EMS Director

Alamance County is seeking an energetic and knowledgeable leader 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 EMS Department. The ideal candidate is honest, kind, respectful, and fair, with integrity, humility, and a desire to empower employees by providing a comfortable work environment, open communication, sufficient training, and a focus on workplace morale.

The Director will manage a budget upwards of $12 million and a staff of 88 full‑time and 32 part‑time employees. Responsibilities include EMS administration, EMS education/training, and quality assurance. The Director will interact with local fire chiefs, hospital chief medical officers, the system medical director, health system chief executives, and multiple boards of directors, requiring strong negotiation and healthcare skills.

Administrative and management functions include budgeting, planning, directing, and operating the emergency medical services department. You will manage a 24/7, 365‑day EMS response team, develop short‑term and long‑range plans for personnel, stations, equipment, and system needs, identify improvement opportunities, implement operating procedures, oversee maintenance and repair of equipment and vehicles, and manage personnel. You will develop and administer an annual $12 million budget and work with the EMS billing company to generate sufficient revenues.

• Creates, monitors, and manages yearly budget for EMS.
• Coordinates ambulance service efforts 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 adequately trained.
• Reviews employee performance with Medical Director, shift supervisors, and training officer to assure compliance with protocols.
• Acts as EMS System Plan Administrator for Alamance County and maintains excellent relationships 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 identifies opportunities to ensure a sufficient revenue stream.
• Evaluates patient care supplies and equipment, schedules replacement, reviews necessary repairs, determines repair costs versus replacement costs.
• Maintains positive working relationships with public and elected officials, investigates citizen complaints concerning the service, and ensures satisfactory resolution.
• Develops appropriate metrics 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 to stay informed on new techniques, equipment, and communication systems.
• Works closely with Emergency Services and Central Communications to ensure accurate communications, response times, calls, and related reporting of information.

Any combination of education and experience equivalent to a bachelor’s degree in EMS, public administration, or a related field and 10 years of experience in EMS, including five (5) years of supervisory experience, or equivalent combination of education and experience is required.

• Valid driver’s license for the state of residence (North Carolina).
• North Carolina Office of EMS Paramedic Certification.
• National Registry of EMTs Paramedic credential preferred.
• NC EMS Level II Instructor preferred.
• Valid ACLS/PALS/PHTLS credentials (instructor preferred).
• Candidate will be required to pass a criminal background check, driving history check, and pre‑employment drug screen.
• Considerable experience 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.