Fresh Listing

Posted: March 19, 2026 (1 day ago)

This job was posted recently. Fresh listings typically have less competition.

EMERGENCY MEDICAL SERVICES SYSTEM DIRECTOR (EXECUTIVE LEVEL)

City of Houston

Houston Fire Department

Fresh

Location

Salary

Not specified

Closes

Open until filled

Job Description

Summary

This job is for a top-level leader who runs the city's emergency medical services, making sure ambulances and paramedics respond quickly and effectively during crises like disasters or big events.

It involves guiding medical teams, working with hospitals and police, and planning for emergencies to keep the community safe.

A good fit would be a doctor with years of hands-on experience in urgent care outside hospitals, strong leadership skills, and a passion for public safety in a busy city like Houston.

Key Requirements

  • M.D. or D.O. degree from an accredited medical school
  • Board certification in Emergency Medicine
  • Seven years of experience in out-of-hospital emergency care
  • Simultaneous employment with a local medical school for research and medical direction
  • Proven leadership in clinical operations and emergency response
  • Expertise in disaster preparedness, quality assurance, and inter-agency coordination
  • Ability to manage budgets, grants, and staff including medical directors

Full Job Description

HFD.png

APPLICATIONS ACCEPTED FROM: ALL PERSONS INTERESTED

DIVISION: EMERGENCY MEDICAL SERVICES (EMS) SYSTEM
REPORTING LOCATION: 500 JEFFERSON*
*Subject to change

ABOUT THE DEPARTMENT
The City of Houston Emergency Medical Services (EMS) System is a critical component of the City’s public safety and emergency response infrastructure. Serving one of the largest and most diverse metropolitan populations in the United States, Houston EMS, as part of the Houston Fire Department, delivers basic and advanced life support,
emergency medical response, patient transport, disaster response, and special event medical services.

The EMS System works collaboratively with the Houston Fire Department, regional hospitals, public health agencies, emergency management partners, and law enforcement to ensure rapid, coordinated, and high-quality prehospital care. The system plays a vital role in large-scale emergency preparedness, public health emergencies, and citywide resilience initiatives.

DESCRIPTION OF DUTIES/ ESSENTIAL FUNCTIONS
The Emergency Medical Services System Director provides executive leadership, strategic direction, and operational oversight of Houston’s EMS System. This role
is responsible for ensuring clinical excellence, regulatory compliance, fiscal stewardship, workforce readiness, and system-wide integration with public safety
and healthcare partners.

Key responsibilities include:

  • Directing all clinical EMS operations, clinical services, and administrative functions, with command oversight of high-acuity responses, mass-casualty incidents, and tactical medical deployments
  • Establishing system-wide clinical and operational policies, protocols, and performance standards aligned with disaster medicine, trauma care, and law-enforcement/first-responder integration
  • Leading emergency preparedness, large-scale disaster response, and special event medical operations, including incident command participation, surge capacity planning, and inter-agency coordination
  • Overseeing quality assurance, clinical outcomes, and continuous improvement initiatives, with a focus on trauma system performance, disaster response readiness, and after-action review implementation
  • Participates in management of EMS budgets, contracts, grants, and vendor relationships, including funding streams that support disaster preparedness, tactical equipment, training, and resilience initiatives
  • Oversees Associate and Assistant Medical Directors as well as support staff, to include CQI and education personnel
  • Serving as a senior medical advisor to City leadership on EMS operations, disaster and public health preparedness, tactical medicine, and system-wide emergency response performance
WORKING CONDITIONS
There are frequent exposures to extreme levels of temperature, air pollution, noise pollution, chemical gases and substances, and/or contagious diseases or physical trauma conditions of a short-term disabling nature, such as broken bones or temporary loss of sight or hearing.

Requirements

EDUCATION REQUIREMENTS
Requires an M.D. or D.O. from an accredited medical school and board certification in Emergency Medicine.

In addition, must hold simultaneous outside employment with a local medical school that has the responsibility for emergency medical research activities and on-line medical direction activities for the city and shall report to the president or dean of the medical school for purposes of the outside employment.

EXPERIENCE REQUIREMENTS
Seven years of experience in out-of-hospital emergency care of critically ill or injured patients, trauma care, and EMS research, including public and professional education, are required.

LICENSE REQUIREMENTS
Requires a license to practice medicine in the State of Texas.

Qualifications

Preference will be given to candidates who possess knowledge of:

  • Expertise in large-scale EMS system operations and clinical oversight
  • Knowledge of pre-hospital care standards, accreditation, and regulatory compliance
  • Board certified in Emergency Medical Services.
  • Experience with emergency preparedness, disaster response, and incident command systems
  • Strong financial management, budgeting, and grant administration skills
  • Proven ability to lead diverse, multidisciplinary teams
  • Excellent communication, stakeholder engagement, and executive leadership capabilities

**Preference shall be given to eligible veteran applicants provided such persons possess the qualifications necessary for competent discharge of the duties involved in the position applied for, such persons are among the most qualified candidates for the position, and all other factors in accordance with Executive Order 1-6.**

Additional Information

SELECTION / SKILLS TESTS REQUIRED
Department may administer skills assessment test.

SAFETY IMPACT POSITION Yes
If yes, this position is subject to random drug testing and if a promotional position, candidate must pass an assignment drug test.

SALARY INFORMATION
Factors used in determining the salary offered include the candidate's qualifications as well as the pay rates of other employees in this classification.

PAY GRADE 38

APPLICATION PROCEDURES
Only online applications will be accepted for this City of Houston job and must be received by the Human Resources Department during active posting period. Applications must be submitted online at: www.houstontx.gov.

To view your detailed application status, please log-in to your online profile by visiting: http://agency.governmentjobs.com/houston/default.cfm or call (832-393-0453).

If you need special services or accommodations, call (832-393-0453). (TTY 7-1-1)

If you need login assistance or technical support call 855-524-5627.

Due to the high volume of applications received, the Hiring Department will contact you directly, should you be selected to advance in our recruitment process.

All new and rehires must pass a pre-employment drug test and are subject to a physical examination and verification of information provided.

EOE Equal Opportunity Employer
The City of Houston is committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, genetic information, veteran status, gender identity, or pregnancy.

Check your resume before applying to catch common mistakes

Browse Similar Jobs

Posted on NEOGOV: 3/19/2026 | Added to FreshGovJobs: 3/20/2026

Source: NEOGOV | ID: neogov-houston-5277685