Ensign Services logo
Ensign Services
Seattle, Washington

Licensed Therapist Compliance Partner (OT, PT, SLP)

Occupational TherapistFull-Time

Listed compensation

$100k-$115k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 43m ago · Verified live

Job Description

Licensed Therapist Compliance Partner (OT, PT, SLP)

Position Type: Full Time, Employee.

Salary: $100,000 to $115,000 annually.

Location

Field Resource and regularly travels to assigned facilities; must reside near a major airport in Utah, Arizona, Washington, or Idaho.

Schedule

Typical business hours but may vary depending on workload and travel needs - 40 hours/week.

About the Company

Ensign Services, Inc. (“ESI”) is a subsidiary of The Ensign Group, Inc., which is a national leader in the operation of skilled nursing, senior living, rehabilitation, home health, hospice, and other healthcare services. ESI is known as the “Service Center” and provides the facilities and leaders it serves with “back-office” support in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting.

We seek individuals who thrive in a dynamic environment, embrace continuous learning, and are passionate about making a meaningful impact. We take our core values of Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership (“CAPLICO”) seriously. We want an individual in this role who will demonstrate these values through actions and words.

About the Opportunity

Ensign Services, Inc.’s (ESI) Compliance Department is seeking a Therapy Billing Compliance Partner. Must be an Occupational Therapist, Physical Therapist or Speech Therapist with at least five years’ experience in the skilled nursing environment.

Primary responsibilities will involve performing compliance audits, conducting internal investigations under direction of associate and chief compliance officer, reviewing and analyzing medical records and/or claims to detect possible compliance or quality issues.

Our compliance philosophy is to work as closely with field facilities, agencies and resources as possible to develop solid relationships that allow us to enhance and foster compliance throughout the organization. We not only provide training, oversight and auditing functions, but we also serve as partners to our providers to assist them in building successful businesses in an ethical and compliant manner.

Job Duties and Responsibilities include, but are not limited to:

  • Performs Medicare claim review portion of internal compliance audits.
  • Conducts internal investigations involving compliance issues.
  • Track corrective action plans related to any adverse findings.
  • Facilitate other required compliance activities.
  • Travel required 70% of the time within Arizona/Utah and surrounding areas/states.

Preferred Qualifications

  • Occupational, Physical or Speech Language Pathologist Therapy License.
  • A minimum of five years’ SNF experience.
  • Expertise in MDS/PDPM coding rules and regulations.
  • Understanding of the legal and regulatory framework governing the skilled nursing industry.
  • Ability to work with all levels of management on potentially complex compliance/regulatory issues.

Desired Skills

  • Superior interpersonal communication skills.
  • Strong writing skills required to write compliance reports, and other communications.
  • Works well independently in a home office environment on long term projects and as a member of an interdisciplinary team.
  • An engaging and informative teacher for regular training of facility personnel regarding Medicare requirements.
  • Possesses and conveys high degree of credibility and integrity.
  • A desire to constantly improve Medicare management systems and organizational compliance.
  • Understands and accepts the unpredictable nature and needs of the compliance function in a large organization.
  • Exhibits analytical skills and an understanding of operational processes.
  • Basic to intermediate knowledge of Microsoft Office/Excel.

Additional Information

Any offer of employment may be contingent upon the successful completion of job-related post-offer requirements, which may include background checks, reference checks, and/or other screenings or examinations as permitted by applicable law.

What We Offer

We are committed to providing a competitive benefits and compensation package which includes medical/dental/vision coverage, company-provided life insurance, 401(k) with company match, and sick/vacation plans. We also believe in supporting our employee’s professional growth and development through our Learning Management System as well as training sessions and seminars. Take a look at these benefits (and more!) at ensignbenefits.com.

Ensign Services, Inc. is an equal opportunity employer. If you need assistance or accommodation during the application process, please contact us at 888-659-3616.

Job ID 1831

Key Responsibilities

The therapist will perform compliance audits, conduct internal investigations, and review medical records to ensure adherence to regulatory standards. They will also facilitate corrective action plans and provide training to facility personnel regarding Medicare requirements.

Requirements

Candidates must hold a license as an Occupational Therapist, Physical Therapist, or Speech-Language Pathologist with at least five years of experience in a skilled nursing environment. Expertise in MDS/PDPM coding and the ability to travel 70% of the time are essential.

Qualifications

Education
Professional certificate or licensure
Experience
5+ years of experience

Key Skills

Compliance auditingMedical record reviewClaims analysisMDS codingRegulatory complianceTechnical writingSkilled nursing operations

Mental Health Therapy — Occupational Therapist Career Context

In Washington, the Occupational Therapist weighted monthly median benchmark on WeekdayDoc is ~$107k (43 salary observations; 73 listings), vs ~$97k nationally (914 salary observations; 3,071 listings). Monthly aggregates cover 2026-01-01 through 2026-11-01; these are not the modal's selected comparable-job medians.

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$108k midpoint carries the purchasing power of roughly $100k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Occupational Therapist market look like in Washington?
MeasureThis jobMarket
Listed pay$100k–$115kOccupational Therapist median $119k (middle half $111k–$126k)235 comparable listings, Nov 2026
Washington vs national$107k median in Washington$97k nationally (+11%)43 state / 914 national salary observations
Cost-of-living adjusted pay~$100k in purchasing powerWashington index 107.0 (US = 100)BEA Regional Price Parities (2024)
Mental Health Therapy listings in Washington5 active—live on WeekdayDoc, Nov 2026
All occupational therapist listings in Washington264 active10,072 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 54% no call · 58% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedWashington occupational therapist listings (all specialties): 16% state a sign-on bonus (median $10k) · 11% offer loan repayment264 active listings, Nov 2026
New Mental Health Therapy listings2,542 in the last 30 days1,395 the 30 days before (+82%)U.S., first seen on WeekdayDoc, Nov 2026
Occupational Therapist pay trend (all specialties)−1.9% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. Washington figures use all occupational therapists: too few Washington Mental Health Therapy postings state pay.

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$108k midpoint, that is roughly $4k–$8k a year versus a typical 4–7% state rate.

Top Occupational Therapist Jobs

37 matches · ranked by pay

Salary Distribution

37 jobs · 23 employers
11
<$105k
13
$105k-120k
4
$120k-135k
4
$135k-150k
5
$150k+

Annual compensation range

Benefits & Perks

35 jobs · 23 employers
401k / retirement match
89% this job
CME allowance
57%
Sign-on bonus
54%
Loan repayment
34%
Relocation assistance
11%

Share of similar jobs offering each benefit

#1

Physical Therapist

Home Care Providers Group · Yuba City, California

$165,000
#2

Pediatric Physical Therapist

MGA Homecare · Fort Worth, Texas

up to $150,000
#3

Home Health Physical Therapist - Berkeley/Richmond

$150k
#4

Home Health Physical Therapist - Glendale

$150k
+ 35 more · ranked by pay

Work-life snapshot

median 3.0this job 3.0
Better work-life than 50% of Mental Health Therapy (Occupational Therapy) listings

Listing-based score, 0–10, across 57 comparable listings. Shaded area = the share scoring below this one.

Ensign Services logo

About Ensign Services

Hospitals and Health Care
San Juan Capistrano, California
1,001-5,000 employees

Benefits & Perks

Medical/Dental/Vision coverage
Company-provided life insurance
401(k) with company match
Sick/vacation plans
Learning Management System
Training sessions and seminars

Living in Seattle

Typical 3-bedroom home value
$869k≈ 8.7× annual pay
Typical market rent
$2,227/mo≈ 27% of gross pay
Residents’ average commute
26 min
Metro price indexU.S. average = 100
111.1
State income tax
None
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Seattle-Tacoma-Bellevue, WA metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.