
Northwest Ambulance provides interfacility transport, with some 911 response, and critical care transport across Washington. We're hiring our first Chief Compliance & Contracting Officer — a standalone executive role reporting directly to the CEO and Owner.
This is a build role, not a maintenance role. You'll stand up the compliance program and take ownership of the contract portfolio, two functions that currently live in pieces across Operations, Billing, and HR. You will audit all three, and you won't report through any of them.
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.
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.
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.
The estimated annual compensation is $165,000 - $195,000 annually
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.

Northwest Ambulance consists of over 250 employees from Emergency Medical Technicians, Registered Nurses, Paramedics, Dispatchers, and Management.
We transported approximately 38,000 patients in 2019 from across the Pacific Northwest. Our main service areas include King, Snohomish, Island, Skagit, Whatcom, and Pierce counties.
The Northwest Ambulance Management Team and its employees bring decades of experience to the provision of medical transports. We have built exceptionally strong relationships with our patients, our partners in local Emergency Medical Services, and our community.
We work to assure the best possible response times and unrivaled customer service. We pride ourselves on a safety-first culture and focus on the well-being of our patients and our staff. We are here to commit to you and your communities.