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18D Jobs (NOW HIRING)

OT Training Solutions LLC

$55K - $72K/yr

Required Qualifications Applicant must be one of the following: o Former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) Graduate o Former Navy Enlisted Classification (NEC ...

OT Training Solutions LLC

MN · On-site

$53K - $70K/yr

Required Qualifications • Applicant must be one of the following: o Former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) Graduate o Former Navy Enlisted Classification (NEC ...

OT Training Solutions LLC

Instructor/Operator

Fort Drum, NY · On-site

$52K - $68K/yr

Required Qualifications • Applicant must be one of the following: o Former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) Graduate o Former Navy Enlisted Classification (NEC ...

OT Training Solutions LLC

Instructor/Operator

San Antonio, TX · On-site

$51K - $67K/yr

Required Qualifications Applicant must be one of the following: o Former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) Graduate o Former Navy Enlisted Classification (NEC ...

OT Training Solutions LLC

Instructor/Operator

Debary, FL · On-site

$49K - $64K/yr

Applicant must be one of the following: o Former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) Graduate o Former Navy Enlisted Classification (NEC) 8404 o Navy Independent ...

OT Training Solutions LLC

Instructor/Operator

Fort Dix, NJ · On-site

$59K - $78K/yr

Required Qualifications • Applicant must be one of the following: o Former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) Graduate o Former Navy Enlisted Classification (NEC ...

OT Training Solutions LLC

Instructor/Operator

Shelby, MS · On-site

$58K - $77K/yr

Applicant must be one of the following: o Former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) Graduate o Former Navy Enlisted Classification (NEC) 8404 o Navy Independent ...

OT Training Solutions LLC

Instructor/Operator

Wainwright, AK · On-site

$66K - $87K/yr

Required Qualifications • Applicant must be one of the following: o Former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) Graduate o Former Navy Enlisted Classification (NEC ...

OT Training Solutions LLC

Instructor/Operator

Fort Riley, KS · On-site

$53K - $69K/yr

Required Qualifications • Applicant must be one of the following: o Former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) Graduate o Former Navy Enlisted Classification (NEC ...

OT Training Solutions LLC

Instructor/Operator

Shelby, MS · On-site

$58K - $77K/yr

Required Qualifications • Applicant must be one of the following: o Former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) Graduate o Former Navy Enlisted Classification (NEC ...

OT Training Solutions LLC

Instructor/Operator

Columbus, GA · On-site

$50K - $66K/yr

Required Qualifications Applicant must be one of the following: o Former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) Graduate o Former Navy Enlisted Classification (NEC ...

OT Training Solutions LLC

Instructor/Operator

Fort Drum, NY · On-site

$52K - $68K/yr

Required Qualifications Applicant must be one of the following: o Former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) Graduate o Former Navy Enlisted Classification (NEC ...

OT Training Solutions LLC

Instructor/Operator

Fort Bliss, TX · On-site

$52K - $68K/yr

Required Qualifications • Applicant must be one of the following: o Former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) Graduate o Former Navy Enlisted Classification (NEC ...

OT Training Solutions LLC

$56K - $73K/yr

Applicant must be one of the following: o Former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) Graduate o Former Navy Enlisted Classification (NEC) 8404 o Navy Independent ...

OT Training Solutions LLC

Instructor/Operator

San Antonio, TX · On-site

$51K - $67K/yr

Required Qualifications • Applicant must be one of the following: o Former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) Graduate o Former Navy Enlisted Classification (NEC ...

OT Training Solutions LLC

Instructor/Operator

Fort Ripley, MN · On-site

$55K - $72K/yr

Applicant must be one of the following: o Former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) Graduate o Former Navy Enlisted Classification (NEC) 8404 o Navy Independent ...

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18D information

See salary details

$5

$67

$141

How much do 18d jobs pay per hour?

As of Aug 11, 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 are the key skills and qualifications needed to thrive as an 18D, 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?

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 an 18D?

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.

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18D jobs near you
Infographic showing various 18D job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 73% Full Time, 19% Part Time, 6% Temporary, and 1% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $140,169 per year, or $67.4 per hour.

Instructor/Operator

OT Training Solutions LLC

On-site

$55K - $72K/yr

Full-time

Re-posted 26 days ago

Job description

Description

MIOSS Instructor/Operator

This opportunity is contingent upon contract award.

Camp Ripley

Job Type

Full-time

Description

The Instructor/Operator (I/O) shall provide support of mission support services that develop and use advanced learning technologies and methodologies to improve medical education and training for healthcare teams and patients for the purpose of improving healthcare options.


Job Functions and Responsibilities

Conduct instruction on the following training and certification courses:

o Basic Life Support (BLS) recertification and instructor certification

o Pre-Hospital Trauma Life Support (PHTLS)

o Advanced Life Support (ALS)

o Pediatric Advanced Life Support (PALS)

o Tactical Combat Casualty Care (TCCC) Provider/Instructor Courses or Other Courses as required

o TC 8-800 Sustainment Training

o Instruct CLS IAW Deployed Medicine Guidelines

o CLS recertification and training/validation

Operate MSTC Training Devices in support of 68W led sustainment training, TC 8-800 validation, and all TC3 Tiers.

Utilize cadavers in MEDCoE approved Programs of Instruction

Conduct 68W NCO Train the Trainer Training

Conduct all other medical Just-In-Time Training (JITT) within MSTC capabilities properly approved by appropriate medical proponent.

Serve as primary and/or alternate program director and/or program administrator with the current credentialing authority, where no Government personnel are available to fill the role.

Provide training certification instruments (cards, certification numbers, for completion of training)

Maintain I/O instructor credentials for courses provided

Provide administrative support as required.


Required Qualifications

Applicant must be one of the following:

o Former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) Graduate

o Former Navy Enlisted Classification (NEC) 8404

o Navy Independent Duty Corpsman (E-6 or above)

o Former Air Force 4NOX1

o Former Aerospace Medical Service (4NOX1) E-6 or above

o Currently licensed Registered Nurse, Physician Assistant, or Physician

Possess and maintain National Registry Emergency Medical Technician (NREMT) with a level of Emergency Medical Technician (EMT) or higher from a medically credentialed certified instructor.

Must maintain Basic Life Support (BLS) certification (via American Red Cross/other accredited certifying agency equivalents)

NREMT Certified and current Emergency Medical Technician (EMT)

Must complete all tables of Training Circular (TC) 8-800, Medical Education and Demonstration of Individual Competence (MEDIC) on an annual basis

Comply with BLS Instructor certification requirement.

Certifications highly preferred: NREMT Certified and current National Registered Paramedic (NRP), Advanced Life Support (ALS) Instructor certification

Familiar with computers; possess basic Microsoft Office suite skills.

U.S. citizen, ability to obtain Contractor CAC.

Secret Security clearance preferred.

Capable of instructing a mixed population of Soldiers, both inexperienced and seasoned.

Ability to conduct training in classroom or a field training/evaluation environment.


Disclaimer

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills?required of?personnel so classified. All personnel may?be required?to perform duties outside of their normal responsibilities from time to time, as needed, and perform special projects as assigned.


OT Training Solutions, LLC is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status or disability status.


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