EMS Director Jobs in North Carolina
EMS Director jobs in North Carolina are concentrated in county emergency management agencies, regional hospital systems, and municipal fire-EMS departments, with demand strongest at the senior administrative and system leadership level. The busiest hiring markets are Charlotte, Raleigh, and Greensboro, where large employers such as Atrium Health, WakeMed, and Cone Health anchor the regional EMS infrastructure. Operations management, quality improvement program leadership, and compliance with North Carolina Office of EMS regulatory standards are the specialties drawing the most consistent interest from employers. See the openings below and apply to the ones that match your experience.
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JOB Under general supervision, performs a variety of technical accounting, administrative and clerical work in setting up and maintaining accounting services for the Emergency Medical Services Department. Work involves independently preparing correspondence, bookkeeping and maintaining files of a variety of records, reports and documents. Employee is responsible for using computerized data-entry equipment to capture billing information and generate periodic accounts receivable reports, and assisting with claims processing and collections. Employee is also responsible for maintaining files and records, answering the telephone, receiving inquiries or complaints, providing information, and performing basic secretarial duties for the Chief. Reports to the Emergency Medical Service Chief. EXAMPLE OF DUTIES Collects fees for services rendered; enters billing statements into accounts receivable computer system files; generates periodic reports for the designated County officials regarding the activity of the Department, including monthly billing statements, income statements, and various study reports analyzing ambulance activity; develops, organizes and maintains an accounts-receivable ledger; responds to correspondence and telephone inquiries regarding patients' accounts.
Utilizes computerized data entry equipment and various word processing, spreadsheet and/or file maintenance programs to enter, store and/or retrieve information as requested or otherwise necessary; summarizes data in preparation of standardized reports; oversees entering of ambulance call reports onto the computer.
Types materials from typed or handwritten copy, which requires use of a variety of complicated formats for preparing correspondence, reports, schedules, records, insurance forms, billing statements, etc.; assumes responsibility for correctness of spelling, punctuation, grammar and format.
Answers telephone and receives inquiries, providing information based on considerable knowledge of emergency medical service programs and activities, or referring callers to appropriate personnel, as necessary; routes messages for Department personnel, as necessary.
Submits documents to the Finance Office; files insurance claims with appropriate agencies, and follows up with additional information when needed.
Performs various secretarial duties for the Chief such as typing, filing, answering phones, etc; orders office supplies for the Billing Office.
Performs research for the Chief as requested; furnishes requested information for court cases.
Schedules requests for patient transfers.
Assigns, directs and supervises activities of office assistant personnel, ensuring adherence to established policies, procedures and standards; assists and advises subordinates, as necessary, resolving problems as non-routine situations arise.
ADDITIONAL JOB FUNCTIONS
Maintains inventory of office supplies.
Performs other related work as required.
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Where North Carolina roles are concentrated, by current openings.
EMS Director Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
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What North Carolina Employers Look For
The qualifications that appear most often in EMS director jobs across North Carolina.
- Active North Carolina Emergency Medical Services credential or equivalent licensure recognized by the state
- Minimum five years of progressive EMS leadership or supervisory experience required
- Bachelor's degree in emergency medical services, healthcare administration, or a related field
- Demonstrated experience managing EMS operations budgets, staffing, and compliance programs
- National Registry of Emergency Medical Technicians certification at the paramedic level preferred
- Strong familiarity with North Carolina Office of EMS protocols, rules, and reporting requirements
EMS Director Jobs in North Carolina: Frequently Asked Questions
How do you become a ems director in North Carolina?
Becoming an ems director in North Carolina typically starts with earning and maintaining a North Carolina Office of EMS credential, most commonly at the paramedic level, followed by several years of field and supervisory EMS experience. Employers generally require at least a bachelor's degree in emergency medical services, public health, or healthcare administration. Candidates who move through charge supervisor and operations manager roles at county EMS systems or hospital-based services build the administrative record North Carolina employers expect at the director level.
Which companies hire ems directors in North Carolina?
Employers hiring ems directors in North Carolina right now include TRC, Pasquotank County, and EMCOR, based on current listings on Migrate Mate as of July 2026. North Carolina's mix of large regional health systems, county government EMS agencies, and academic medical centers creates a broad and relatively stable base of director-level openings across the state.
Which North Carolina cities have the most ems director jobs?
Charlotte, Pasquotank County, and Raleigh have the most ems director openings in North Carolina. Charlotte and Raleigh lead because of their large regional health systems and county emergency services infrastructure, while Greensboro's concentration of hospital networks and a sizable municipal EMS system drives consistent hiring in the Triad.
Are there remote ems director jobs in North Carolina?
Yes, but they're rare. About 100% of ems director openings tied to North Carolina are remote or hybrid as of July 2026, reflecting how operationally grounded the role is by nature. The functions most likely to carry any remote flexibility are policy writing, regulatory compliance reporting, and quality improvement analysis, while field oversight and personnel management remain firmly on-site.
How can I get hired as a ems director in North Carolina with little or no experience?
The most realistic entry path is moving into an EMS supervisor or operations coordinator role at a county EMS agency or hospital-based system in North Carolina, such as those operated by Mecklenburg County EMS or Wake County EMS, then building toward a director seat over time. Completing a healthcare or emergency services administration degree while working in a field or dispatcher role strengthens your candidacy. Earning your North Carolina Office of EMS paramedic credential and adding a Certified EMS Manager designation signals readiness for administrative responsibility to North Carolina employers.
Where can I find and apply to ems director jobs in North Carolina?
You can find and apply to ems director jobs in North Carolina on Migrate Mate, which lists current openings tied to employers across the state. Search the listings, find the roles that fit your experience and location, and apply directly to the ones that match.
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