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How much do ambulance service director jobs pay per year?

As of Aug 17, 2026, the average yearly pay for ambulance service director in the United States is $112,121.00, according to ZipRecruiter salary data. Most workers in this role earn between $85,000.00 and $133,500.00 per year, depending on experience, location, and employer.

What does an ambulance service director do?

An Ambulance Service Director oversees all operations of an ambulance service, ensuring high-quality emergency medical care and efficient transportation for patients. They manage staff, budgets, compliance with regulations, and strategic planning to improve service delivery. The director also coordinates with hospitals, emergency responders, and government agencies to maintain effective emergency response systems. Their role is crucial in ensuring that ambulance services run smoothly, safely, and in accordance with healthcare standards.

What are the key skills and qualifications needed to thrive as an ambulance service director?

To thrive as an Ambulance Service Director, you need strong leadership abilities, in-depth knowledge of emergency medical services (EMS) operations, and typically a background as a licensed paramedic or EMT, often supported by a bachelor's degree in healthcare or management. Familiarity with EMS dispatch software, budgeting tools, and compliance regulations such as HIPAA is essential. Outstanding communication, crisis management, and decision-making skills distinguish top performers in this role. These capabilities are crucial for ensuring efficient emergency response, regulatory compliance, and the well-being of both patients and staff.

What are some common challenges faced by an ambulance service director in managing emergency response teams?

As an Ambulance Service Director, one of the primary challenges is ensuring timely response to emergencies while balancing staff schedules, resource allocation, and vehicle maintenance. Directors must also navigate regulatory compliance, oversee continuing education for EMTs and paramedics, and manage communication between field teams and hospital partners. Building strong team morale and addressing high-stress situations are crucial for maintaining performance and staff retention in this demanding environment.

What is the difference between Ambulance Service Director vs Emergency Medical Services (EMS) Coordinator?

AspectAmbulance Service DirectorEMS Coordinator
Required CredentialsEMT-P, paramedic license, management experienceEMT-B or paramedic certification, some management training
Work EnvironmentOversees entire ambulance service, administrative and operational rolesCoordinates EMS programs, training, and community outreach
Employer & Industry UsageAmbulance services, emergency response agenciesEMS agencies, hospitals, public health departments
Search & Comparison IntentUnderstanding leadership roles in ambulance servicesManaging EMS programs and community health initiatives

The Ambulance Service Director typically oversees the entire ambulance operation, including staffing, compliance, and strategic planning, requiring management experience and advanced certifications. The EMS Coordinator focuses on program coordination, training, and community outreach within EMS agencies. Both roles are vital in emergency medical services but differ mainly in scope and responsibilities.

What cities are hiring for Ambulance Service Director jobs?

Cities with the most Ambulance Service Director job openings:

What states have the most Ambulance Service Director jobs?

States with the most job openings for Ambulance Service Director jobs include:

Ambulance Service Director jobs near you
Infographic showing various Ambulance Service Director job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, and 3% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $112,121 per year, or $53.9 per hour.

Paramedic- Full Time

Excelsior Ambulance Service Inc

Lake City, FL • On-site

$24.38 - $34.40/hr

Full-time

Medical, Dental, Vision, Life, PTO

Re-posted 29 days ago

Job description

Job Title

Paramedic

Location

Charleston, SC

Department

Operations

Status

Non-Exempt/Hourly

Reports to

Area Manager

SUMMARY: Under the direction of the Division Manager, the Paramedic will perform duties associated with providing emergency medical care to the sick and injured in accordance with all applicable laws, regulations, and Excelsior Ambulance Service policies.

Responsibilities:

  • Assess each call situation to determine the best course of action while working with progressive Paramedic protocols.
  • Utilize your Paramedic skills on medical equipment and procedures including defibrillator, EKG monitor, oxygen and suction devices, and intravenous fluids to provide advanced medical care.
  • Document patient information, condition and treatment while maintaining confidentiality and patient rights.
  • Communicate with patients and loved ones to provide information and assurance that care is being given.
  • Act as Paramedic team leader and take responsibility for the scene and unit management as needed.
  • Drive the ambulance on emergency responses.
  • Work collaboratively and in a professional manner with all allied health and public safety personnel as well as your fellow Paramedics.

Physical Requirements:

The following physical demands are essential job functions and must be performed by all employees in this role, with or without reasonable accommodation. These requirements are fundamental to the safe and effective performance of duties and are necessary to meet operational and patient safety standards.

  • Ability to frequently lift and/or move up to 180 pounds and occasionally lift and/or move up to 300 pounds with assistance from others.
  • Ability to push and pull a minimum of 50 pounds.
  • Ability to sit, stand, and remain in continuous control of a vehicle and/or patient compartment for long periods (3+ hours) without unscheduled stops.
  • Ability to perceive and respond to auditory and visual cues necessary for safe patient transport, vehicle operation, and communication.
  • Ability to remain alert and attentive for extended periods necessary for safe patient and crew transport.
  • Ability to safely assist with patient movement, including lifting, dragging, hoisting, rolling, sliding, and carrying, using proper body mechanics and patient-handling equipment.
  • Ability to successfully pass the Physical Agility Test and any periodic or post-incident fitness-for-duty evaluations required to verify the ability to perform essential job functions.
  • Good physical stamina, endurance, and overall body condition, not adversely affected by walking, standing, lifting, carrying, and balancing as required by the position.

Other Responsibilities:

  • Participate in community programs to maintain Excelsior Ambulance Service’s image and establish strong community relations.
  • Follow all Excelsior Ambulance Service safety procedures, including proper use of patient-handling equipment and team lifting techniques.
  • Immediately report any injury, illness, or condition — whether work-related or not — that may affect the ability to safely perform essential job functions.
  • Comply with all company policies, procedures, and operational protocols.

Minimum Required Qualifications:

  • At least 20 years of age
  • High school diploma or equivalent (GED)
  • State Paramedic License
  • State Driver’s License
  • BLS, PALS, ACLS, NREMT-Paramedic (SC & AL)
  • Driving record in compliance with company policy
  • Pass Physical Agility Test
  • Some work experience, preferably in healthcare

Benefits:

At Excelsior Ambulance Service, we value our employees and offer a comprehensive benefits package, including:

Medical Insurance:

  • $0 premium for employee-only coverage
  • Family and dependent coverage options available.
  • Routine preventive care covered at 100%.
  • Virtual doctor visits (Teladoc) for a $30 copay.
  • Urgent care and emergency room coverage.
  • MinuteClinic Access (CVS & Target)
  • Prescription Drug Plan
  • HeathJoy Healthcare Concierge Services

Additional Benefits:

  • Dental Insurance
  • Vision Insurance
  • Voluntary Life & Accidental Death and Dismemberment
  • Work-Life Employee Assistance Program (EAP)
  • Hospital Indemnity coverage
  • Critical illness coverage
  • 11 paid holidays (whether you work them or not)
  • 80 hours of paid time-off

Continuing Education Benefit:

  • Our Education Director schedules and provides 100% of the continuing education units (CEUs) required for medical personnel to renew their certifications.

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