County of Alameda

Director, Emergency Medical Services (#5788)

Bargaining Unit: ACMEA - HCSA Tech/Para Mgmt (R45)
$75.80-$92.13 Hourly / $6,064.00-$7,370.40 BiWeekly /
$13,138.67-$15,969.20 Monthly / $157,664.00-$191,630.40 Yearly

Under general direction, administers the operation of the Emergency Medical Service (EMS) District Program of the Health Care Services Agency, a County Service Area that is funded by a special tax.  The EMS program is designated by the Alameda County Board of Supervisors as the Local EMS Agency for Alameda County in accordance with Division 2.5 of the California Health and Safety Code.


This is a single position class in which the incumbent reports to the Director of Health Care Services Agency, a County Services Agency.  The position is distinguished from other position sin that the incumbent is assigned authority and responsibility to direct the County's Emergency Medical Service Program and to manage the operations and budget of the County Service Area 1983-1, the EMS District.

NOTE:  The following are the duties performed by employees in this classification.  However, employees may perform other related duties an an equivalent level.  Each individual in the classification does not necessarily perform all duties listed.

1.  Plans, administers, organizes, evaluates, and directs the County's Emergency Medical Services system, including services provided by multiple provider agencies (public and private); and ensures, compliance with all State and Local laws, regulations and other requirements applicable to Local EMS Agencies.

2.  Directs the preparation of the Emergency Medical Services district budget each fiscal year and makes recommendations to the Board of Supervisors regarding any need changes to the special tax rate.

3.  Negotiates, prepares and administers County contracts, including approval of costs and subsidy payments, with Paramedic Emergency Ambulance Providers, city and district fire departments, the designated Paramedic Advanced Life Support Base Hospitals, Stroke Centers and Cardiac Receiving Centers, and designated Hospital Trauma Centers.

4.  Prepares recommendations and reports for the Agency Director and/or Board of Supervisors regarding EMS program policy, including the Special District Report and reports to the Board of Supervisors Health Committee.

5.  Oversees the preparation of the Annual EMS Report for submission to the State EMS Authority.

6.  Represents the County EMS Program with national, state, regional and local agencies and organizations.

7.  Directs emergency medical disaster planning for the Health Care Services in cooperation with the County Health Officer.

8.  Serves as replacement for the Director of Health Care Services Agency for emergency disaster operations.

9.  Directs the activities of the Emergency Medical Services staff through subordinate supervisors; selects staff and evaluates performance; reviews and takes action on disciplinary matters.

10. Assists in the Emergency Medical Services Medical Director in programming medical input and expertise to EMS District providers.

11. Directs the continued development and implementation of injury prevention programs.

12. Oversees the collection, analysis, interpretation and evaluation of data to ensure adequate Emergency Medical Service performance.

13. Analyzes existing and proposed legislation and makes recommendations to the Director of the Health Care Services Agency regarding their impact on the county's Emergency Medical Services system.

14. Investigates and resolves complaints/problems raised by the community and provider agencies regarding emergency medical services.

15. Keeps up to date with national state, regional and local legislation, research and trends related to emergency medical services.

16. Performs other duties as assigned.


Possession of a bachelor's degree from an accredited college or university with a major in Health Administration, Business or Public Administration, or a field related to the work.


The equivalent of five (5) years of progressively responsible supervisory, administrative, or programmatic experience in the field of Emergency Medical Services.


Possession of a valid clinical license from one the following licensing authorities for the state of California: Emergency Medical Services Authority, Board of Registered Nursing, Medical Board.

Possession of a valid California Driver's License.

NOTE:  The Civil Service Commission may modify the above Minimum Qualifications in the announcement of an examination.

NOTE:  The level and scope of the following knowledge and abilities are related to duties listed under the "Example of Duties" section of this specification.

Knowledge of:
  • Paramedic and EMT practices and techniques in the field setting.
  • Techniques of public and personnel administration.
  • Pertinent state and local laws and regulations applicable to Emergency Medical Service systems.
  • Emergency Medical services communication systems.
  • Medical care monitoring techniques and quality improvement standards for Emergency Medical Care systems.
  • Principles of budget preparation and administration.
  • Current trends in general medical service programs.
  • Statistical methods and procedures.
  • Contract management and negotiation techniques.
  • Financial management and governmental budgeting.
  • Computer applications and hardware and software related to the work.
Ability to:
  • Have effective oral and written communication skills.
  • Make decisions.
  • Plan and organize.
  • Exercise management control.
  • Conduct budget analysis.
  • Demonstrate interpersonal sensitivity.
  • Analyze and problem solve.
  • Be flexible.
  • Adapt to stress.
  • Demonstrate leadership.

Retitled/Revised: 07/90
Formerly: 0545h
Revised 11/97
Old document: 5788h.doc
New document: Jobspecs/5788
CSC Date: 11/19/97
JG:jf Revision/Retitle 07/05/17
Old Title: Director, Emergency Medical Service District
CSC Date: 11/07/18


Alameda County offers a comprehensive and competitive benefits package that affords wide-ranging health care options to meet the different needs of a diverse workforce and their families. We also sponsor many different employee discount, fitness and health screening programs focused on overall well being.  These benefits include but are not limited to*:

For your Health & Well-Being

  • Medical – HMO & PPO Plans
  • Dental – HMO & PPO Plans
  • Vision or Vision Reimbursement
  • Share the Savings
  • Basic Life Insurance 
  • Supplemental Life Insurance (with optional dependent coverage for eligible employees)
  • Accidental Death and Dismemberment Insurance 
  • County Allowance Credit
  • Flexible Spending Accounts - Health FSA, Dependent Care and Adoption Assistance
  • Short-Term Disability Insurance
  • Long-Term Disability Insurance
  • Voluntary Benefits - Accident Insurance, Critical Illness, Hospital Indemnity and Legal Services
  • Employee Assistance Program

For your Financial Future

  • Retirement Plan - (Defined Benefit Pension Plan)
  • Deferred Compensation Plan (457 Plan or Roth Plan)

For your Work/Life Balance

  • 12 paid holidays
  • Floating Holidays
  • Vacation and sick leave accrual
  • Vacation purchase program
  • Management Paid Leave**
  • Catastrophic Sick Leave
  • Group Auto/Home Insurance
  • Pet Insurance
  • Commuter Benefits Program
  • Guaranteed Ride Home
  • Employee Wellness Program (e.g. At Work Fitness, Incentive Based Programs, Gym Membership Discounts)
  • Employee Discount Program (e.g. theme parks, cell phone, etc.)
  • Child Care Resources
  • 1st United Services Credit Union 

*Eligibility is determined by Alameda County and offerings may vary by collective bargaining agreement.  This provides a brief summary of the benefits offered and can be subject to change.

** Non-exempt management employees are entitled to up to three days of management paid leave. Exempt management employees are entitled to up to seven days of management paid leave.

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