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Chief Operating Officer / Compliance

EPOCH HEALTHCARE LLC

Norwood, MA

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JOB DETAILS
SKILLS
Ambulance Services, Background Investigation, Basic Life Support (BLS), Billing, Clinical Study Publications, Communication Skills, Contract Management, Contract Requirements, Documentation, EMT-Paramedics, Emergency Management, Financial Analysis, Financial Management, HIPAA (Health Insurance Portability and Accountability Act), Healthcare, Healthcare Administration, Hospital, Leadership, Maintain Compliance, Medical Billing, Medical Records, Medicare, Mentoring, Microsoft Office, Network Administration/Management, OEM (Original Equipment Manufacturer), Organizational Skills, Performance Metrics, Privacy Regulations, Procedure Implementation, Quality Assurance, Regulations, Regulatory Compliance, Standard Operating Procedures (SOP), Standards Development, Vehicle Fleets, Web Site Monitoring
LOCATION
Norwood, MA
POSTED
29 days ago
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

About the Company

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EPOCH HEALTHCARE LLC