Chief Compliance and Contracting Officer

Northwest Ambulance; Everett (WA); On-site; USD 165,000 - 195,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) with employer match up to 5%

Paid time off (PTO)

Uniforms provided

Job summary

Northwest Ambulance in Everett, WA seeks a senior compliance professional to drive the organization’s compliance program and contract governance. You will oversee ambulance billing compliance across Medicare, Medicaid/Apple Health, and commercial payers, and model margin impact of proposed rates with the Controller before execution.

The role requires 5+ years in healthcare compliance, strong knowledge of HIPAA and anti-fraud laws, and proven contract negotiation experience.

Qualifications

• Bachelor's degree or substantial equivalent healthcare compliance experience.
• Experience with Anti-Kickback, Stark, False Claims exposure, and HIPAA.
• Experience reviewing, negotiating, and administering healthcare contracts (rates/reimbursements).
• 5+ years in healthcare compliance, reimbursement, auditing, or billing.
• Ability to communicate risk to executives and challenge senior decisions.
• Valid driver's license and clean driving record.

Responsibilities

• Document and manage organization-wide compliance program: policies, conduct standards, risk-based work plan, and audit calendar.
• Oversee ambulance billing and reimbursement compliance across Medicare, Medicaid/Apple Health, and commercial payers.
• Review and negotiate hospital, SNF, dialysis center, and health system contracts; assess rate/reimbursement terms.

Skills

Compliance program

Auditing

Contract negotiation

Regulatory risk

HIPAA/privacy

Medicare/Medicaid

Risk communication

Leadership communications

Education

Bachelor's degree in healthcare administration, business, compliance, finance, legal studies, or related field

Job description

What you'll own

Compliance. A documented, organization-wide compliance program: written policies, standards of conduct, an annual risk-based work plan, and an audit calendar you set and execute. Ambulance billing and reimbursement compliance across Medicare, Medicaid/Apple Health, and commercial payers — medical necessity, level of service, mileage, PCS forms, and ePCR documentation quality. Fraud, waste, and abuse controls. HIPAA privacy, including the Privacy Officer function. Regulatory obligations to DOH, HCA, CMS, HHS-OIG, DEA, L&I, and county EMS.

Contracting. The full lifecycle for every agreement the organization signs — facility, payer, vendor, and service. You'll run the intake process, maintain the repository and renewal calendar, lead or support negotiations with hospitals, SNFs, dialysis centers, and health systems, and model the margin impact of proposed rates alongside the Controller before anything is committed. You'll review every arrangement for Anti-Kickback, Stark, and False Claims exposure. Nothing gets executed without your review.

Why this role is different

You'll have direct, unfiltered access to the CEO and Owner and the authority to open an audit or investigation without asking permission first. You can require any contract, amendment, or rate change to route through you before signature, and you can withhold your recommendation on any agreement that carries too much regulatory or financial risk. Signature authority stays with the CEO — but the recommendation is yours, and it carries weight.

We're looking for someone comfortable telling senior leadership no, in writing, with a defensible rationale.

• Bachelor's degree in healthcare administration, business, compliance, finance, legal studies, or a related field. Substantial equivalent healthcare compliance experience considered in lieu of a degree.

• 5+ years of progressively responsible experience in healthcare compliance, reimbursement, auditing, or billing.
• Working knowledge of the Anti-Kickback Statute, Stark Law, False Claims Act, and HIPAA.
• Demonstrated experience with Medicare and Medicaid reimbursement requirements.
• Hands-on experience reviewing, negotiating, and administering healthcare contracts, including rate and reimbursement terms.
• Track record conducting audits, investigations, and corrective‑action processes through to closure.
• Ability to communicate risk clearly to executives and to appropriately challenge senior decisions.
• Valid driver's license and acceptable driving record.

Nice to have

• Ambulance, EMS, medical transportation, or hospital operations background.
• Direct experience with ambulance billing rules, medical necessity, and PCS requirements.
• Experience overseeing third-party billing vendors.
• Experience negotiating hospital, SNF, health system, or payer transport agreements.
• Experience building a centralized contract repository and renewal calendar.
• CHC, CHC-F, CHPC, CHC-O, CHRC, or comparable certification.
• Experience with government auditors, regulators, and healthcare counsel.
• JD, MBA, MHA, or related master's degree.

We offer a comprehensive benefits package that includes medical, dental, and vision insurance to ensure the well‑being and health of our employees.

We invest in your future with a 401(k)-retirement plan that includes an employer match of up to 5%, helping you build a long‑term financial security.

We value work‑life balance and offer paid time off (PTO), giving you the flexibility to rest, recharge, and take care of what matters most.

To maintain a professional and consistent appearance across our team, uniforms are provided to all employees, ensuring you always look your best while representing our company.

Wages:

The estimated annual compensation is $165,000 - $195,000 annually

Equal Opportunity Employer

Northwest Ambulance is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Reasonable accommodations are available upon request for candidates with disabilities participating in the application or interview process.