EMS Assistant Chief Operations 

Full-Time | Days | Leadership Opportunity

About the Role

Envoy Recruitment is seeking an experienced and strategic EMS Assistant Chief Operations to oversee the direction and performance of a large-scale emergency medical services team across York County. This critical leadership role includes managing on-duty District Chiefs, 150 EMS field staff, and collaborating with local public safety agencies (18 fire departments, 7 police departments, 3 rescue squads, 911, and EMA).

The EMS Assistant Chief is expected to set the tone for professional excellence while fostering a collaborative, supportive, and dynamic work environment. You will direct field operations, manage EMS resources, and coordinate first responders to ensure a high-performance emergency medical service system.

This position also involves participating in direct patient care when necessary, managing interagency responses to large-scale incidents, and overseeing operational, administrative, and supervisory functions including scheduling, timekeeping, performance evaluations, employee recognition, and protocol compliance.

Key Operational Goals

• Enhance Quality & Efficiency:
  Develop and maintain a high-performance EMS system that exceeds operational expectations and improves patient outcomes and customer satisfaction.

• Ensure Regulatory Compliance:
  Maintain operational standards that meet or exceed all state regulations, contractual requirements, and quality benchmarks.

• Optimize Financial Performance:
  Implement strategies to maximize operational economy, manage costs, and deploy preventive measures to reduce expenditures while maintaining exceptional service.

Key Responsibilities

• Lead all EMS field operations and provide direct supervision to District Chiefs and EMS teams.

• Collaborate with local public safety personnel and agencies to coordinate responses and ensure seamless emergency care delivery.

• Manage and evaluate operational performance, resource allocation, and adherence to protocols.

• Oversee administrative functions, including scheduling (Kronos), ePCR compliance, and performance evaluations.

• Develop and implement operational policies, training, and quality initiatives to support continuous improvement.

• Actively engage in emergency response when necessary, providing advanced life support and transport.

• Facilitate interagency coordination during large-scale incidents and disasters.

• Promote a culture of accountability, recognition, and professional development among EMS staff.

Qualifications & Requirements

Education

• High school diploma or GED required.

• Bachelors degree (B.S.) or equivalent from a four-year college/technical school or equivalent combination of education and experience required.

• Completion of at least one nationally recognized EMS Management Course preferred, such as:

  • University of North Carolina EMS Management Institute

  • Beyond the Streets EMS Supervisors Workshop (Fitch & Associates)

  • National Fire Academy Management of EMS Services

Experience

• Minimum 5 years of full-time experience as a paramedic with progressive leadership in a 911 EMS system of similar size and scope.

• Minimum 2 years of experience at the District Chief (or equivalent leadership) level preferred.

Skills & Competencies

• Strong understanding of EMS organizational structures, deployment plans, and medical components.

• Expertise in emergency operations, incident management systems, and interagency coordination.

• Knowledge of EMS quality management systems, policies, and procedures.

• Effective verbal and written communication, including proficiency with modern technology, word processing, and spreadsheets.

• Leadership skills to build strong team dynamics, resolve conflicts, and inspire operational excellence.

• Budgeting, inventory control, and relationship management expertise.

Certifications & Licenses

• South Carolina Paramedic certification required.

• Nationally Registered Paramedic (NRP) certification within 1 year of hire.

• Critical Care Paramedic Certification preferred.

• Community Paramedic Certification preferred.

• BCLS (within 7 days of hire), ACLS, PALS or PEPP required.

• Training in Hazardous Materials and Radiological Monitoring preferred.

• NIMS-compliant with Incident Command/Incident Management (100, 200, 300, 400, 700, 800).

• Valid South Carolina or North Carolina Drivers License.

Why Join Through Envoy Recruitment?

• Partner with a team dedicated to aligning your career goals with leading EMS organizations.

• Competitive compensation and benefits package.

• Opportunities for professional growth, advanced training, and leadership development.

Apply Today
Take the next step in your EMS leadership career with Envoy Recruitment. Submit your resume or connect with our team for a confidential conversation.