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ANNA AUTISM CARE BUSINESS OPERATIONS SPECIALIST Remote (Philippines) | Full-time, US Eastern Hours $24,000 – $36,000 USD (~₱1,400,000 – ₱2,220,000 PHP)   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 operate center-based clinics across Massachusetts and Missouri and are growing quickly — and we're looking for a versatile, AI-fluent Business Operations Specialist to help us build the operational backbone of a fast-scaling, multi-state organization.   POSITION OVERVIEW 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 — from vendor and contractor management to financial operations support, clinic operations coordination, market launch support, data and reporting, and a rotating portfolio of special projects. What makes this role distinctive: we're looking for someone who is genuinely fluent with modern AI tools — particularly Claude — and uses them every day to multiply their own output. You won't just complete tasks; you'll build the Projects, automations, and Cowork workflows that make every future iteration of similar work faster and better. This role reports directly to our Co-Founder & CEO and partners closely with US-based Operations, Finance, People, and Clinical leadership teams.     COMPENSATION & ENGAGEMENT Base Salary - $24,000 – $36,000 USD (~₱1,400,000 – ₱2,220,000 PHP) Time Off - Flexible PTO and paid US holidays   WHAT YOU'LL DO BUSINESS OPERATIONS & PROJECT EXECUTION - Own a rotating portfolio of cross-functional operational projects end-to-end — scoping, execution, stakeholder communication, and documentation - Manage vendor and contractor relationships: sourcing, onboarding, invoice tracking, renewals, and performance follow-up - Support financial operations in partnership with our finance function: AP workflows, expense policy compliance, reconciliation support, and month-end coordination - Coordinate operational support for our clinics across Massachusetts and Missouri — supplies, facilities follow-ups, licensing and credentialing tracking, and center-opening logistics support - Build and maintain SOPs so that every process you touch is documented, repeatable, and improvable   MARKET LAUNCH & EXPANSION SUPPORT - Support new-market launches — both de novo center openings and acquisition integrations — including launch checklist ownership, vendor and licensing coordination, and timeline tracking - Drive system migrations and integrations for acquired entities, partnering with Finance and People on cutover planning and data integrity - Build and maintain our reusable launch playbook so each successive market opening is faster and cleaner than the last - Coordinate cross-functional launch workstreams across Operations, Clinical, Finance, and People, keeping owners accountable to dates   SYSTEMS, DATA & REPORTING - Administer and maintain our operational systems (Rippling, Ramp, internal trackers), keeping data clean, current, and trustworthy - Build and maintain recurring operational reporting — weekly dashboards, KPI rollups, and ad hoc analyses for leadership - Audit data quality across systems on a recurring cadence and drive fixes at the source, not just the symptom - Serve as the connective tissue between systems — when data lives in three places, you make sure it agrees   AI-POWERED AUTOMATION & TOOLING - Use Claude (Projects, Cowork, Claude Code) to build automations and workflows that elimi