Abby Care

Full-stack Engineer

• Build and deliver product features: You will take ownership over the entire feature development lifecycle, from concept to delivery. This involves collaborating on project scope, performing full-stack development, and supporting user testing and launch cycles.
• Ensure cross-functional alignment: You will work alongside operations, clinical, compliance, and product teams to build solutions that work in the real world. You will help translate complex operational needs into reliable technical implementations.
• Champion technical excellence: You will deepen your technical expertise in areas like product development, cloud infrastructure, and data security. You will have the opportunity to broaden your horizons by contributing to greenfield systems using the latest advancements in AI, all while upholding rigorous healthcare industry standards.

Full-Stack Software Engineer

Associate

• Prepare, review, and submit accurate claims to insurance companies.
• Verify and ensure the accuracy of billing codes (CPT, HCPCS, ICD-10) and modifiers for services rendered.
• Maintain up-to-date knowledge of Medicare, Medicaid, and private insurance billing requirements specific to home health care.
• Use billing software to process and track claims.
• Monitor claim status and follow up on unpaid or denied claims promptly.
• Investigate and resolve claim discrepancies, denials, and appeals.
• Generate reports for outstanding accounts receivable and payment trends.
• Ensure all billing practices comply with federal, state, and local regulations.
• Verify patient insurance information, eligibility, and prior authorization requirements.
• Maintain accurate records of billing activities and patient accounts.
• Collaborate with office staff, and payers to address billing and reimbursement issues.
• Provide clear communication to patients regarding their billing, payments, and financial responsibilities.
• Respond to inquiries from payers, patients, and colleagues in a professional and timely manner.

Revenue Cycle Management Associate

Account Manager

• Embed & Map the Facility: Maintain a highly visible, daily presence within your assigned hospitals. Identify and map out key decision-makers, including discharge planners, social workers, bedside nurses, and attending physicians.
• Educate & Advocate: Serve as the subject matter expert on Abby Care. Conduct formal presentations and informal floor-level education so staff immediately recognize when a patient is a perfect fit for our programs.
• Drive Referral Volume: Actively prospect for eligible patients and build a predictable pipeline. You will be held accountable to strict volume metrics, and your compensation will scale with the referrals you bring in.
• Streamline Transitions: Remove friction in the admissions process. Work closely with hospital staff and the internal Abby Care intake team to ensure a seamless, urgent handoff from the hospital bed to the home.
• Track & Report: Rigorously utilize our CRM to log facility activities, track relationship progress, manage your pipeline, and analyze growth metrics within your assigned hospitals.

Hospital Relationship Manager

Threat Intelligence Specialist

• Research state-level policies and Medicaid programs for target launch states, 6–12 months ahead of launch, to support the expansion roadmap
• Build and maintain a living state policy library - the authoritative internal reference for program eligibility, reimbursement structures, regulatory requirements, and operational implications by state
• Keep records current as policies evolve, and proactively surface changes that affect our roadmap or existing markets
• Become AbbyCare’s resident expert on the programs and policies that enable family caregiving models across states
• Research and maintain an ongoing record of competitors - their footprint, positioning, program participation, and strategic moves
• Surface competitive signals and market shifts to leadership through regular briefings
• Track the broader market landscape to inform where AbbyCare should consider expanding next
• Source and qualify potential acquisition partners that could accelerate entry into target markets
• Maintain a documented pipeline of opportunities with the rationale, signals, and fit assessment for each
• Prepare and submit Medicaid applications to support market launches, on time relative to launch timeline gates
• Deliver structured launch readiness assessments for target states ahead of go/no-go decisions
• Flag policy gaps and regulatory risks early enough to shape the launch plan

Senior Market Intelligence, Expansion Analyst

General

• Serve as the primary point of contact for caregivers and families via phone, text, and email.
• Guide caregivers through the onboarding process, training milestones, required documentation, and program requirements.
• Manage an active caseload of caregivers, ensuring timely completion of onboarding tasks and successful transition into active care.
• Provide ongoing support to enrolled families by answering questions, resolving concerns, and coordinating requests with internal teams.
• Coordinate care logistics, including scheduling Start of Care (SOC) visits, training sessions, and other caregiver appointments.
• Maintain accurate documentation and caregiver records across internal systems.
• Monitor caregiver progress, proactively follow up on outstanding requirements, and remove barriers that may delay onboarding or care delivery.
• Communicate caregiver feedback and family concerns with clinical, operations, and support teams to ensure timely resolution.
• Handle a high volume of daily communication through calls, text messages, and email while maintaining exceptional service quality.
• Educate caregivers and families on program processes, expectations, and available resources in a clear and supportive manner.
• Help improve caregiver engagement by providing encouragement, coaching, and proactive follow-up throughout their journey.
• Collaborate cross-functionally to improve operational workflows and enhance the caregiver experience.

Family Care & Empowerment Associate

• Serve as the primary point of contact for parents via phone, text, and email
• Provide timely, empathetic, and professional responses to parent inquiries and concerns
• Handle inbound calls and follow-ups (approximately 180 calls per month)
• Coordinate and communicate parent requests, feedback, and updates with the internal care team
• Maintain accurate documentation of interactions and updates in internal systems
• Ensure parents receive clear information and support throughout their experience
• Manage multiple conversations and tasks simultaneously while maintaining a high level of service

Family Care Associate

Operations

• Master the LTHH landscape: Lead authorization operations for Massachusetts HCBS waiver programs (CHCBS, EBD, SLS, CES, CFC) and Long Term Home Health services, ensuring 100% compliance with HCPF policies and PAR system requirements.
• Oversee end-to-end prior authorization: Own the prior authorization process while leading and managing a team of Doc Collectors and Re-Authorization Associates, maintaining current knowledge of payer requirements.
• Manage reauthorizations: Build out processes and manage the team handling all reauthorization submissions for regional waiver programs and Long Term Home Health services to ensure patients have no lapse in care.
• Coordinate internal lifecycles: Partner with internal teams to troubleshoot and resolve authorization issues impacting the revenue lifecycle, and serve as an expert helping families navigate the appeals process.
• Lead complex case resolution: Serve as the primary escalation point for disputed Medicaid authorizations, appeals, and emergency requests, working directly with HCPF and Acentra (Kepro) to advocate for timely patient care approvals.
• Navigate dual eligibility complexities: Build expertise in Medicaid coordination for beneficiaries and manage intricate authorization scenarios to ensure seamless care transitions.
• Drive team excellence: Create and execute training programs on specific prior authorization requirements, mentor staff on LTHH waiver nuances, and establish performance metrics that drive strong approval rates and sub-10-day processing times.

Payor Authorization Operations Manager

• Own the full sales cycle from initial outreach through provider commitment.
• Engage physicians, administrators and clinical decision makers to drive adoption.
• Navigate clinical objections, compliance considerations and operational workflows.
• Convert qualified leads into signed participation.
• Maintain a clean, accurate pipeline in Salesforce.
• Prioritize high-intent providers for progress and nurturing.
• Forecast accurately and consistently against quota.
• Partner with internal teams for smooth activation and onboarding.
• Focus on providers and execute targeted outbound strategies within assigned territories.

Founding Territory Representative

General Counsel

• Own Abby Care's privacy program — HIPAA compliance, state privacy law compliance, BAA program, data mapping and ROPA, privacy incident response, breach assessment and notification, and individual rights workflows — including its design, operation, measurement, and continuous improvement.
• Own Abby Care's AI governance program — the responsible AI policy suite, AI inventory, AI use case intake and review process, model risk classification, ongoing monitoring, and AI incident response — and evolve it as the regulatory and deployment landscape shifts.
• Lead AI use case reviews for internal generative and agentic AI tools and for AI-powered features in Abby Care's product, including chart update, documentation extraction, and clinical decision support. Set the SLAs and the review framework; escalate the hard cases to the GC.
• Set regulatory change management strategy across federal and state privacy and AI law. Translate horizon scanning into program and product decisions, not just memos.
• Own the BAA program end-to-end, including standard templates, fallback positions, vendor risk integration, and downstream subcontractor flow-downs.
• Serve as the senior legal partner to Product, Engineering, Operations and Clinical teams on the privacy and AI implications of new and existing features. Review PRDs, design documents, and model cards; sit in design reviews; influence the roadmap.
• Lead privacy and AI incident response, including investigation, breach analysis, regulator and individual notification, and post-incident program remediation.
• Prepare the privacy and AI sections of the Board package, with the General Counsel.
• Manage outside privacy and AI counsel relationships, including scope, budget, and quality of work product.
• Hire, develop, and lead the privacy and AI team as it grows.
• Partner with the General Counsel and Compliance leadership on Privacy Officer designation, training and awareness programs, and the integration of privacy and AI controls into the broader compliance program.

Senior Privacy and AI Counsel

• Guide families through onboarding, training, and care-related processes.
• Serve as a primary point of contact for families via phone, email, and text.
• Provide compassionate support and clear communication throughout the family journey.
• Follow up with families to ensure timely completion of required tasks and milestones.
• Collect, review, and track required documentation from families and caregivers.
• Ensure documentation is accurate, complete, and compliant with applicable healthcare and regulatory requirements.
• Monitor document expirations and proactively coordinate renewals and updates.
• Maintain organized records and documentation tracking systems.
• Coordinate with operations, clinical, onboarding, and support teams to facilitate family admissions and ongoing care processes.
• Track progress across multiple workflows and ensure timely completion of operational tasks.
• Help identify and resolve barriers that may delay onboarding, training, or service delivery.
• Contribute to process improvements that enhance the family experience and operational efficiency.
• Support initiatives that foster engagement and connection among families.
• Assist with coordinating educational sessions, events, and community-building activities.
• Help families access resources and navigate healthcare-related processes with confidence.

Care Operations Associate

Compliance

• Own licensure and survey readiness. Lead preparation, on-site execution, and response for state licensure surveys, audits, and inspections in your states — including drafting plans of correction and driving every finding to closure.
• Localize policies and procedures. Adapt and maintain operational policies and procedures for your states, capture state-specific regulatory variations, help develop the state-specific components of enterprise policies, and keep everything current as rules change.
• Track the regulatory landscape. Monitor state-level developments in your markets — Medicaid bulletins, agency guidance, licensure rule changes, payor policy updates — translate them into actionable operational changes, and feed them to compliance leadership for enterprise integration.
• Deliver training that sticks. Bring compliance training to your state operating teams, including onboarding, role-specific content, and refreshers tied to regulatory change, and help build the state-specific content behind it.
• Monitor and remediate. Execute state-level program monitoring, support enterprise audit activities in your markets, and make sure findings get fixed — with trends flowing back into updated policies and training.
• Be the partner operations counts on. Serve as the standing compliance partner to state operations leadership and the first call when a compliance issue arises in your states.
• Your scope covers every health care delivery program we operate in your states today — Medicaid home health, HCBS waiver programs, and family caregiver services — and will grow to absorb new programs as we do.

Regional Compliance Manager

• Ride-Alongs & Coaching: Spend 3 days per week in the field with your reps. Observe their pitches, correct their clinical messaging and model how to properly work and partner with Case Managers, PCPs, Therapists, etc.
• Pipeline Inspection: Run weekly 1:1s that are rigorous and deal-focused. You inspect every Lead in Salesforce to ensure it is qualified & advancing.
• Onboarding Acceleration: You own the "Time to Ramp" for new hires in your market. You ensure they are certified on the pitch and productive within their first 30 days.
• Block & Tackle: You remove obstacles for your team. Whether it’s a stuck Lead, a difficult operational issue or a marketing need. You clear the path so they can sell.
• Exceeding Targets: Ensuring the team are not only meeting but exceeding company level expectations.

Territory Manager, Partnerships

• Lead the establishment of revenue cycle operations for a newly launched market, including researching payer requirements, workflows, billing processes, and reimbursement guidelines.
• Develop, document, and implement SOPs, workflows, and operational best practices to support future team growth.
• Research and interpret Georgia and New Jersey Medicaid billing requirements and identify operational requirements necessary to support compliance and reimbursement.
• Partner with leadership to define team structure, operational processes, performance metrics, and future KPIs as the department scales.
• Identify process gaps and recommend solutions to improve operational efficiency and future revenue cycle performance.
• Initially operate as an individual contributor while building the foundation of the department.
• Transition into a people leadership role as the Georgia and New Jersey markets expand, including hiring, training, coaching, and managing billing team members.
• Provide mentorship, onboarding support, and performance coaching to future team members.
• Oversee the preparation, submission, and follow-up of insurance claims for home health care services.
• Ensure accurate coding (CPT, HCPCS, ICD-10) and adherence to payer-specific guidelines.
• Monitor and resolve claim rejections, denials, and underpayments promptly.
• Manage accounts receivable to minimize outstanding balances and maximize collections.
• Ensure billing practices comply with federal, state, and payer-specific regulations, including Medicare and Medicaid guidelines.
• Maintain up-to-date knowledge of changes in billing rules and home health care regulations.
• Review documentation for accuracy and completeness to support submitted claims.
• Analyze billing processes and implement strategies to improve efficiency and reduce errors.
• Collaborate with other departments to address issues impacting the revenue cycle, such as intake and documentation workflows.

Revenue Cycle Management Operations Lead

Manager

• Manage a diverse caseload with quality care and efficient coordination.
• Develop and implement individualized care plans based on assessments and goals.
• Coordinate with PCPs and internal teams for comprehensive care.
• Coach and oversee HHAs to ensure adherence to clinical standards.
• Educate patients and families on health needs and treatment plans.
• Maintain accurate and timely electronic charting, with a preference for real-time documentation.
• Ensure all documentation meets regulatory and Abby Care standards, with a minimum of 24-hour turnaround time.
• Complete administrative tasks (e.g., mileage reimbursements) thoroughly.
• Design and implement skill training classes for HHA students.
• Support students during in-person training at long-term care facilities.
• Collaborate with clinical team to develop additional learning modules.
• Enhance students' clinical skills and medical knowledge through creative curriculum.
• Build effective relationships with PCPs and internal teams.
• Escalate issues to Clinical Leads appropriately and promptly.
• Participate in on-call rotation (~1 weekend/month) and holiday coverage.
• Monitor and improve patient readmission rates and caregiver satisfaction.

RN Case Manager – Clinical Instructor

Product Manager

• Own end-to-end product execution: Take full ownership of complex, operationally critical product areas, from problem discovery and PRDs through delivery, launch, and iteration. Be accountable for real-world outcomes across care delivery, clinical, and operations.
• Translate real-world care workflows into product: Partner with caregivers, clinicians, operations, and compliance teams to understand how care is delivered today and turn those workflows into intuitive, reliable, and scalable product experiences.
• Build AI-assisted care delivery systems: Lead the design and iteration of AI-powered workflows, including automation, intelligent defaults, decision support, and human-in-the-loop systems that meaningfully improve care quality, operational efficiency, and caregiver experience.
• Innovate alongside the broader care ecosystem: Collaborate with providers, payors, regulators, and internal clinical leaders to unlock new models of care delivery and shape product strategy in regulated environments.
• Raise the bar for product thinking and execution: Set a high standard for product clarity, judgment, and craft. Inspire cross-functional collaboration, and continuously elevate how product decisions are made and shipped across EPD.