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