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EMS Director

Alamance County Government
Alamance County Government Salary
Graham, NC Full Time
POSTED ON 12/31/2025
AVAILABLE BEFORE 1/23/2026
Alamance County is seeking an energetic and knowledgeable leader looking to make an impact in Emergency Medical Services (EMS). Under the direction of the County Manager, this position will oversee the critical day-to-day operations of the Emergency Medical Services (EMS) Department. We are seeking a leader who is honest, kind, respectful, and fair, with integrity, humility and a desire to see the employees be the best they can be by providing a comfortable work environment, an open line of communication, sufficient training, and someone who takes ownership of the overall workplace morale.

The Director will manage a budget upwards of $12 million dollars and a staff of 88 full time and 32 part time employees. The Director will oversee the critical areas of: EMS administration, EMS education/Training, and Quality Assurance. The EMS Director will interact with local Fire Chiefs, hospital Chief Medical Officers, the system Medical Director, health system Chief Executive Officers, and multiple board-of-directors, mandating a leader with notable skills in negotiation and healthcare.

Performs administrative and management functions related to the budgeting, planning, directing, and overall operation of the emergency medical services department. Responsible for managing the staff of EMS providers that provide 24/7, 365 days operation of emergency medical services response; as well as developing short-term and long-range plans for personnel, stations, equipment and system needs for the County. Work includes planning for current and future needs for the service, identifying improvement opportunities, developing and implementing operating procedures, overseeing maintenance and repair of equipment and vehicles, and management of personnel. Position is responsible for developing and administering an annual $12 million budget and working with the EMS billing company to generate sufficient revenues. Work is performed under the general supervision of the county manager and is evaluated through the effectiveness of the service.

Examples of Work

Creates, monitors, and manages yearly budget for EMS.

Coordinates the efforts of the ambulance service with hospitals, county health department, fire departments and law enforcement agencies.

Works with Medical Director and Training Officer to ensure standing protocols are current and staff is sufficiently trained. Reviews employee performance with medical director, shift supervisors, and training officer to assure compliance with standing protocols.

Serve as EMS System Plan Administrator for Alamance County to include all medical responders. Maintains an excellent working relationship with all emergency service/public safety agencies.

Researches and applies for appropriate grant opportunities for EMS.

Plans current and future needs and improvements in services.

Maintains records for all controlled substances used by the service.

Works closely with billing and collections vendor to ensure proper billing practices and identify opportunities to ensure sufficient revenue stream.

Evaluates patient care supplies and equipment, schedules replacement of equipment and vehicles. Reviews equipment needing repairs; determines cost of repair and compares with replacement cost.

Maintains positive working relationships with public and elected officials. Investigates citizen complaints concerning the service and ensures satisfactory resolution.

Develops appropriate matrixes to measure and track various performance areas.

Provides regular updates to County Manager and County Commissioners regarding services

Serves as a member of various professional committees in the County and region and meets with federal, state and local officials and others to stay informed on new techniques, equipment and communication system

Works closely with Emergency Services and Central Communications to ensure communications, response times, calls and other related reporting of information are accurate.Any combination of education and experience equivalent to bachelor's degree in EMS, public administration or related field and 10 years of experience in emergency medical services including five (5) years of supervisory experience, or equivalent combination of education and experience required.

Special Requirements

Valid driver’s license for state of residence, North Carolina Office of EMS Paramedic Certification, National Registry of EMTs Paramedic credential preferred, NC OEMS Level II Instructor preferred, Valid ACLS/PALS/PHTLS credentials (instructor preferred.

The selected candidate will be required to pass a criminal background check, driving history check, and pre-employment drug screen.Considerable experience in work related to ambulance service and certification as an EMT-Paramedic.

Considerable knowledge of ambulance service policies, practices, and procedures including laws pertaining to ambulance service.

Knowledge of county policies regarding ambulance service.

Knowledge of vehicle maintenance and repair including preventive maintenance programs.

Knowledge of emergency medical services equipment and supplies.

Salary : $12

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