EMERGENCY MEDICAL SERVICES SYSTEM DIRECTOR (EXECUTIVE ...

EMERGENCY MEDICAL SERVICES SYSTEM DIRECTOR (EXECUTIVE LEVEL) Print ( Apply ufeff EMERGENCY MEDICAL SERVICES SYSTEM DIRECTOR (EXECUTIVE LEVEL) Salary Depends on Qualifications Location Houston, TX Job Type Executive Level Job Number 38476 Department Houston Fire Department Opening Date 03/19/2026 + Description + Benefits + Questions POSITION OVERVIEW 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 Cityu2019s 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 Houstonu2019s 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. MINIMUM 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. PREFERENCES 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. GENERAL 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: To view your detailed application status, please log-in to your online profile by visiting: 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. The city offers a competitive benefits program, including competitively priced health coverage and a defined contribution pension plan. Benefits include: + Medical + Dental + Vision + Wellness + Supplemental Insurance + Life insurance + Long-term disability + Retirement pension + 457 deferred compensation plan + Employee Assistance Program + 10 days of vacation each year + 13 city holidays, plus one floating holiday + Compensable Sick Leave + Personal Leave + Flexible schedules + Hybrid-Telework for eligible positions + Professional development opportunities + Transportation/parking plan + Section 125 pretax deductions + Dependent Care Reimbursement Plan + Paid Prenatal, Parental and Infant Wellness Leaves + Healthcare Flexible Spending Account For plan details, visit 01 Are you a veteran who served on active duty in the Armed Forces (United States Army, Navy, Air Force, Marine Corps, or Coast Guard) for more than 90 consecutive days and received either an honorable discharge or a general discharge under honorable conditions? + Yes + No 02 Do you hold an M.D. or D.O. from an accredited medical school? + Yes + No 03 Are you board certified in Emergency Medicine? + Yes + No 04 Do you currently hold an active license to practice medicine in the State of Texas? + Yes + No 05 This position requires simultaneous outside employment with a local medical school responsible for emergency medical research and on-line medical direction activities for the City of Houston. Do you currently hold, or are you eligible to obtain, an academic appointment with a local medical school meeting this requirement? + Yes, I am currently employed by a local medical school in a qualifying capacity + No, but I have an existing relationship with a local medical school and can pursue this appointment + No, but I am open to establishing the required affiliation with a local medical school + No, I do not have a connection to a local medical school and am not able to meet this requirement 06 How many 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 do you have? + I have no experience that directly relates to the duties of this position. + Less than 7 years + 7 - 9 years + 10 - 12 years + 13 - 15 years + 16 years or more Required Question

Created: 2026-03-23