Chief Operating Officer / Compliance

Benefits:

401(k) Bonus based on performance Company parties Free uniforms Opportunity for advancement

POSITION SUMMARY

We are seeking an experienced and driven Chief Operating Officer (COO) / Compliance Manager to serve as the operational and regulatory backbone of Epoch Health Care LLC. This is a dual-function leadership role — you will oversee day-to-day ambulance operations while ensuring full compliance with Massachusetts 105 CMR 170.000 EMS regulations, MassHealth, Medicare, HIPAA, and the City of Boston contract obligations. Reporting directly to the CEO/Owner, this person will be instrumental in securing Epoch's BLS service license and scaling the company's ambulance operations.

KEY RESPONSIBILITIES

Operations Leadership Oversee all daily ambulance and medical transport operations, scheduling, and dispatch Manage and mentor EMT-Basic crews, drivers, and administrative staff Develop and implement Standard Operating Procedures (SOPs) aligned with 105 CMR 170.000 Coordinate vehicle maintenance schedules and ensure fleet readiness at all times Serve as the primary liaison to the Affiliate Hospital Medical Director Regulatory Compliance Lead and manage the BLS service license acquisition process with Massachusetts OEMS Maintain compliance with 105 CMR 170.000, 105 CMR 171.000, and all OEMS administrative requirements Oversee QA/QI program per affiliation agreement requirements under 105 CMR 170.300 Ensure HIPAA compliance across all clinical documentation and patient records Manage MassHealth, Medicare, and payer billing compliance in coordination with billing staff Prepare and submit all required OEMS reports, vehicle inspections, and license renewals Respond to OEMS inquiries and represent the company during inspections and audits Maintain compliance with the City of Boston Living Wage Ordinance and contract reporting requirements Administrative & Financial Oversight Monitor revenue cycle, billing operations, and key financial performance indicators Support contract management for City of Boston, Boston Public Schools, MTM, and other payers Oversee credentialing, background checks, and staff compliance documentation (CORI, driving records, certifications) Manage MTM network compliance, including credential tracking and portal updates

REQUIRED QUALIFICATIONS

Minimum 5 years of experience in EMS, ambulance service operations, or healthcare compliance Deep working knowledge of Massachusetts 105 CMR 170.000 EMS regulations Demonstrated experience managing or obtaining OEMS ambulance service licensure EMT-Basic certification (or higher) strongly preferred HIPAA compliance training and demonstrated knowledge of healthcare privacy regulations Strong organizational, communication, and leadership skills Proficiency in EMS documentation software and Microsoft Office Suite

PREFERRED QUALIFICATIONS

Prior COO, Director of Operations, or Compliance Officer title at a licensed MA ambulance service Experience with MassHealth and Medicare billing compliance for ambulance services Familiarity with MTM, Veyo, or other NEMT network compliance platforms Knowledge of City of Boston contracting and Living Wage Ordinance requirements Bachelor's degree in Healthcare Administration, Emergency Management, or related field Chief Operating Officer / Compliance Norwood, MA 02062 $95,000

• $130,000 a year
• Full-time $95,000
• $130,000 a year

•

Full-time Benefits:

401(k) Bonus based on performance Company parties Free uniforms Opportunity for advancement

POSITION SUMMARY

We are seeking an experienced and driven Chief Operating Officer (COO) / Compliance Manager to serve as the operational and regulatory backbone of Epoch Health Care LLC. This is a dual-function leadership role — you will oversee day-to-day ambulance operations while ensuring full compliance with Massachusetts 105 CMR 170.000 EMS regulations, MassHealth, Medicare, HIPAA, and the City of Boston contract obligations. Reporting directly to the CEO/Owner, this person will be instrumental in securing Epoch's BLS service license and scaling the company's ambulance operations.

KEY RESPONSIBILITIES

Operations Leadership Oversee all daily ambulance and medical transport operations, scheduling, and dispatch Manage and mentor EMT-Basic crews, drivers, and administrative staff Develop and implement Standard Operating Procedures (SOPs) aligned with 105 CMR 170.000 Coordinate vehicle maintenance schedules and ensure fleet readiness at all times Serve as the primary liaison to the Affiliate Hospital Medical Director Regulatory Compliance Lead and manage the BLS service license acquisition process with Massachusetts OEMS Maintain compliance with 105 CMR 170.000, 105 CMR 171.000, and all OEMS administrative requirements Oversee QA/QI program per affiliation agreement requirements under 105 CMR 170.300 Ensure HIPAA compliance across all clinical documentation and patient records Manage MassHealth, Medicare, and payer billing compliance in coordination with billing staff Prepare and submit all required OEMS reports, vehicle inspections, and license renewals Respond to OEMS inquiries and represent the company during inspections and audits Maintain compliance with the City of Boston Living Wage Ordinance and contract reporting requirements Administrative & Financial Oversight Monitor revenue cycle, billing operations, and key financial performance indicators Support contract management for City of Boston, Boston Public Schools, MTM, and other payers Oversee credentialing, background checks, and staff compliance documentation (CORI, driving records, certifications) Manage MTM network compliance, including credential tracking and portal updates

REQUIRED QUALIFICATIONS

Minimum 5 years of experience in EMS, ambulance service operations, or healthcare compliance Deep working knowledge of Massachusetts 105 CMR 170.000 EMS regulations Demonstrated experience managing or obtaining OEMS ambulance service licensure EMT-Basic certification (or higher) strongly preferred HIPAA compliance training and demonstrated knowledge of healthcare privacy regulations Strong organizational, communication, and leadership skills Proficiency in EMS documentation software and Microsoft Office Suite

PREFERRED QUALIFICATIONS

Prior COO, Director of Operations, or Compliance Officer title at a licensed MA ambulance service Experience with MassHealth and Medicare billing compliance for ambulance services Familiarity with MTM, Veyo, or other NEMT network compliance platforms Knowledge of City of Boston contracting and Living Wage Ordinance requirements Bachelor's degree in Healthcare Administration, Emergency Management, or related field