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Tactical Paramedic Jobs (NOW HIRING)

Paramedic

Ann Arbor, MI · On-site

$60 - $80/hr

Our paramedics typically work 12 or 24-hour shifts and provide both emergent and non-emergent ... tactical EMS, and bicycle medic teams. Requirements * Applicants must be at least 18 years of age

Our paramedics typically work 12 or 24-hour shifts and provide both emergent and non-emergent ... tactical EMS, and bicycle medic teams. Requirements * Applicants must be at least 18 years of age

Our paramedics typically work 12 or 24-hour shifts and provide both emergent and non-emergent ... tactical EMS, and bicycle medic teams. Requirements * Applicants must be at least 18 years of age

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How much do tactical paramedic jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for tactical paramedic in the United States is $26.36, according to ZipRecruiter salary data. Most workers in this role earn between $21.15 and $29.33 per hour, depending on experience, location, and employer.

What is a tactical paramedic?

A Tactical Paramedic is a specially trained emergency medical provider who works alongside law enforcement, military, or specialized response teams in high-risk environments. They provide immediate medical care in critical situations such as active shooter incidents, hostage rescues, and disaster response. Tactical Paramedics undergo additional training in tactical movement, advanced trauma care, and working under hostile conditions. Their primary goal is to stabilize and evacuate injured individuals while ensuring the safety of the team.

What skills and qualifications are needed to be a tactical paramedic?

To thrive as a Tactical Paramedic, you need advanced medical knowledge, proficiency in trauma care under pressure, and physical fitness, usually supported by paramedic certification and additional tactical emergency medical training. Familiarity with tactical medical kits, communication devices, and specialized rescue equipment is essential, along with certifications such as PHTLS (Prehospital Trauma Life Support) and TECC (Tactical Emergency Casualty Care). Exceptional situational awareness, stress management, quick decision-making, and teamwork are crucial soft skills in this dynamic environment. These abilities are vital for providing life-saving medical support in high-risk situations while ensuring the safety and effectiveness of the team.

What teams or agencies do tactical paramedics typically work with?

Tactical Paramedics commonly work alongside law enforcement SWAT units, fire departments, and federal or military response teams, often as an integral part of tactical operations. In these settings, they operate closely with officers and other first responders, providing immediate medical care during high-risk incidents such as active shooter situations or search and rescue missions. Teamwork is highly structured and relies on clear communication, mutual trust, and a shared understanding of operational goals. As a Tactical Paramedic, you play a critical liaison role, coordinating medical response plans and ensuring the safety of all team members during missions.

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Infographic showing various Tactical Paramedic job openings in the United States as of August 2026, with employment types broken down into 96% Full Time, 3% Part Time, and 1% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $54,832 per year, or $26.4 per hour.

Tactical Paramedic

Allegiance Mobile Health

San Antonio, TX • On-site

$60 - $80/hr

Other

Posted 18 days ago


Allegiance Mobile Health rating

3.9

Company rating: 3.9 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

896th of 898 rated healthcare providers


Job description

Allegiance Mobile Health of San Antonio, TX and Bexar Co 911 is looking to hire Tactical Paramedics. The Tactical Paramedic position with Allegiance Mobile Health demands exceptional physical and mental resilience. Joining this elite team is not a decision to be taken lightly. As a tactical paramedic, you will face challenges far beyond the scope of conventional pre-hospital care. The Allegiance Special Operations Medical Support Team exists to provide local, state, and federal law enforcement with highly trained paramedics who are equipped to operate effectively in high-risk environments. These scenarios include, but are not limited to, active shooter incidents, high-risk warrant executions, hostage situations, or any operation deemed too dangerous for standard EMS personnel.

Please note that previous tactical team experience DOES NOT guarantee a position on the team

QUALIFICATIONS AND REQUIREMENTS FOR MEDICAL SUPPORT TEAM (TACTICAL PARAMEDIC) ESSENTIAL DUTIES AND RESPONSIBILITIES:
  1. Paramedic certification from DSHS for a minimum of 3 years
    • Prior military/law enforcement may be considered for paramedic experience
  2. Fully credentialed at the tactical paramedic level for 1 year by Allegiance Mobile Health's Central Region Medical Director
  3. Able to pass all required physical fitness requirements
    • No team member will be exempt from physical fitness requirements or physical training participation
  4. Ability to work as a team member in incredibly stressful environments that include but are not limited to extended callouts, possible encounters with armed subjects, inclement weather, and mental and physical training scenarios
  5. No significant history of disciplinary or attendance issues with Allegiance Mobile Health
  6. Ability to pass the onboarding requirements performed by the law enforcement agency
  7. In good standing with Allegiance Mobile Health's clinical department.
  8. Attendance at designated training courses as determined by team leadership
    • These classes include, but are not limited to:
      • Tactical Emergency Casualty Care (TECC)
      • Advanced protocol training with Medical Director as needed
      • Cadaver Lab as directed by Team Supervisor and/or Medical Director
      • SWAT Medic or TEMS Course
      • IBSC Tactical Paramedic- Certification (TP-C) Exam within 1 year of joining the team
      • ICS 100, 200, 300, 400, 700, 800, 907
      • Critical Care Paramedic encouraged, but not require

9.Other duties as assigned

PYSCHOLOGICAL REQUIREMENTS:
  • Use good judgment and remain calm in high-stress situations.
  • Maintain a positive attitude in the face of adversity.
  • Have good interpersonal and conflict resolution skills.
  • Function under situations of extreme fatigue due to little or no rest, extreme temperatures, and inclement weather conditions.
Physical Requirements:
  • Lift, carry, balance and push up to 125 pounds (250 pounds with assistance).
  • Demonstrate flexibility and physical coordination by bending from the waist and touching toes, squat with legs parallel to the ground, and kneeling with both knees firmly on the ground.
  • Repetitive lifting, squatting, stooping and kneeling.
  • Climb 20 sets of stairs without rest within 60 seconds.
  • Demonstrate fine manual dexterity by performing job-related clinical skills (starting IV's, intubating, etc.).
  • Have correctable vision adequate to read street signs, see in low light and read the small print.
  • Must be able to pass and maintain physical fitness test requirements –
  • "Cooper Straight Cut-Standards"
  • Push up test – 25 or more
  • Sit up test – 29 or more
  • 300 meter sprint < 1 min 11 sec
  • 1.5 mile run <16 min 28 sec
MINIMUM QUALIFICATIONS:
  • High school graduate or GED
  • Prior or Current certification as an EMT Basic or higher in the State of Texas
  • Minimum of 2 years prior experience recruiting high volume E

Please note that previous tactical team experience DOES NOT guarantee a position on the team

Allegiance is an EEO employer as defined by the EEOC

Criminal Background Checks
  • Due to the sensitive nature of law enforcement involvement and to help maintain operational security, interested candidates must meet the following criminal background requirements:
  • No previous felony convictions
  • No misdemeanor class A or B convictions within the past ten (10) years
  • Must not be under any type of court ordered supervision such as probation or parole
  • Must not be the subject of any type of protective orders
  • Must not be currently under investigation for any felony offense or under felony indictment
  • No previous family violence convictions
  • Must be able to lawfully possess a firearm as allowed by state and federal law
  • Team members are not required to possess firearms, but must be in a position where they can lawfully possess one, if necessary
  • Any interested candidate or current member who becomes the subject of a criminal investigation, at any level, is required report that information to the team supervisor, on-duty supervisor and/or district chief within 24 hours. This includes any level of citation or arrest. Failure to do so may result in removal from the team.
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