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