Director, Non-Emergency Medical Transportation; NEMT

Director, Non-Emergency Medical Transportation (NEMT)

Washington State Remote

Established in 2017 Indigenous Pact PBC, Inc., a certified B-Corporation, set out on a mission to create health equity for American Indians and Alaskan Natives. As part of a global movement of certified B-Corporations, we aim to balance purpose and profit by meeting the highest social, environmental, legal, and public standards to build a more sustainable and inclusive economy.

Indigenous Pact’s dedicated, experienced, and knowledgeable team brings decades of experience working in Indian Country. We help strengthen and improve the sustainability of Tribes and Tribal Organizations' health, wellness, and long-term care programs and services. Indigenous Pact specializes in developing customized and turn‑key solutions to generate sustainable revenue, increase healthcare access, and improve health outcomes for all Native Americans.

Job Description:

• Job Title: Director, Non-Emergency Medical Transportation (NEMT)
• Salary: $120,000 - $160,000 - pay to be based on years of experience and location within Washington State
• Location: Washington State
• Travel Requirements
  :
  Intra- and Inter-state travel as required
• Reports to: VP, Care Community Lead

Job Summary:

The Director of NEMT will build, own, and lead Indigenous Pact’s transportation program across three OTP clinic sites (Auburn, Tumwater, and Spokane/Airway Heights) as well as mobile service units. This role has full accountability for the program’s success, including strategy, fleet management, dispatch operations, compliance, technology, and the leadership of a 2–3 person dispatch team. This is a rare opportunity to design and scale a critical service from the ground up within a mission-driven Tribal health organization, directly impacting access to care for the communities we serve.

Essential Job Functions:

• Develop and lead a multi-year transportation program strategy supporting patient access and organizational growth
• Define the responsibility matrix between Indigenous Pact and clinic teams covering safety, compliance, maintenance, insurance, and ADA requirements
• Build and manage a fleet acquisition and leasing strategy across Eastern and Western Washington
• Ensure compliance with applicable local, state, and federal NEMT regulations
• Evaluate, implement, and manage transportation software platforms; train staff and lead upgrades as needed
• Directly supervise 2–3 dispatchers; develop and implement staff training frameworks across all sites
• Establish KPIs and resource planning models to guide staffing and fleet decisions
• Manage day-to-day program expenditures and identify cost efficiencies within VP‑set budgets

Required Qualifications:

• 7–10+ years in transportation operations, fleet management, or NEMT program leadership
• Experience managing multi‑site transportation programs
• Strong knowledge of transportation regulatory compliance (local, state, federal)
• Experience developing fleet acquisition strategies, training programs, and operational policies
• Strong communication, problem‑solving, and people leadership skills
• Washington State residency or willingness to relocate

Preferred Qualifications:

• Bachelor’s degree in Transportation, Business, Healthcare Administration, or related field (equivalent experience considered)
• Experience with NEMT or healthcare transportation programs
• Familiarity with NEMT routing/dispatch/fleet software (e.g., Route Genie, MTM, Veyo) and ability to evaluate and onboard new platforms
• Experience working with Tribal nations or community‑based healthcare organizations
• Familiarity with OTP, MOUD, or behavioral health environments
• CTTS or similar credential a plus

• Generous paid time off to cultivate personal and professional balance, including company‑wide winter break Dec 24 - Jan 1
• Competitive benefits including 401(k) with match, medical, dental, and vision insurance
• Open, transparent lines of communication with leadership
• Commitment to giving back to improve our communities and environmental impact
• A development‑focused environment where you have autonomy to drive your career path

Indigenous Pact is an equal opportunity employer and we are dedicated to fostering an inclusive and barrier‑free work environment for all employees and candidates. Preference will be given to qualified native applicants; however, all qualified individuals are encouraged to apply. Must be able to provide Indian Preference documentation if claimed. If accommodation is required during any stage of the recruitment process, please contact any member of our HR team.

We thank all applicants for their interest; however, only those selected for interviews will be contacted.