clinician-facing product surfaces in React, ensuring they integrate seamlessly with ANNA's AI agent backend and fit the real-world workflows of clinical teams. • Own features end-to-end: from backend API design in Django/FastAPI through to the front-end experience, with a high bar for quality at every layer. • Iterate quickly in the open with clinical and operational end users, incorporating feedback and shipping improvements with velocity. • Contribute to ANNA's clinical data ontology — the shared, specialty-agnostic data foundation that powers all AI agents, decision support, and outcome measurement across the platform. • Write clean, well-documented, HIPAA-compliant code and contribute to CI/CD pipelines and engineering best practices as the team scales. • Participate in architecture discussions and help make pragmatic build vs. buy decisions across the stack.

• Serve as the first voice families hear — answering every call with warmth, patience, and genuine care, and ensuring they are connected to the right person quickly and thoughtfully. • Return all voicemails from families and prospective clients within 1 business day. • Coordinate on-demand interpreter services as needed to ensure families who communicate in languages other than English receive the same quality of support from the very first call. • Conduct basic intake screenings using ANNA’s approved questionnaire to determine whether interested families may be an appropriate fit for our services. • Coordinate the scheduling of developmental evaluations in close partnership with the clinical team, ensuring families experience a smooth and reassuring transition from first contact to first appointment. • Maintain a positive, supportive, and professional tone for all communications. • Demonstrate strong customer service skills. • Serve as a visible ambassador of ANNA's values (Growth, Excellent Care, Kindness, Inclusion, and Teamwork), ensuring that every family, regardless of background, language, or circumstance, feels welcomed, respected, and genuinely supported from the very first call. • Complete the forms to request PT1 (MassHealth authorizations for state-sponsored transportation) for new clients. • Provide general administrative support for duties as assigned by the Director of Operations. • Uphold confidentiality, adhering to all HIPAA and ANNA privacy policies. • Record all correspondence (phone, email) with families, prospective clients and current clients in the appropriate Lumary profile immediately upon completion.

Market Executive Director Location: Wayland Department: Clinical Location Wayland; Boston; Braintree; Foxborough; Woburn Employment Type Full time Location Type Hybrid Department Support Tea Job Description: Market Executive Director – Massachusetts Location: Hybrid (Remote in Greater Boston, MA with frequent statewide travel) Department: Operations Reports to: SVP of Operations About ANNA 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 have multiple centers (5 and growing!) in Massachusetts and are looking for a passionate, experienced operator to help support and lead our growing team. Position Overview The Market Executive Director (MED) is the senior operational leader for ANNA’s Massachusetts market. You will own market performance across growth, access, quality, team development, and financial outcomes—leading Clinical Directors, Community Outreach, and our state Clinical Psychologist to ensure consistent, excellent care and sustainable growth. Success in this role will be measured by growth in client access / referral pipeline, high clinical utilization, strong family satisfaction, team retention and leadership development, and achievement of state-level financial targets. Ideal Candidate You are a mission-driven operator who thrives in high-growth healthcare environments. You are a servant-leader who is comfortable (and experienced) leading cross-functional teams, building strong community partnerships, and driving both operational excellence and market growth. You balance data-driven decision making with strong people leadership and are energized by building the team and systems to deliver high-quality care for children and families. You are motivated by an opportunity to build and scale a growing market, including opening new centers, expanding diagnostic capacity, and strengthening community partnerships across Massachusetts. Key Responsibilities & Deliverables Market Growth & Strategy - Own Massachusetts growth strategy and execution, including expanding referral partnerships with community organizations and utilizing data to inform initiatives to increase access to ANNA services - Lead new center launches and service expansion within the state - Lead market-level payer relationship management in partnership with Market Clinical Services Director including maintaining regular engagement with key payer partners, supporting contract negotiations, and coordinating responses to payer inquiries, audits, and operational needs Operations & Financial Leadership - Own the Massachusetts market P&L, including forecasting capacity and allocating resources to meet targets. - Partners with Clinical Directors and state clinical Psychologist to improve service delivery for diagnostic services and center-based ABA services (including but not limited to utilization, client access, quality) - Maintain scalable operational systems aligned with ANNA standard operating procedures across all clinics in the state Team Leadership & Development - Lead and develop Clinical Directors, Clinical Psychologist, and Community Engagement Specialists - Foster a positive, mission driven culture, partner with HR on talent, retention, and development. - Lead market-level talent and performance management in partnership with HR and direct reports Family Experience & Quality - Ensure timely access to care, high quality care delivery, and strong family communication is being delivered across all centers in Massachusetts. - Track outcomes and satisfaction, address escalations, and identify and implement opportunities to improve. Compliance & Risk Management - Ensure adherence to federal/state/payer requirements and ANNA policies and procedures - Lead audits, incident reporting, and emergency preparedness across clinics. Qualifications Required - Bachelor’s degree (healthcare administration or business preferred). - 7+ years in healthcare; 5+ years leading site or multisite operations. - Demonstrated success leading cross functional teams. - P&L ownership/management experience. - Strong leadership, organizational, and communication skills. Preferred - Experience in behavioral health, autism services, or pediatric care. - Experience scaling services or opening new locations. - Background in a high growth or startup environment. If you don’t meet every preferred qualification, we still encourage you to apply. Compensation & Benefits - Base salary: $160,000–$190,000 (based on experience, skills, and internal equity) - Bonus: Target 20% of base salary - Equity - Benefits: 401(k) with company match Health, dental, and vision insurance Generous PTO and paid holidays Professional development and growth opportunities Supportive leadership and collaborative team culture Our Commitment to Inclusion ANNA is an equal opportunity employer. We celebrate diversity and are committed to an inclusive environment where all team members can thrive. We welcome candidates of all backgrounds and experiences. Learn more about us: https://annaautismcare.com/about-us/ 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.

• Serve as the Arizona-licensed clinical leader during market launch • Track and maintain your own licensure, supervision, and credentialing requirements • Collaborate closely with ANNA’s Revenue Cycle Management (RCM) team on state licensing requirements, payer contracting and credentialing processes, and clinical documentation needed for payer enrollment and audits • Develop and implement clinical policies, procedures, and treatment standards as needed from state or payor processes • Coordinate and respond to clinical audits and payer reviews as needed • Partner with operations leadership on launch activities, which may include real estate and site readiness coordination, clinical input on staffing models and onboarding, and cross-functional collaboration to support a smooth market entry • Help lay the foundation for scaling clinical services in Arizona • Participate in planning for transition into a full-time Founding Clinical Director role as volume ramps