Positions · Regional Hub positions · Specialists TPF calls on

Careers at The Paramedic Foundation

The Paramedic Foundation (TPF) builds the systems that keep emergency care within reach of rural communities. Its people design how regional emergency medical services (EMS) are governed. They build community paramedicine and set up the staffing and payment plans that let rural services last. They work with state agencies and regional partners across four continents. TPF is a Minnesota nonprofit corporation and a tax-exempt charity under Section 501(c)(3) of the Internal Revenue Code. You can work with TPF as an employee, an officer or an independent contractor, or join the specialists around the world TPF calls on.

Positions at TPF

No TPF position is open at present. The table shows recent positions and the regional Hub positions due to be posted. Each open posting links to its full position description. Apply by email to the address in the posting. TPF reviews applications as they arrive unless the posting gives a closing date.

Positions at The Paramedic Foundation and the Nebraska regional Hubs
PositionEngagement typeLocationStatus
Finance Director
Nonprofit finance and federal award administration, organization-wide
Independent contractorRemote, United States, with travel a few times a yearFilled
Regional Executive Director
Chief executive of a Regional EMS Technical Assistance Hub, Nebraska
Employed by the regional HubResident in the region served, NebraskaPosting soon
Program Coordinator
Day-to-day program delivery for a Regional EMS Technical Assistance Hub, Nebraska
Employed by the regional HubResident in the region served, NebraskaPosting soon
Project Manager
Rural EMS transformation and TPF projects
Independent contractorRemote, with travel to NebraskaFilled, September 2026
Communications Director
Organization-wide communications and TPF projects
Independent contractorRemote, United StatesFilled, September 2026

Nebraska is forming six Regional EMS Technical Assistance Hubs, each giving the EMS agencies of its region a shared base for planning, training, equipment, and community paramedicine. Each Hub will employ a Regional Executive Director and a Program Coordinator. TPF supports each search. Applications come to TPF on the Hub’s behalf, and the Hub’s board makes the hiring decision.

Employee, contractor, Hub and specialist roles

01

Employees and officers

These are jobs within TPF itself, including its officers. The Board of Directors sets officer pay. Fair Labor Standards Act classification is set at hire and checked against the salary basis and duties tests. Each of these roles is posted on its own.

02

Independent contractors

Contractors work under TPF’s standard independent contractor agreement. A scope of work states the services, deliverables, schedule, fees and availability. TPF provides a Microsoft 365 account. All project work product is created and stored in TPF’s environment.

03

Positions at regional Hubs

The regional entity a position serves is the employer, on terms its board sets. TPF supports the formation of the Hubs and their searches. It receives applications on each Hub’s behalf, and the Hub makes the hiring decision.

04

Specialists TPF calls on

TPF builds each team around what a project requires. Experts can take work through TPF or bring their own projects under its operational umbrella. That umbrella includes liability coverage and financial administration.

If no posting fits but the work does, see the expression of interest page. It lists the areas of knowledge TPF is building and tells you how to get in touch.

What working at TPF is like

The work has three parts. Regional governance lets small agencies plan and share resources. Community paramedicine treats people close to home. Staffing and payment plans let those services last. The people who do that work are practicing professionals, and TPF assembles each team around what an engagement requires.

Most of TPF’s clients are state agencies and other governmental entities. They work to deadlines set by others. The working standard follows from that. Communications are answered within one business day. Schedule risks are raised early enough to be managed. Work product is documented so that a reviewer a year later can see what was done, by whom, and how it was accepted. In federally funded work, that documentation is the evidence that the work happened.

Most TPF roles are remote and distributed across time zones. They involve travel a few times a year to the states TPF serves. A position at a regional entity TPF helps to form is based in the region it serves. TPF works in Microsoft 365. Each engagement’s work product is created and stored in TPF’s environment. TPF uses Claude, an artificial intelligence platform, under its AI use policy. A posting for a TPF position asks applicants to describe how they used AI in preparing an application.

TPF works with the same people across projects and across years. The trust of the agencies and communities it serves is built over time.

Equal opportunity

The Paramedic Foundation is an equal opportunity organization. TPF does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other characteristic protected by law in its employment, contracting, engagement, or program activities.

If a disability makes any part of the application process inaccessible, write to [email protected] and TPF will arrange an alternative.

Questions about applying to TPF

Do I need an EMS background to work with TPF?

Not for most roles. TPF’s work joins paramedicine with governance, finance, federal grant compliance, data and state policy. Its people come from county government, public health, nonprofit finance, project management and research, as well as from EMS. For roles that are not clinical, EMS or rural health knowledge is a plus. Those postings ask you to show that you can learn how the field works. Where a role rests on field credibility, the posting says so and says how you can show it.

Does The Paramedic Foundation hire paramedics?

Yes. Paramedics and other EMS professionals bring field credibility that much of TPF’s work depends on. Where the work calls for it, a posting marks EMS experience as highly desired.

Are TPF positions remote?

Most are remote within the United States, with travel a few times a year to the state a project serves. Positions at the Nebraska regional Hubs are based in the region each Hub serves. TPF’s registered address in Duluth, Minnesota is a mail address. Its people work from across the United States, Canada and beyond.

What is the difference between an employee role, a contractor role, and a Hub position?

An employee or officer holds a position within TPF itself. Fair Labor Standards Act classification is set at hire, and the Board of Directors sets officer pay. A contractor works under TPF’s standard independent contractor agreement. A scope of work states the services, deliverables, schedule, fees and availability commitments. A Hub position is a job with the regional entity it serves. TPF supports the search, and the Hub’s board makes the hiring decision. Each posting says which type it is.

What systems will I work in?

TPF works in Microsoft 365, and each engagement’s work product is created and stored in TPF’s environment. Contractors get a TPF account at no cost. TPF uses Claude, an artificial intelligence platform, under its AI use policy. Each posting names any systems the role needs, such as the accounting and spend management platforms the Finance Director works in.

Can I use AI to prepare my application?

Yes. A posting for a TPF position asks you to describe, in the letter of interest, how you used artificial intelligence and to include the prompts. TPF reads that as work product. It looks at how well you directed and checked the tool, and whether you stayed responsible for the result. If you did not use AI, say so in the letter.

How are applications reviewed?

Send your application to the email address in the posting, with the position title in the subject line. Reviews are rolling unless a posting states a closing date. Finalists for some roles are asked for a writing sample. Much of TPF’s work product is written, and TPF’s style guide sets the standard it is held to.

Does TPF pay its board members?

Board directors are not paid for board service. A director may also be engaged and paid separately as a TPF consultant. That work rests on an independent contractor agreement and a scope of work. It is not a term of board service.

Tell TPF what you know

TPF adds specialists as projects call for new knowledge. If you have deep expertise on a hard problem in rural EMS, tell TPF what it is.