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18D Jobs (NOW HIRING)

UG Solutions

Austere Medic

SOCM, 18D, SOIDC/SARC, PJ/Pararescue • Advanced Providers: Physician Assistants (PA), Nurse Practitioners (NP), or Physicians (DO/MD) All candidates must have significant tactical/operational field ...

Aspire Talent Solutions

Quality Engineer

Clarksville, TN

$62.60K - $80.90K/yr

APQP / Control plants / Flow charts 18D / Inspection plans. Duties Act as a technical resource for manufacturing by providing quality expertise to assist with development of APQP documentation. This ...

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Affinity Executive Search

Quality Engineer

Clarksville, TN

$62.60K - $80.90K/yr

APQP / Control plants / Flow charts 18D / Inspection plans. Why is This a Great Opportunity: Perks: * Join a world leader in HVAC components. * This is an immediate opening. * Full relocation package ...

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Phoenix Defense

INSTRUCTOR OPERATOR

Sparta, WI · On-site

A former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) graduate). * A former Navy Enlisted Classification (NEC) 8404 or Navy Independent Duty Corpsman E-6 or above. * A former ...

Navstar

Tactical Paramedic - OCONUS

Destin, FL

Five or more (5+) years of experience in Special Operations Medicine as an 18D * Certified as a Nationally Registered Paramedic, Special Operations Advance Tactical Paramedic (SO-ATP), and/or State ...

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How much do 18d jobs pay per hour?

As of May 28, 2026, the average hourly pay for 18d in the United States is $67.39, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $129.57 per hour, depending on experience, location, and employer.

What is an 18D job?

An 18D, or Special Forces Medical Sergeant, is a highly trained medic in the U.S. Army Special Forces (Green Berets). They provide advanced medical care in combat and austere environments, including trauma management, surgical procedures, and disease treatment. 18Ds also train foreign forces in medical techniques and are skilled in field medicine, veterinary care, and dentistry. Their extensive training includes the Special Operations Combat Medic Course (SOCM) and other specialized medical instruction. This role is critical to the success and survival of Special Forces teams operating in remote or hostile areas.

What are the key skills and qualifications needed to thrive in the 18D position, and why are they important?

To thrive as an 18D, or Special Forces Medical Sergeant, you need advanced medical training, strong tactical skills, and completion of the Special Forces Qualification Course. Proficiency with field medical equipment, trauma management, and military communication systems is essential, as well as certifications like NREMT-Paramedic. Exceptional problem-solving skills, calmness under pressure, and the ability to lead and work well in small teams are highly valued soft skills. These abilities are critical to providing lifesaving care in challenging, austere environments and ensuring the operational effectiveness of Special Forces teams.

What kind of environments and work schedule can I expect as an 18D (Special Forces Medical Sergeant)?

As an 18D, you will often work in dynamic and unpredictable environments, from deployed field missions in remote locations to garrison settings for training and preparation. Your schedule can be highly irregular and may involve long periods away from home, including extended training exercises and deployments. You’ll be an integral part of a small Special Forces team, collaborating closely with others not only in medical care but also in mission planning and execution. Flexibility and readiness to adapt to rapidly changing conditions are key aspects of the role. This diverse experience can open doors to a wide array of advancement opportunities in both military leadership and specialized medical fields.

What is a 18D job in the military?

An 18D in the military is a Special Forces Medical Sergeant responsible for providing advanced medical care in combat and operational environments. They are trained in trauma management, emergency medicine, and tactical combat casualty care, often working closely with special operations units. Certification through military medical training programs is required for this role.
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18D jobs near you
Infographic showing various 18D job openings in the United States as of May 2026, with employment types broken down into 89% Full Time, 10% Part Time, and 1% Temporary. Highlights an 100% Physical job distribution, with an average salary of $140,169 per year, or $67.4 per hour.
INSTRUCTOR OPERATOR PARAMEDIC

INSTRUCTOR OPERATOR PARAMEDIC

Phoenix Defense

Fort Carson, CO • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Job description

At Phoenix Defense, our team members have incredible opportunities to work on state-of-the-art modeling and simulation programs that prepare the nation's armed forces to protect and serve our country and allies throughout the world. We look for people who have bold new ideas, courage, and an entrepreneurial spirit to join forces to create the future while having fun along the way. Our culture thrives on intellectual curiosity, cognitive diversity and bringing your whole self to work - and we have an insatiable drive to do what others think is impossible. With every job we fill, our focus is on providing best in class service to our customers while offering the opportunity for professional growth in a rewarding and innovative work environment. We have an exciting opportunity for a highly motivated professional to fill the position of Instructor Operator Paramedic.
WHAT YOU WILL DO:
As the Instructor Operator Paramedic, responsibilities will include but may not be limited to:
  • Ensure that training courses address all levels of students.
  • Capable of instructing, demonstrating skills and testing Soldiers in all areas of the 68W Sustainment, EMT, and NREMT Nationally Registered Paramedic (NRP) level in support of EMT Sustainment Course, as well as CLS courses. All I/Os must meet the minimum Instructor qualifications for course they instruct.
  • Comfortable instructing a mixed population of Soldiers, both inexperienced and seasoned, in class sizes not to exceed the instructor /student ratios as directed by the AMEDDC&S.
  • Work with the training unit to assist the unit in preparing for training to include equipment use, preparation and clean up.
  • Possess presentation skills to train and educate students/ employees on technical material and applications.
  • Remain informed of and must maintain proficiency with applicable company products.
  • Ability to take inventory and manage consumable items (skins, synthetic blood, etc.) along with the Preventive Maintenance Checks & Services (PMCS) Kits.
  • Perform PMCS (daily maintenance) on all equipment.
  • Maintain high level of confidentiality regarding student/ employee information.
  • Work independently and as part of a team.

ABOUT YOU:
  • I/Os shall be current in and maintain Nationally Registered Paramedic certification.
  • I/Os shall comply with one of the following requirements:
    • A former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) graduate).
    • A former Navy Enlisted Classification (NEC) 8404 or Navy Independent Duty Corpsman E-6 or above.
    • A former Air Force 4NOX1, or an Aerospace Medical Service (4NOX1) E-6 or above.
    • Currently licensed Registered Nurse, Physician Assistant or Physician.
  • Must maintain Basic Life Support-Health Care Provider (BLS-HCP) certification.
  • Must complete TC 8-800 (all tables) or the most current TC3 instructor course offered by the Army Medical Department (AMEDD). All I/Os must complete TC 8-800 skills validation annually.
  • I/Os must possess comprehension skills for understanding the course material and be able to apply knowledge to the presentations.
  • I/Os must be familiar with computers and possess basic Microsoft Office suite skills.
  • Knowledge of staff positions required to establish and operate program site codes, training centers, etc.
  • Must be a U.S. citizen and able to obtain and be eligible to obtain a Contractor CAC.

PREFERRED QUALIFICATIONS:
  • Current NRP certification.
  • Combat experience is preferred, especially in the medical specialties of: 68W, 18D, NEC 8404, or 4NOX1.
  • Current provider and/or instructor level certification in, but not limited to: PALS, ALS, ACLS, PHTLS, and ITLS.
  • Prior experience in instructing and education methodology.
  • Communication skills to read, write, and follow local training procedures.
  • Interpersonal skills for instructing all levels of students and working in a team.
  • Ability and desire to actively pursue learning opportunities to learn the latest skills and techniques in the emergency medical field.

BENEFITS
  • 401K
  • Medical, dental, vision, and life insurance
  • Accrued PTO and 10 paid holidays
  • Tuition assistance for professional growth

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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