Chief Compliance & Contracts Leader

Northwest Ambulance

Everett (WA)

On-site

USD 165,000 - 195,000

Full time

5 days ago
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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

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.

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