Aeroflow Health

Director

• Implement strategic sales plans developed by senior management to achieve business objectives and revenue targets.
• Identify new market opportunities and contribute to action plans to drive growth.
• Build and maintain strong relationships with key clients, partners, and stakeholders.
• Understand customer needs, address concerns, and provide effective solutions to drive customer satisfaction and retention.
• Monitor and analyze sales data to forecast future sales trends and opportunities.
• Provide regular and accurate sales reports to the senior sales manager, highlighting key performance indicators and areas for improvement.
• Attend regular sales training sessions to enhance skills and knowledge.
• Foster a culture of continuous learning and professional development to improve overall sales effectiveness.
• Follow and refine the established sales process to maximize efficiency and productivity.
• Implement best practices and sales methodologies to streamline operations.
• Stay informed about industry trends, market developments, and competitor activities.
• Use market insights to identify competitive advantages and position the company's products/services effectively.
• Collaborate with the marketing team to create compelling sales presentations, pitches, and sales collateral.
• Effectively communicate the value proposition and unique selling points of the company's offerings.
• Assist in negotiations with clients and close sales deals.
• Ensure contract compliance and support the negotiation process to secure favorable agreements for the company.
• Participate in performance metrics and evaluation systems to assess individual sales performance.
• Receive constructive feedback and coaching to improve performance and achieve sales targets.
• Monitor and manage the sales pipeline to ensure a steady flow of prospects and opportunities.
• Prioritize leads and opportunities for optimal conversion rates.
• Gather and analyze customer feedback to identify areas for improvement and potential product enhancements.
• Stay updated on market trends and customers’ needs to adapt sales strategies accordingly.
• Collaborate with other departments, such as marketing, product development, and customer support, to align sales efforts with overall company objectives and foster a customer-centric approach.
• Ensure all sales activities comply with industry regulations, company policies, and ethical standards.
• Uphold the company's reputation and integrity in all interactions with customers and partners.
• Maintain knowledge of and compliance with laws, regulations, and policies.
• Maintain HIPAA/patient confidentiality
• Regular and reliable attendance as assigned by your schedule
• Other job duties assigned #OSR-1

Director, Health Plan Solutions

Outside Sales

• Visiting 10-20 accounts daily across their territory.
• Meeting and connecting with the relevant referral sources in their territory
• Driving business
• Hosting “lunch and learn” meetings with providers and their staff
• Answering calls/emails/texts from providers and their staff to answer questions, manage expectations and support them as needed.
• Working closely with your internal counterparts to ensure referral sources are happy as well as patient success
• Physical activities include lifting 20+ pounds, walking to and from your car and an office building, walking up stairs (as needed).
• Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies.
• Compliance is a condition of employment and is considered an element of job performance
• Maintain HIPAA/patient confidentiality
• Regular and reliable attendance as assigned by your schedule
• Other job duties assigned #OSR-1

Territory Manager – Outside Sales

Compliance

• Lead all external audits, including Medicaid, Medicare, and commercial payors
• Serve as the primary point of contact for commercial and payor audits
• Oversee audit responses, rebuttals, corrective action plans, and appeals
• Partner with Legal to ensure the company speaks with one voice during audits
• Track audit outcomes, recoupments, pre-pay activity, and financial exposure
• Design and implement a robust internal audit and monitoring program, built from the ground up
• Use audit findings to inform policy updates, training, and operational improvements
• Identify root causes and drive sustainable remediation across teams
• Advise executive leadership on audit risk, mitigation strategies, and resource needs
• Navigate audits across multiple state Medicaid manuals, understanding the nuance and variation by state
• Lead and develop audit staff, setting expectations and raising performance
• Operate effectively within a large, multi-state, national organization

Director of Payor Audit – Regulatory Defense

• Support and continuously enhance Aeroflow’s compliance and privacy program in alignment with applicable federal and state laws, regulations, and industry standards (including healthcare, privacy, and reimbursement requirements)
• Drive a strong, values-based culture of compliance across the organization
• Support the development and implementation of compliance and privacy policies, procedures, and standards
• Monitor regulatory changes and assess impact on existing policies and operations
• Design and deliver compliance and privacy training programs for employees, leaders, and key stakeholders
• Track training completion and effectiveness, and recommend improvements as needed
• Oversee and conduct investigations into alleged or identified compliance and privacy issues
• Manage internal reporting mechanisms and ensure issues are escalated appropriately
• Develop and oversee corrective action plans to address identified compliance and privacy gaps
• Monitor remediation efforts to ensure issues are resolved and controls are strengthened
• Use investigation outcomes, audits, and risk assessments to drive continuous program improvement
• Work closely with the Associate General Counsel and Legal team on regulatory matters, enforcement actions, and risk management
• Partner with Operations, IT, Security, and other teams on privacy, data protection, and compliance initiatives
• Maintain HIPAA/patient confidentiality
• Regular and reliable attendance as assigned by your schedule
• Other job duties assigned

Senior Manager, Compliance & Privacy

Account Manager

• Providing exceptional customer service to patients, healthcare professionals, and insurance companies
• Handling a high-volume number of both incoming and outgoing phone calls daily
• Updating account information, such as: product needs, insurance, contact information, etc.
• Calling doctor’s offices to follow up on necessary paperwork needed
• Reviewing paperwork received by a patient’s doctor
• Placing resupply orders for current patients that receive incontinence supplies and catheters
• Researching insurance payer requirements and understanding reimbursement procedures
• Troubleshooting equipment problems and offering product changes

Customer Account Representative – Urology

Billing Specialist

• Resolve incoming rejections for the Mom & Baby division
• Analyze rejection data and insurance payment trends to identify patterns, trends, and the root cause
• Correct claim data as per payer requirements (e.g., modifiers, diagnosis codes, HCPCS, NPI, etc.)
• Maintain detailed records of all rejection cases, resolutions, and follow-up actions
• Verify eligibility, coverage, and authorization when needed to prevent future denials
• Assist with other projects for claims that have been denied or rejected
• Collaborate with our billing team and leadership
• Maintain HIPAA/patient confidentiality
• Regular and reliable attendance as assigned by your schedule
• Other job duties assigned

Billing Coordinator, Mom & Baby

Manager

• Leading payer contracting and network development strategy across Northern states (including Medicaid, Medicare, Commercial, IPAs, TPAs)
• Managing and developing a high-performing team of three contracting professionals—helping guide, coach, and build up newer team members.
• Building and maintaining relationships with health plans; leading negotiations, policy escalations, and network development.
• Driving progress on three core strategic priorities: payer network expansion, payer policy change (working with medical teams), and fee schedule negotiations.
• Ensuring payer contract data is accurately updated and configured in internal systems.
• Collaborating with Legal, Compliance, Revenue Cycle, Sales, and Ops to streamline workflows and ensure payer contracts align with operational delivery.
• Leading and contributing to cross-functional projects with multiple stakeholders; managing priorities with clear communication.
• Auditing internal processes and coaching team members to ensure compliance, alignment, and continuous improvement.

Manager, Payor Relations – Northern Region

Application Engineer

• Design, develop, and maintain VBA-driven applications, primarily in Microsoft Access
• Modify and extend existing systems with a focus on reliability, clarity, and maintainability
• Write readable, well-structured VBA code with appropriate error handling and documentation
• Collaborate with SQL developers, analysts, and business partners to clarify requirements and edge cases
• Read, understand, and interface with SQL data to support business logic
• Contribute to incremental refactoring and reduction of technical debt
• Participate in code reviews and technical discussions with a learning mindset
• Use C# when appropriate for supporting tools, integrations, or gradual modernization efforts
• Identify risks, limitations, or unclear requirements early and communicate them clearly
• Develop and maintain clear technical documentation for systems and business logic

Application Engineer – Internal Tools, VBA, Access

Full-stack Engineer

• Architect, design, and build scalable fullstack applications and microservices with long-term maintainability in mind.
• Develop modular, serverless microservices in a cloud-native AWS environment.
• Use AI-assisted coding tools responsibly to accelerate development while maintaining engineering rigor.
• Participate in ideation sessions and rapid prototyping efforts.
• Translate ambiguous business problems into pragmatic technical solutions.
• Collaborate closely with stakeholders, designers, product owners, and engineers to ship high-impact software.
• Write clean, well-documented, testable code.
• Build unit and integration tests to support rapid iteration.
• Implement and optimize CI/CD pipelines to support fast, safe deployments.
• Monitor, maintain, and optimize applications in high-volume production environments.
• Stay current with emerging tools, AI workflows, and modern engineering practices.
• Maintain HIPAA/patient confidentiality.

Fullstack Software Engineer – Special Projects Team

• Handling a high-volume number of both incoming and outgoing phone calls daily
• Updating account information, such as: product needs, insurance, contact information, etc.
• Placing resupply orders for current patients that receive incontinence supplies and catheters
• Researching insurance payer requirements and understanding reimbursement procedures
• Troubleshooting equipment problems and offering product changes
• Maintain HIPAA/patient confidentiality
• Regular and reliable attendance as assigned by your schedule
• Other job duties assigned

• Lead all external audits, including Medicaid, Medicare, and commercial payors
• Serve as the primary point of contact for commercial and payor audits
• Oversee audit responses, rebuttals, corrective action plans, and appeals
• Partner with Legal to ensure the company speaks with one voice during audits
• Track audit outcomes, recoupments, pre-pay activity, and financial exposure
• Design and implement a robust internal audit and monitoring program, built from the ground up
• Use audit findings to inform policy updates, training, and operational improvements
• Identify root causes and drive sustainable remediation across teams
• Advise executive leadership on audit risk, mitigation strategies, and resource needs
• Lead and develop audit staff, setting expectations and raising performance
• Navigate audits across multiple state Medicaid manuals, understanding the nuance and variation by state
• Operate effectively within a large, multi-state, national organization

Director of Payor Audits

IT Support

• Support external healthcare claims audits, including pre-pay and post-pay audits
• Coordinate and prepare timely audit responses, including medical records and supporting documentation
• Participate in audit review cycles, including record requests, findings review, rebuttals, appeals, and recoupment processes
• Review audit findings for consistency, accuracy, and alignment with applicable policies
• Help identify trends, risks, and recurring audit issues across claims and business units
• Partner with internal business units to gather information needed to support audits
• Communicate audit findings clearly, including explaining where gaps exist and why audits may be failing
• Work collaboratively with teams to identify what changes or controls need to be put in place to improve audit outcomes
• Translate audit results into actionable insights that support front-end process improvement
• Support ongoing audit readiness initiatives and internal monitoring efforts

Director, Health Plan Solutions

Territory Manager – Outside Sales

Director of Payor Audit – Regulatory Defense

Senior Manager, Compliance & Privacy

Customer Account Representative – Urology

Billing Coordinator, Mom & Baby

Manager, Payor Relations – Northern Region

Application Engineer – Internal Tools, VBA, Access

Fullstack Software Engineer – Special Projects Team

Customer Account Representative – Urology

Director of Payor Audits

Audit Specialist