Paramedic Jobs in Maryland
Paramedic jobs in Maryland are concentrated in emergency medical services, fire-rescue departments, and hospital-based critical care transport, with demand at every level from entry-level EMT-to-paramedic transitions to flight paramedic and supervisory roles. The Baltimore metropolitan area, the Washington, D.C. suburbs of Prince George's and Montgomery Counties, and Annapolis anchor the state's busiest hiring markets, where employers such as the University of Maryland Medical System, Johns Hopkins Medicine, and Anne Arundel County Fire Department maintain consistent staffing needs. Mobile integrated healthcare and critical care transport are among the most in-demand specialties statewide. Scan the live roles below and apply to whichever ones fit.
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Please look at what you can expect to earn as a full-time Paramedic during your first year as a full-time employee with Washington County Government:
- Sixty (60) Paid Personal Hours
- Ninety-Six (96) Paid Vacation Hours
- Fourteen (14) County Observed Holidays
- Holiday Pay for hours worked, paid at one and one-half times the employee’s regular rate
- One Hundred & Twenty (120) Paid Sick Hours
- County and Employee funded Healthcare including Health, Prescription, Dental and Vision Coverage.
- County Paid Employee Assistance Plan
- County Paid Life Insurance
- County Paid Accidental Death and Dismemberment Insurance
- County Paid Short Term Disability Insurance
- County Paid Long Term Disability Insurance
- Up to $2,500 Annual Tuition Reimbursement Assistance
- County and Employee funded Defined Pension Plan
- Vested in just five (5) years.
- Credit for Prior Active Military Service and Unused Paid Sick Days.
- An Hourly Salary of $23.79 per Hour. Overtime eligibility after 40 hours (2496 work schedule)
- $59,380 Annually based on a 2496 work schedule.
- Additional Annual Pay Incentives per Certifications Attained:
- $2.00 per hour Maryland State Certified Advanced Life Support Provider Certification
- $0.46 per hour Hazardous Material Technician Certification
- $0.60 Swift Water Technician Certification +Any Secondary Specialty Certification
- $0.60 Confined Space Technician Certification + Any Secondary Specialty Certification
- Recognized Secondary Certifications: Trench Rescue, Rope/High Angle Rescue, Structural Collapse, Boat Operator and EMS Preceptor**
- Please Note: An EMS Candidate Physical Ability Test (PAT) Waiver and Acknowledgments form must be completed and signed by either a physician, physician assistant or nurse practitioner stating that the candidate is medically able to participate in the EMS PAT. The candidate will be provided the medical waiver and acknowledgment form after a review of applications is completed by County staff. The candidate is to bring the completed and signed form the day of PAT mentoring/testing. Failure to bring the completed and signed medical clearance form to your scheduled PAT mentoring/testing will result in the candidate being disqualified from the PAT mentoring and testing.
- Applicants must submit copies of each training/certification listed under “Qualifications and Requirements.” Additional training certifications may be submitted with the application. PLEASE NOTE: Only PDF copies will be accepted, no digital pictures or screenshots of certifications permitted.
GENERAL RESPONSIBILITIES:
This is technician-level work in the provision of both basic and advanced life support emergency medical care. This position responds to emergency and non-emergency incidents to provide advanced emergency medical care to sick and injured patients. Operations are in accordance with established policies and procedures, which must be adhered to; requires initiative and resourcefulness, analysis of problems and emergency situations; and judgment in the selection of the appropriate course of action. The work requires periods of strenuous physical effort and involves exposure to heat, dirt, inclement weather, and other unpleasant conditions. An employee in this classification is regularly exposed to the risk of injury or disease, requiring the use of protective clothing and strict adherence to safety precautions.
ESSENTIAL TASKS:
(These are intended only as illustrations of various types of work performed. The omission of specific duties does not exclude them from the position if the work is similar, related or a logical assignment to the position.)
- Provides both basic and advanced level medical care at a variety of emergency and non-emergency incident scenes to include in depth patient assessment utilizing specialized equipment, critical thinking and decision-making to identify health issues, developing and implementing complex treatment plans. Advanced skills include intravenous and intraosseous infusions, medication administration, advanced airway skills (intubation, surgical airways), cardiac rhythm interpretation, defibrillation, cardioversion and external pacing.
Basic medical skills include: basic airway skills (OPA, NPA, BVM), administering medications (i.e., oxygen, aspirin, epinephrine), bleeding control, fracture management, and spinal immobilization.
Advanced medical skills include: intravenous and intraosseous infusions, medication administration, advanced airway skills (intubation, surgical airways), cardiac rhythm interpretation, defibrillation, cardioversion and external pacing.
- Executes comprehensive emergency medical reports documenting emergency and non-emergency responses.
- Assists with routine or scheduled housekeeping duties at fire and rescue station.
- Assists with routine administrative tasks and performs other related duties as required.
- Participates in cleaning and preventative maintenance activities concerning fire, rescue and emergency medical apparatus.
- Participates in special projects as directed.
- Through training sessions, exercises, publications and other means, maintains a working knowledge of current technologies, equipment, certification requirements and other areas pertinent to the operation.
- Perform other related duties as assigned.
QUALIFICATIONS AND REQUIREMENTS:
- Current licensure as a State of Maryland Paramedic or Cardiac Rescue Technician or current certification as a National Registry Paramedic with the ability to obtain Maryland licensure within three (3) months of employment (CRT or Paramedic licensure as well as a valid driver’s license must be maintained throughout employment).
- Current certification in Advanced Cardiac Life Support (ACLS).
- Current certification in Pediatric Advanced Life Support (PALS).
2. Must be 18 years old at the time of the application/written examination.
- High School graduate or GED.
- Completion of MFRI’s Emergency Vehicle Operator course or Pro Board or IFSAC.
- Completion of MFRI’s Hazardous Materials Operations Program or Pro Board or IFSAC.
- Completion of National Incident Management System (NIMS/ICS) 100, 200, 700, 703B, 800.
- Current CPR healthcare provider.
- Preference may be given to applicants with additional training in fire suppression, hazardous materials, confined space rescue, water emergencies, structural and trench collapse, rope rescue and emergency medical care.
- Knowledge of local, state, and national laws and standards as they apply to the fields of fire, rescue, and emergency medical care.
- Proficient in use of computer applications including but not limited to word processing, spreadsheets, email, and capable of learning various reporting software programs (i.e., ESO, ELITE).
- Ability to effectively analyze technical data, to write and maintain complex records, research, and prepare reports relating to public safety and operations.
- Ability to establish and maintain effective working relationships with volunteer or career firefighters and officers, municipal employees, elected officials, media, and the general public.
- Strong and effective spoken and written (English) communications skills, including public speaking.
PHYSICAL REQUIREMENTS:
Must have the use of sensory skills in order to effectively communicate and interact with other employees and the public through the use of telephone (wearing and using a headset) and personal contact as normally defined by the ability to see, read, hear, handle, or feel objects and related equipment, such as, but not limited to personal computer, calculator, copier, fax machine, radio console, etc. Must have the ability to respond to the spontaneous physical demands of comprehensive fire/rescue and EMS duties, all of which involve standing, walking, moving, climbing, lifting and carrying, bending, kneeling, crawling, reaching and handling, pushing and pulling. Ability to perform various functions under emergency conditions including operating in environments immediately dangerous to life and health (IDLH) with appropriate personal protective equipment (PPE), including self-contained breathing apparatus.
SPECIAL REQUIREMENTS:
- Available for varied work hours (including days, evenings, overnights, holidays, consecutive shifts, and mandatory overtime shifts), and available for an on-call basis for emergency situations.
- Possession of valid Maryland Class C driver’s license (or equivalent license from state of residence).
- A valid driver’s license, a current State of Maryland Cardiac Rescue Technician or Paramedic certification, and all required certifications must be maintained throughout the course of employment.
- Successful completion of a physical agility test and oral interview board.
- Successful completion of a pre-employment physical including respirator clearance and drug testing (following a conditional offer of employment).
- Successful completion of a background investigation.
- Successful completion of a psychological evaluation.
- This position is subject to random drug and alcohol testing.
- The probationary period for this position is 12 months.
Washington County is an Equal Opportunity Employer. Individuals requiring special accommodations or assistance are requested to contact the Human Resources Department at 240-313-2350, Voice or TDD (D/HH use 711) M/F/H/V.
DEADLINE FOR FILING APPLICATIONS WITH HUMAN RESOURCES:
Friday, September 4, 2026 @ 4:00PM
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Where Maryland roles are concentrated, by current openings.
Paramedic Job Market in Maryland
A snapshot from current Maryland openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Healthcare & Medical Services
- Consulting & Professional Services
What Maryland Employers Look For
The qualifications that appear most often in paramedic jobs across Maryland.
- Active Maryland Paramedic certification issued or recognized by the Maryland Institute for Emergency Medical Services Systems
- Current National Registry of Emergency Medical Technicians paramedic certification in good standing
- Valid state driver's license with a clean driving record required for all field positions
- Basic Life Support and Advanced Cardiac Life Support certifications required before start date
- Minimum two years of field paramedic experience preferred for critical care and flight roles
- Ability to pass a Maryland-mandated background check, drug screen, and physical fitness assessment
Paramedic Jobs in Maryland: Frequently Asked Questions
How do you become a paramedic in Maryland?
To become a paramedic in Maryland, you must complete a state-approved paramedic training program, pass the National Registry of Emergency Medical Technicians cognitive and psychomotor exams, then apply for Maryland Paramedic certification through the Maryland Institute for Emergency Medical Services Systems. MIEMSS oversees all EMS licensure in the state and issues the certification required to practice. Most programs are offered through community colleges or hospital-affiliated training centers across Maryland.
How much do paramedics make in Maryland?
Paramedics in Maryland earn a median of about $66,660 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $51,020 for the lowest 10% to over $101,860 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire paramedics in Maryland?
Companies currently hiring paramedics in Maryland include CSL Plasma, PHI Air Medical, and OccuMedX, per current listings on Migrate Mate as of August 2026. Maryland's mix of large academic medical centers, county fire-rescue systems, and private critical care transport companies means hiring is spread across both public-sector and employer-sponsored roles.
Which Maryland cities have the most paramedic jobs?
The Maryland cities with the most paramedic job openings are Baltimore, Cambridge, and Frederick. Baltimore leads because of its concentration of Level I trauma centers and county EMS systems, while the Washington, D.C. suburban counties of Prince George's and Montgomery draw high call volumes tied to their dense, rapidly growing populations and proximity to major regional medical facilities.
Are there remote paramedic jobs in Maryland?
Yes, but they're rare. About 11% of paramedic openings tied to Maryland are remote or hybrid as of August 2026, reflecting how fundamentally hands-on and scene-response-driven the role is. The segments most likely to offer any remote component are EMS education and training coordinator roles, quality improvement positions, and telehealth triage support functions within larger hospital systems.
How can I get hired as a paramedic in Maryland with little or no experience?
The most realistic entry path is completing a MIEMSS-approved paramedic training program and applying to county fire-rescue recruit classes or hospital-based EMS services that accept newly certified paramedics alongside career firefighters. The University of Maryland Medical System and Johns Hopkins Health System both operate structured onboarding tracks for early-career clinicians. Candidates coming from an EMT-Basic or EMT-Intermediate background have a clear lateral advantage, and holding a current NREMT card before applying puts any new-grad ahead of uncredentialed applicants.
Where can I find and apply to paramedic jobs in Maryland?
You can find and apply to paramedic jobs in Maryland on Migrate Mate, which lists current openings tied to Maryland employers. Search the roles available, identify the ones that match your certification level and specialty, and apply directly to whichever positions fit your background and schedule.
See All 26 Paramedic Jobs in Maryland
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