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Ambulance Pilot Jobs (NOW HIRING)

OSF HealthCare

Air Ambulance Pilot SPIFR EC145

Peru, IL · On-site

$93.12 - $117.79/hr

Expected pay for Commercial Instrument Pilot position is $93,122 - $109,554/year. Actual pay will be determined by experience, skills and internal equity. This is a salaried position. Expected pay ...

Total Aviation Staffing, LLC

IFR Pilot

London, KY · On-site

$100K/yr

Conduct Helicopter Air Ambulance (HAA) operations in accordance with CAMTS guidelines. * Serve as Pilot-in-Command (Captain) flying the EC135 SPIFR/NVG aircraft. * Perform line pilot duties in ...

Imh

Rotor Wing Pilot in Command

Waupaca, WI

$46.24 - $72.80/hr

As an Air Ambulance Pilot, you are the critical link in delivering rapid, life-saving transportation for patients in need. Your expertise ensures the safety of the medical team and patients during ...

Intermountain Health

Rotor Wing Pilot in Command

Elko, NV · On-site

$46.24 - $72.80/hr

As an Air Ambulance Pilot, you are the critical link in delivering rapid, life-saving transportation for patients in need. Your expertise ensures the safety of the medical team and patients during ...

Intermountain Health

Rotor Wing Pilot in Command

Ely, NV · On-site

$46.24 - $72.80/hr

As an Air Ambulance Pilot, you are the critical link in delivering rapid, life-saving transportation for patients in need. Your expertise ensures the safety of the medical team and patients during ...

Imh

Rotor Wing Pilot in Command

Neenah, WI · On-site

$46.24 - $72.80/hr

As an Air Ambulance Pilot, you are the critical link in delivering rapid, life-saving transportation for patients in need. Your expertise ensures the safety of the medical team and patients during ...

Intermountain Health

Rotor Wing Pilot in Command

Elko, NV · On-site

$46.24 - $72.80/hr

As an Air Ambulance Pilot, you are the critical link in delivering rapid, life-saving transportation for patients in need. Your expertise ensures the safety of the medical team and patients during ...

Intermountain Health

Rotor Wing Pilot in Command

Neenah, WI · On-site

$46.24 - $72.80/hr

As an Air Ambulance Pilot, you are the critical link in delivering rapid, life-saving transportation for patients in need. Your expertise ensures the safety of the medical team and patients during ...

Intermountain Health

Rotor Wing Pilot in Command

Ely, NV · On-site

$46.24 - $72.80/hr

As an Air Ambulance Pilot, you are the critical link in delivering rapid, life-saving transportation for patients in need. Your expertise ensures the safety of the medical team and patients during ...

Intermountain Health

Rotor Wing Pilot in Command

Neenah, WI · On-site

$46.24 - $72.80/hr

As an Air Ambulance Pilot, you are the critical link in delivering rapid, life-saving transportation for patients in need. Your expertise ensures the safety of the medical team and patients during ...

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Ambulance Pilot information

See salary details

$49.5K

$130.9K

$201K

How much do ambulance pilot jobs pay per year?

As of Aug 22, 2026, the average yearly pay for ambulance pilot in the United States is $130,916.00, according to ZipRecruiter salary data. Most workers in this role earn between $100,000.00 and $155,000.00 per year, depending on experience, location, and employer.

What is an ambulance pilot?

Ambulance pilots are specialized pilots who operate aircraft, such as helicopters or planes, that are equipped for emergency medical services (EMS). Their primary role is to transport critically ill or injured patients quickly and safely to medical facilities, often in coordination with medical teams. Ambulance pilots must have advanced flying skills, knowledge of medical transport protocols, and the ability to work in high-pressure situations. They commonly work for hospitals, air ambulance companies, or government agencies and are essential for providing rapid medical response in emergencies, especially in remote or hard-to-reach areas.

What are the key skills and qualifications needed to thrive as an ambulance pilot, and why are they important?

To thrive as an Ambulance Pilot, you need a commercial pilot’s license, strong aviation skills, emergency medical transport experience, and a thorough knowledge of aviation regulations. Familiarity with navigation systems, radio communication equipment, and specialized air ambulance aircraft is critical, and certifications such as an instrument rating and possibly a Helicopter Air Ambulance (HAA) certification are often required. Superior decision-making, composure under pressure, and excellent teamwork and communication skills help ensure the safety and coordination of medical transport missions. These skills and qualifications are essential for providing safe, efficient, and timely air transport for critically ill or injured patients.

What are some common challenges faced by ambulance pilots during emergency medical flights?

Ambulance pilots often encounter challenges such as unpredictable weather conditions, flying at odd hours, and landing at remote or poorly equipped sites. They must balance the urgency of patient care with strict safety protocols, often making quick decisions in high-pressure situations. Additionally, close coordination with medical teams and ground control is essential to ensure smooth patient handovers and mission success.

What is the difference between Ambulance Pilot vs Emergency Medical Services (EMS) Driver?

AspectAmbulance PilotEMS Driver
CertificationsCommercial Driver's License (CDL), specialized ambulance pilot trainingCDL, basic emergency vehicle operation training
Work EnvironmentOperate ambulances, often in emergency situationsDrive emergency vehicles, support EMS teams
Employer & IndustryAmbulance services, hospitals, emergency response agenciesAmbulance services, fire departments, hospitals

Ambulance Pilots primarily operate ambulances, often requiring specialized pilot training and certifications, focusing on navigating emergency scenes. EMS Drivers support emergency medical teams by driving ambulances and ensuring quick response times. While both roles involve driving emergency vehicles, Ambulance Pilots typically have more specialized training and responsibilities related to vehicle operation in complex situations.

Are ambulance pilots in demand?

Ambulance pilots are in demand in regions with growing emergency medical services, especially where specialized helicopter or air ambulance operations are expanding. The job requires specific certifications and experience in aviation and emergency response, which can influence employment opportunities. Overall, demand depends on regional healthcare infrastructure and transportation needs.

Do air ambulance pilots get paid?

Air ambulance pilots are typically paid a salary that varies based on experience, location, and employer. They often work irregular hours and may receive additional compensation for night shifts or emergency responses. Certification and flight hours are important factors influencing their pay scale.

How do I become an ambulance pilot?

To become an ambulance pilot, you typically need a commercial pilot license with rotorcraft or fixed-wing ratings, depending on the aircraft used, along with specific medical certifications. Experience flying in emergency or medical transport environments is also valuable, and additional training in emergency procedures and navigation is often required.

What cities are hiring for Ambulance Pilot jobs?

Cities with the most Ambulance Pilot job openings:

What states have the most Ambulance Pilot jobs?

States with the most job openings for Ambulance Pilot jobs include:

Ambulance Pilot jobs near you
Infographic showing various Ambulance Pilot job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 89% Full Time, 8% Part Time, and 1% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $130,916 per year, or $62.9 per hour.

Air Ambulance Rotor-Wing Pilot (In Command) (Lander)

Coastal Elite Pro

Lander, WY • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Coastal Elite Pro seeks an Air Ambulance Pilot to provide rapid medical transport by helicopter, ensuring FAA compliance and safe operation. You will plan flights around weather, weight, and fuel, collaborating with medical staff and dispatch to execute missions efficiently.

The role requires 2,000+ helicopter hours, cross-country, night and instrument experience, plus the ability to perform inspections and meet FAA medical standards.

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