Paramedic Jobs in Texas

Paramedic jobs in Texas are among the most active in the country, with strong demand from emergency medical services agencies, fire departments, hospital-based transport programs, and private ambulance companies serving a market that includes entry-level EMT-to-paramedic transitions through senior flight and critical care roles. Houston, Dallas-Fort Worth, and San Antonio drive the highest volume of openings, where established employers like ACADIAN Ambulance, AMR (American Medical Response), and Houston Fire Department maintain consistent hiring pipelines. The most in-demand specialties are critical care transport, flight paramedicine, and community paramedicine. Find a role that fits below and apply directly.

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Overview

Open roles181+
Top employerAcadian Ambulance Service
Top cityHouston, TX
Cities hiring105
Work type97% On-site
Top industryHealthcare

Showing 5 of 181+ Paramedic jobs

CSL Plasma
Paramedic
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CSL Plasma
Added 1d ago
Paramedic
CSL Plasma
Houston, Texas
Business Strategy
Corporate Development & M&A
Executive Leadership & C-Suite
EMT Certification
10,000+

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Methodist Health System
EMT - Paramedic - Nights
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Methodist Health System
Added 1d ago
EMT - Paramedic - Nights
Methodist Health System
Dallas, Texas
Healthcare Administration
Patient Services & Wellbeing
Public Health
PALS Certification
10,000+

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Methodist Health System
Paramedic - MLEU Prosper - PRN/Days
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Methodist Health System
Added 1d ago
Paramedic - MLEU Prosper - PRN/Days
Methodist Health System
Prosper, Texas
Healthcare Administration
Patient Services & Wellbeing
Public Health
BLS Certification
10,000+

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Sacred Cross EMS
Paramedic - EMT-P
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Sacred Cross EMS
Added 1d ago
Paramedic - EMT-P
Sacred Cross EMS
Krum, Texas
Healthcare Administration
Patient Services & Wellbeing
Public Health
$70k - $77k/yr
On-Site
First Responder Certification
51-200

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St. David's HealthCare
Paramedic ED
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St. David's HealthCare
Added 1d ago
Paramedic ED
St. David's HealthCare
Round Rock, Texas
Corporate Training
Corporate Training & Learning Development
Teaching & Instruction
5,001-10,000

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Paramedic Jobs by City in Texas

Where Texas roles are concentrated, by current openings.

Austin
8 jobs
San Antonio
8 jobs
Dallas
7 jobs
Beaumont
5 jobs
Katy
4 jobs
McKinney
4 jobs
Fort Worth
4 jobs
Corpus Christi
4 jobs

Paramedic Job Market in Texas

A snapshot from current Texas openings, updated as new roles post.

Who's Hiring

  • Acadian Ambulance Service
    Acadian Ambulance Service24
  • Allegiance Mobile Health
    Allegiance Mobile Health15
  • CSL Plasma
    CSL Plasma10
  • Biolife Plasma Services
    Biolife Plasma Services10
  • CHRISTUS Health
    CHRISTUS Health9

Top Industries Hiring

  • Healthcare & Medical Services38
  • Biotechnology & Pharmaceuticals2
  • Consulting & Professional Services2
  • Staffing & Recruiting1

What Texas Employers Look For

The qualifications that appear most often in paramedic jobs across Texas.

  • Active Texas Department of State Health Services paramedic license required
  • Current National Registry of Emergency Medical Technicians certification required
  • Valid Texas driver's license with a clean driving history required
  • Current CPR and ACLS certification from AHA or equivalent required
  • Minimum of one to two years of field EMS experience preferred
  • Ability to pass a background check, drug screen, and physical assessment

Paramedic Jobs in Texas: Frequently Asked Questions

How do you become a paramedic in Texas?

To become a paramedic in Texas, you must complete a state-approved paramedic education program and pass the National Registry of Emergency Medical Technicians cognitive and psychomotor exams, then apply for licensure through the Texas Department of State Health Services. Most programs require you to already hold an EMT certification before enrolling. Community colleges across Texas, including many in Houston, Dallas, and San Antonio, offer accredited paramedic programs that meet state requirements.

How much do paramedics make in Texas?

Paramedics in Texas earn a median of about $57,500 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $41,030 for the lowest 10% to over $77,700 for the top 10%. Pay rises with experience, specialty, and employer.

Which companies hire paramedics in Texas?

Employers hiring paramedics in Texas right now include Acadian Ambulance Service, Allegiance Mobile Health, and CSL Plasma, based on current listings on Migrate Mate as of August 2026. Texas's large geography and mix of urban, suburban, and rural communities means both private EMS contractors and county-based emergency services agencies maintain ongoing hiring needs throughout the state.

Which Texas cities have the most paramedic jobs?

Houston, Austin, and San Antonio have the most paramedic openings in Texas right now. Houston leads because of its size, major trauma centers, and the density of hospital-based and private transport programs operating across Harris County, while Dallas-Fort Worth and San Antonio generate consistent demand through large municipal fire-EMS systems and regional hospital networks anchored by major health systems serving millions of residents.

Are there remote paramedic jobs in Texas?

Yes, but they're rare. Paramedic work is inherently hands-on and field-based, so the vast majority of openings require on-site or in-vehicle presence. About 3% of paramedic openings tied to Texas are remote or hybrid as of August 2026, and those positions tend to be in EMS education, clinical coordination, or medical billing roles that draw on paramedic credentials rather than active patient care.

How can I get hired as a paramedic in Texas with little or no experience?

The most realistic entry path is completing your Texas DSHS paramedic license and applying to new-graduate hiring cohorts at large private EMS providers like AMR or ACADIAN Ambulance, both of which staff across Texas and bring on newly licensed paramedics with structured field training programs. Volunteering with a local fire department or rural EMS district while you complete your program builds documented patient contact hours that hiring managers look for. Starting in an EMT-Basic or EMT-Advanced role at a hospital or municipal agency and requesting an internal upgrade pathway is another route that employers in Austin, Houston, and San Antonio commonly support.

Where can I find and apply to paramedic jobs in Texas?

You can find and apply to paramedic jobs in Texas on Migrate Mate, which lists current openings from employers hiring across the state. Find roles that fit your credentials and location and apply directly to each one.

See All 181+ Paramedic Jobs in Texas

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