ALS Operations Manager / Lead Paramedic

Diamond Care Transportation; Washington (District of Columbia); Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

401(k)

Health insurance

Dental insurance

Job summary

Diamond Care Transportation in Washington, DC, is seeking an experienced ALS Coordinator to launch its new ambulance division. This founding role involves shaping protocols and leading a team while ensuring compliance with regulations.

Ideal candidates will have a Maryland Paramedic license and substantial paramedic experience, particularly in commercial transport. You'll take the reins of developing quality assurance programs, conducting audits, and providing clinical leadership while working closely with ownership and the Medical Director.

This is a unique opportunity to influence and establish strong foundations for a growing team with grounded operational autonomy.

Qualifications

• 5+ years of experience as a paramedic, preferably in commercial transport.
• Experience in quality assurance and protocol development.
• Ability to work independently and build processes.

Responsibilities

• Ensure compliance with all ambulance regulations.
• Conduct quality assurance audits and evaluations.
• Lead paramedics during transports and clinical care.

Skills

Paramedic experience

Regulatory compliance knowledge

Supervisory experience

Autonomy in process building

Education

Current Maryland Paramedic license

Tools

ePCR systems

Job description

Benefits

• 401(k)
• Dental insurance
• Health insurance

About Us

Diamond Care Transportation is an established non emergency medical transportation company operating since 2016 across six states, looking to launch a licensed commercial ALS ambulance division in the Maryland/DC metro region. New equipment, professional dispatch infrastructure, and a leadership team that invests in its people. We do care.

The Opportunity

This is a founding leadership role, not just a field position. We are hiring an experienced Maryland paramedic to serve as the clinical and operational backbone of our new ALS division. You will work directly with ownership and our Medical Director to stand up the service, shape its protocols and culture, and lead it as it grows. You'll run calls — and you'll run the program.

You Will Serve As

• ALS Coordinator — clinical lead for all ALS operations, equipment standards, and paramedic credentialing under our Medical Director
• Quality Assurance Officer — implement our QA plan, audit patient care reports, serve on the Medical Review Committee, track and investigate complaints, and complete required MIEMSS reporting (we sponsor your MIEMSS QA Officer course)
• Lead Paramedic — provide ALS-level care on inter-facility and scheduled transports, and set the clinical standard for every crew that follows you

Responsibilities

• Build and maintain compliance with MIEMSS/SOCALR commercial ambulance regulations (COMAR Title 30)
• Partner with the Medical Director on protocols, QA plan execution, credentialing, and equipment approval
• Conduct ePCR audits, field evaluations, and remedial training plans
• Oversee vehicle readiness, ALS equipment checks, drug box accountability, and supply standards
• Help recruit, orient, and precept incoming paramedics and EMTs
• Serve as primary clinical point of contact for facilities, SOCALR, and our Medical Director

Requirements

• Current Maryland Paramedic license (or active NREMT-P — we will sponsor your Maryland reciprocity and protocol orientation)
• 5+ years of paramedic experience; interfacility/commercial transport experience strongly preferred
• Prior experience as a supervisor, FTO/preceptor, QA officer, or ALS coordinator strongly preferred
• Working knowledge of Maryland EMS protocols and COMAR Title 30 (or ability to come up to speed fast)
• Valid driver's license, clean driving record, ability to pass background check and drug screening
• Self-starter comfortable building processes from scratch — this role has real autonomy and real accountability

Why This Role Is Different

You're not joining a machine — you're building one. Ground-floor equity of influence: your protocols, your QA program, your crew culture, Brand-new equipment, As the fleet grows, so does your role.